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Sling and swathe
3%
22/629
Kenny-Howard brace
0%
2/629
Percutaneous repair with smooth Kirschner wires
1%
5/629
Open distal clavicle resection and transfer of the coracoacromial ligament
2%
10/629
Open reduction and internal fixation
93%
583/629
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The history and radiograph indicate a traumatic displaced distal clavicle fracture in a professional athlete. Open reduction and internal fixation provides the best chance to heal and retain shoulder function. Smooth Kirschner wires are at risk for migration, and acute acromioclavicular joint reconstruction with coracoacromial ligament transfer is unnecessary when there is good quality bone stock. Nonsurgical management may lead to a high chance of nonunion. Kenny-Howard braces may cause skin irritation and breakdown.
4.2
(12)
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