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Peer-reviewedCC BY 4.0Arthroscopy Techniques

Distal Clavicle Plate Combined With EndoButton Device for the Treatment of Neer Type IIB Distal Clavicle Fractures

  • Tianhao Zhu1
  • Changming Huang1
  • Huaqiang Fan1
  • Xichun Hu1
  • Yangpan Fu1
  • Huixiang Dong1
  • Yaqing Zhang1
  1. 1Department of Orthopedics Hospital of PLA 73rd Group Army, Chenggong Hospital Affiliated to Xiamen University Xiamen China
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Abstract

The present article describes a surgical technique for the management of Neer type IIB distal clavicle fractures using a distal clavicle plate combined with an EndoButton device. The procedure consists of stepwise arthroscopic evaluation and exposure, fracture reduction, conoid ligament reconstruction, and plate fixation. This combined approach allows for concurrent management of intra‐articular lesions, provides stable fixation, reduces the risk of iatrogenic clavicle fractures, and facilitates early postoperative rehabilitation. Nevertheless, it has certain limitations: the approach is not minimally invasive, its indications are relatively narrow, and it requires advanced arthroscopic expertise. All in all, this surgical approach is applicable to both acute and chronic Neer type IIB distal clavicle fractures.

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Cite

BibTeXRIS
BibTeX
@article{zhu2026distal,
  title = {{Distal Clavicle Plate Combined With EndoButton Device for the Treatment of Neer Type IIB Distal Clavicle Fractures}},
  author = {Tianhao Zhu and Changming Huang and Huaqiang Fan and Xichun Hu and Yangpan Fu and Huixiang Dong and Yaqing Zhang},
  journal = {Arthroscopy Techniques},
  year = {2026},
  month = nov,
  doi = {10.1002/atn2.70379},
  url = {https://doi.org/10.1002/atn2.70379},
  note = {CC BY 4.0},
}
RIS
TY  - JOUR
TI  - Distal Clavicle Plate Combined With EndoButton Device for the Treatment of Neer Type IIB Distal Clavicle Fractures
AU  - Tianhao Zhu
AU  - Changming Huang
AU  - Huaqiang Fan
AU  - Xichun Hu
AU  - Yangpan Fu
AU  - Huixiang Dong
AU  - Yaqing Zhang
PY  - 2026
DA  - 2026/11/03
JO  - Arthroscopy Techniques
DO  - 10.1002/atn2.70379
UR  - https://doi.org/10.1002/atn2.70379
AB  - The present article describes a surgical technique for the management of Neer type IIB distal clavicle fractures using a distal clavicle plate combined with an EndoButton device. The procedure consists of stepwise arthroscopic evaluation and exposure, fracture reduction, conoid ligament reconstruction, and plate fixation. This combined approach allows for concurrent management of intra‐articular lesions, provides stable fixation, reduces the risk of iatrogenic clavicle fractures, and facilitates early postoperative rehabilitation. Nevertheless, it has certain limitations: the approach is not minimally invasive, its indications are relatively narrow, and it requires advanced arthroscopic expertise. All in all, this surgical approach is applicable to both acute and chronic Neer type IIB distal clavicle fractures.
SN  - 2212-6287
ER  -