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Mall JW, Jacobi CA, Philipp AW, et al.: Surgical treatment of fractures of the distal clavicle with polydioxanone suture tension band wiring: an alternative osteosynthesis. J Orthop Sci 2002, 7:535-537.
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Flinkkila T, Ristiniemi J, Hyvonen P, et al.: surgical treatment of unstable fractures of the distal clavicle: a comparative study of Kirschner wire and clavicular hook plate fixation. Acta Orthop Scand 2002, 73:50-53.
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Levy O: Simple, minimally invasive surgical technique for treatment of type II fractures of the distal clavicle. J Shoulder Elbow Surg 2003, 12:24-28. This article describes the treatment of 12 patients using absorbable suture fixation, resulting in union of all fractures, rapid return to function, and no complications.
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Rokito AS, Zuckerman JD, Shaari JM, et al.: A comparison of nonoperative and operative treatment of type II distal clavicle fractures. Bull Hosp Jt Dis 2002-2003, 61:32-39. A retrospective study involving 30 patients comparing nonoperative and operative treatments of type II distal clavicle fractures. There were no significant differences between the two groups in the mean UCLA, Constant, and ASES scores. Non-union had no significant effect on functional outcome or strength.
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Anderson K: Evaluation and treatment of distal clavicle fractures. Clin Sports Med 2003, 22:319-326. Provides an interesting discussion of nonoperative treatment of distal clavicle fractures. Indicates that nonunion does not result in clinically important symptoms or deficits.
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