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The article outlines the technical rationale for extending lag screw use within a stable plate-screw construct to promote bone-to-bone healing. It also emphasizes reducing reliance on extensive soft-tissue dissection compared with alternative fixation methods while addressing the traditionally difficult inferior fragment reduction.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/novel-lag-screw-application-in-the-reduction-of-neer-type-v-distal-clavicle-fracture-a-case-report-and-technical-note/449923/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/novel-lag-screw-application-in-the-reduction-of-neer-type-v-distal-clavicle-fracture-a-case-report-and-technical-note/449923.png","ImageObject",300,407,{"name":92,"@type":93},"pixelkiddo","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-11-04","2026-09-30",true,{"@type":102,"interactionType":103,"userInteractionCount":39},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What problem does the novel lag screw technique address in Neer Type V distal clavicle fractures?","Question",{"text":112,"@type":113},"It addresses the technically challenging reduction of the inferior clavicle fragment required to restore the coracoclavicular ligament.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"What is the main goal of using a lag screw in this case report?",{"text":117,"@type":113},"To aid direct anatomical reduction of the inferior fragment and incorporate it for bone-to-bone healing within a stable plate-screw construct.",{"name":119,"@type":110,"acceptedAnswer":120},"How does the technique aim to differ from other commonly described fixation approaches?",{"text":121,"@type":113},"It reduces the need for extensive soft-tissue dissection for coracoid exposure compared with approaches such as suture anchor or button fixations.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},449923,1790811774,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":39,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":24,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":144,"preview_page_count":4},962090883892,"https://ap-avatar.wpscdn.com/avatar/e00115db34f3e0f11b?x-image-process=image/resize,m_fixed,w_180,h_180&k=1790152879550218658","Case Report  Journal of Orthopaedic Case Reports 2025 December:15( 12) :Page 27-31   \nNovelLag Screw Application In The Reduction Of Neer Type V Distal Clavicle Fracture: A Case Report And Technical Note  \nShaun Kai Kiat Chua1, Don Thong Siang Koh2, Junkai Liow1, Michael Gui Jie Yam1  \nLearning Point of the Article:  \nAn extended application of a lag screw as a reduction technique in Neer Type V distal clavicle fractures utilizes fundamental trauma principles to offer a simple alternative technique to achieve direct anatomical reduction of the inferior fracture fragment in a stable plate  \nscrew construct without the need for extensive soft-tissue dissection.  \nAbstract  \nIntroduction: Neer Type V distal clavicle fractures are an unstable fracture configuration that is often treated with surgery. Type V fractures are challenging as the integrity of the coracoclavicular ligament needs to be restored by reducing the inferior fragment – a technically challenging endeavor. Multiple heterogeneous surgical techniques have been proposed in the literature to treat unstable distal clavicle fractures without any consensus onbest practice. To date, there remains a lack of described effective techniquesto aid in reducing the inferior fracture fragment inNeer Type V distal clavicle fractures.  \nCase Report: We employ a novel method of applying a lag screw technique to aid in the reduction of the inferior fragment to solve this notoriously challenging fracture pattern.  \nConclusion: This novel technique builds on fundamental trauma concepts. The extended use of a lag screw as a reduction technique in distal clavicle fractures has not been described in the literature before. This reduction technique reduces the need for extensive soft-tissue dissection for coracoid exposure, as described in other techniques (e.g., suture anchor or button fixations), while enabling direct incorporation of the inferior fragment, bone-to-bone healing, and benefits fromthe stability ofa plate-screw construct.  \nKeywords: Clavicle fracture, distal, type V, Neer, reduction,lag screw, technique.  \nIntroduction  \nNeer Type V distal clavicle fractures are unstable fractures that are notoriously challenging to fix. Type V fractures are described by Neer as an unstable fracture pattern with an inferior clavicle fragment attached to the coracoclavicular ligament [1]. Due to the forces acting on the distal clavicle, high rates ofmalunion and non-union are associated with Type II and Type V fractures [2]. Non-union rates in non-surgical management of distal clavicle fractures havebeen reported to beas high asathird ofcases [3].  \nMultiple techniques have been proposed in literature without any consensus on best practice to date [3, 4, 5]. Often, indirect techniques are employed to incorporate the reduction of the inferior fragment (clavicle fragment to which the coracoclavicular ligament remains attached) in a Type V fracture [3, 4, 5].  \nThe authors aim tosharea novel use of the lag screwtechnique to aid in thereduction ofaNeer Type V distal clavicle fracture.  \n\n| \u003Cbr>Access this article online\u003Cbr>\u003Cbr>Website: [www.jocr.co.in](www.jocr.co.in)\u003Cbr>\u003Cbr>DOI:\u003Cbr>[https://doi.org/10.13107/jocr.2025.v15.i12.6442](https://doi.org/10.13107/jocr.2025.v15.i12.6442) | Author’s Photo Gallery |  |  |  |\n| --- | --- | --- | --- | --- |\n|  | \u003Cbr>Dr. Shaun Kai Kiat Chua | \u003Cbr>Dr. Don Thong Siang Koh | | \u003Cbr>Dr. Michael Gui Jie Yam |\n|  | \u003Cbr>1Department of Orthopedic Surgery, Tan Tock Seng Hospital, Singapore, 2Department of Orthopedic Surgery, Singapore General Hospital, Singapore.\u003Cbr>Address of Correspondence:\u003Cbr>Dr. Shaun Kai Kiat Chua,\u003Cbr>Department of Orthopedic Surgery, Tan Tock Seng Hospital, Singapore.\u003Cbr>E-mail: [shaunkkchua@gmail.com](shaunkkchua@gmail.com) |  |  |  |\n| Submitted: 16/09/2025; Review: 26/10/2025; Accepted: November 2025; Published: December 2025 |  |  |  |  |\n| DOI: [https://doi.org/10.13107/jocr.2025.v15.i12.6442](https://doi.org/10.13107/jocr.2025.v15.i12.644","cbCaiiZoLwoHPUxl","https://ap.wps.com/l/cbCaiiZoLwoHPUxl","pdf",8235525,"English","# Learning Point of the Article\n## Abstract\n## Introduction\n## Case Report\n## Surgical technique\n## Conclusion\n## Keywords","[{\"question\":\"What problem does the novel lag screw technique address in Neer Type V distal clavicle fractures?\",\"answer\":\"It addresses the technically challenging reduction of the inferior clavicle fragment required to restore the coracoclavicular ligament.\"},{\"question\":\"What is the main goal of using a lag screw in this case report?\",\"answer\":\"To aid direct anatomical reduction of the inferior fragment and incorporate it for bone-to-bone healing within a stable plate-screw construct.\"},{\"question\":\"How does the technique aim to differ from other commonly described fixation approaches?\",\"answer\":\"It reduces the need for extensive soft-tissue dissection for coracoid exposure compared with approaches such as suture anchor or button fixations.\"}]","Novel Lag Screw Application In The Reduction Of Neer Type V Distal Clavicle Fracture - A Case Report And Technical Note | PDF",1790731538,13]