[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-438483-105":59,"doc-detail-438483-en":130},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":123,"head_meta":125,"extra_data":127,"updated_unix":129},105,"en","ultrasound-assisted-minimally-invasive-clavicle-plate-removal","Ultrasound-Assisted Minimally Invasive Clavicle Plate Removal","","Feasibility of point-of-care ultrasound (POCUS) for minimally invasive surgery (MIS) in clavicular plate removal is evaluated through a clinical case. A 29-year-old man developed hardware irritation after ORIF of a displaced midshaft clavicle fracture and, after failed conservative care, chose ultrasound-guided MIS. The approach aims to reduce wound and nerve complications while replacing C-arm guidance with portable, non-ionizing imaging for precise incision planning and neurovascular visualization. Recovery was uncomplicated, with no numbness and activity resumption at six weeks, noting a learning curve.",{"@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/ultrasound-assisted-minimally-invasive-clavicle-plate-removal/438483/",{"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/ultrasound-assisted-minimally-invasive-clavicle-plate-removal/438483.png","ImageObject",300,407,{"name":92,"@type":93},"moss~","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-11-06","2026-09-29",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 case address after clavicle plate fixation?","Question",{"text":112,"@type":113},"The case addresses hardware irritation after clavicle plate osteosynthesis, which often leads to implant removal due to pain and palpable prominence.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"How was POCUS used in the minimally invasive clavicle plate removal?",{"text":117,"@type":113},"POCUS was used for intraoperative localization of the underlying hardware and adjacent neurological structures, enabling a smaller MIS incision without relying on C-arm imaging.",{"name":119,"@type":110,"acceptedAnswer":120},"What were the patient’s outcomes after surgery?",{"text":121,"@type":113},"Post-operatively, the patient’s course was uncomplicated, with no surgical site numbness and return to previous activities at six weeks.","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},438483,1791242763,{"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},962090895452,"https://ap-avatar.wpscdn.com/davatar_a8503ba1806abce46bf441b54a3ca4cd","Review began 08/19/2025  \nReview ended 11/10/2025  \nPublished 12/06/2025  \n© Copyright 2025  \nMetikala et al. This is an open access article distributed under the terms of the Creative Commons Attribution License CCBY 4.0. , which permits unrestricted use , distribution , and reproduction in any medium , provided the original author and source are credited.  \nDOI: 10.7759/cureus.98593  \nOpen Access Case Report  \nUltrasound-Assisted Minimally Invasive Clavicle Plate Removal  \nSreenivasulu Metikala 1, 2, Dominique B. Spence 3, Cesar Cardenas 4, Robert Blackstone 5, Naga Cheppalli 6  \n1. Orthopaedic Foot & Ankle Surgery, Veterans Affairs Medical Center, Richmond, USA 2. Orthopaedic Surgery, Virginia Commonwealth University School of Medicine, Richmond, USA 3. Orthopaedics and Rehabilitation, University of New Mexico School of Medicine, Albuquerque, USA 4. Orthopaedic Surgery, University of New Mexico School of Medicine, Albuquerque, USA 5. Orthopaedic Surgery, Raymond G. Murphy Veterans Affairs Medical Center, Albuquerque, USA 6. Orthopaedics, Veterans Affairs (VA) Hospital Albuquerque, Albuquerque, USA  \nCorresponding author: Naga Cheppalli, [orthonsp@gmail.com](orthonsp@gmail.com)  \nAbstract  \nWe present the feasibility of point-of-care ultrasound (POCUS) to aid minimally invasive surgery (MIS) for clavicular plate removal. We present a case of a 29-year-old male who sustained a displaced midshaft clavicle fracture after a bike accident. On day four, post-injury, he underwent an open reduction and internal fixation with an anatomic 3.5mm locking plate, complicated by numbness of the anterior chest extending to the medial arm. Four years post-operatively, he presented for hardware irritation, which was palpable on physical exam. After unsuccessful conservative treatments, the patient elected to undergo hardware removal utilizing POCUS as the mode for a minimally invasive approach. The MIS approach, known for reducing wound complications and nerve damage, is traditionally confirmed using a C-arm image intensifier. POCUS, being a portable and non-ionizing imaging modality, serves as an alternative to traditional methods. POCUS allows for a more precise surgical incision that is smaller than the traditional open approach, with the additional advantage of visualization of neurovascular structures compared to a C-arm. Post-operatively, the patient’s course was uncomplicated with no surgical site numbness and participation in previous activities at six weeks. Although additional training is required to become an expert in acquiring ultrasound skills, most hardware can be easily located through ultrasound.  \nCategories: Orthopedics  \nKeywords: clavicle fracture, clavicle osteosynthesis, clavicle plate, clavicle plate removal, point-of-care-ultrasound  \nIntroduction  \nHardware irritation is a common problem after clavicle plate osteosynthesis, often necessitating implant removal with a reported incidence of nine to 44%[1] . Traditionally, clavicle plate removal is done by an open approach requiring exploration through previously operated tissue planes. The open surgical approach entails longer incisions and dissection through the scar tissues with subsequent morbidity, such as woundhealing complications, anterior chest wall numbness, and decreased shoulder range of motion (ROM) . On the other hand, the minimally invasive surgical (MIS) approach for removing hardware may result in a lower rate of surgical complications, thus optimizing early functional outcomes [2] . Traditionally, a C-arm image intensifier is utilized for the MIS approach to assist in placing surgical incisions directly over the screw heads during this approach. As is well known, the C-arm poses radiation risk and mandates a technician, as well as spacious operating suites [3] . The alternative tool is a point-of-care ultrasound (POCUS), a radiation-free imaging modality that can localize the underlying hardware and also the adjacent neurological structures, facilitatin","cbCailQPqNzRuV58","https://ap.wps.com/l/cbCailQPqNzRuV58","pdf",3112551,"English","# Abstract\n# Introduction\n# Case Presentation\n# Figure 1","[{\"question\":\"What problem does the case address after clavicle plate fixation?\",\"answer\":\"The case addresses hardware irritation after clavicle plate osteosynthesis, which often leads to implant removal due to pain and palpable prominence.\"},{\"question\":\"How was POCUS used in the minimally invasive clavicle plate removal?\",\"answer\":\"POCUS was used for intraoperative localization of the underlying hardware and adjacent neurological structures, enabling a smaller MIS incision without relying on C-arm imaging.\"},{\"question\":\"What were the patient’s outcomes after surgery?\",\"answer\":\"Post-operatively, the patient’s course was uncomplicated, with no surgical site numbness and return to previous activities at six weeks.\"}]","Ultrasound-Assisted Minimally Invasive Clavicle Plate Removal | PDF",1790685486,13]