Abstract
BP is a 31-year-old female who presents to the emergency department via EMS complaining of severe shoulder pain after falling at soccer practice. She denies any loss of consciousness. On primary survey, she demonstrates a GCS of 15, a patent airway, and is hemodynamically stable. She has severe pain on palpation of her right shoulder, but secondary survey is otherwise negative. Her past medical history is unremarkable. She takes no medications and has no allergies.
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References
Rowe CR. An atlas of anatomy and treatment of midclavicular fractures. Clin Orthop Relat Res. 1968;58:29–42.
Postacchini F, Gumina S, De Santis P, et al. Epidemiology of clavicle fractures. J Shoulder Elbow Surg. 2002;11:452–6.
Malhotra AK, Martin N, Jacoby M, et al. What are we missing: results of a 13-month active follow-up program at a level I trauma center. J Trauma. 2009;66:1696–703.
Gottschalk HP, Browne RH, Starr AJ. Shoulder girdle: patterns of trauma and associated injuries. J Orthop Trauma. 2011;25:266–71.
Taitsman LA, Nork SE, Coles CP, et al. Open clavicle fractures and associated injuries. J Orthop Trauma. 2006;20:396–9.
Robinson CM. Fractures of the clavicle in the adult. Epidemiology and classification. J Bone Joint Surg Br. 1998;80:476–84.
Smekal V, Deml C, Irenberger A, et al. Length determination in midshaft clavicle fractures: validation of measurement. J Orthop Trauma. 2008;22:458–62.
Robinson CM, Court-Brown CM, et al. Estimating the risk of nonunion following nonoperative treatment of a clavicular fracture. J Bone Joint Surg Am. 2004;86:1359–65.
Hill JM, McGuire MH, Crosby LA. Closed treatment of displaced middle-third fractures of the clavicle gives poor results. J Bone Joint Surg Br. 1997;79:536–41.
Lenza M, Belloti JC, Andriolo RB, Gomes dos Santos JB, Faloppa F. Conservative interventions for treating middle third clavicle fractures in adolescents and adults. Cochrane Database Syst Rev. 2009. Issue 2. Art. No.: CD007121. doi: 10.1002/14651858.CD007121.pub2.
Andersen K, Jensen PO, Lauritzen J. Treatment of clavicular fractures. Figure-of-eight bandage versus a simple sling. Acta Orthop Scand. 1987;58:71–4.
Hoofwijk AGM, van der Werken C. Closed treatment of clavicular fractures: a prospective randomized trial. Acta Orthop Scand. 1986;57:482–3.
Lubbert PH, Van der Rijt RH, Hoorntje LE, Van der Werken C. Low-intensity pulsed ultrasound (LIPUS) in fresh clavicle fractures: a multi-centre double blind randomised controlled trial. Injury. 2008;39:1444–52.
Canadian Orthopaedic Trauma Society. Nonoperative treatment compared with plate fixation of displaced midshaft clavicular fractures. A multicenter, randomized clinical trial. J Bone Joint Surg Am. 2007;89:1–10.
Zlowodzki M, Zelle BA, Cole PA, Evidence-Based Orthopaedic Trauma Working Group, et al. Treatment of acute midshaft clavicle fractures: systematic review of 2144 fractures: on behalf of the Evidence-Based Orthopaedic Trauma Working Group. J Orthop Trauma. 2005;19:504–7.
Ferran NA, Hodgson P, Vannet N, et al. Locked intramedullary fixation vs. plating for displaced and shortened midshaft clavicle fractures: a randomized clinical trial. J Shoulder Elbow Surg. 2010;19:783–9.
Smekal V, Irenberger A, Struve P, et al. Elastic stable intramedullary nailing versus nonoperative treatment of displaced midshaft clavicular fractures – a randomized, controlled, clinical trial. J Orthop Trauma. 2009;23:106–12.
Judd DB, Pallis MP, Smith E, et al. Acute operative stabilization versus nonoperative management of clavicle fractures. Am J Orthop. 2009;38:341–5.
Lubbert PH, van der Rijt RH, Hoorntje LE, et al. Low-intensity pulsed ultrasound (LIPUS) in fresh clavicle fractures: a multi-centre double blind randomised controlled trial. Injury. 2008;39:1444–52.
Kulshrestha V, Roy T, Audige L. Operative versus nonoperative management of displaced midshaft clavicle fractures: a prospective cohort study. J Orthop Trauma. 2011;25:31–8.
Mirzatolooei F. Comparison between operative and nonoperative treatment methods in the management of comminuted fractures of the clavicle. Acta Orthop Traumatol Turc. 2011;45:34–40.
Andersen K, Jensen PO, Lauritzen J. Treatment of clavicular fractures. Figure-of-eight bandage versus a simple sling. Acta Orthop Scand. 1987;58:71–4.
Neer 2nd CS. Nonunion of the clavicle. JAMA. 1960;172:1006–11.
Rasmussen JV, Jensen SL, Petersen JB, et al. A retrospective study of the association between shortening of the clavicle after fracture and the clinical outcome in 136 patients. Injury. 2011;42:414–7.
McKee MD. Clavicle fractures in 2010: sling/swathe or open reduction and internal fixation? Orthop Clin North Am. 2010;41:225–31.
Lenza M, Belloti JC, Gomes dos Santos JB, Matsumoto MH, Faloppa F. Surgical interventions for treating acute fractures or non-union of the middle third of the clavicle. Cochrane Database Syst Rev. 2009. Issue 4. Art. No.: CD007428. doi: 10.1002/14651858.CD007428.pub2.
Postacchini R, Gumina S, Farsetti P, et al. Long-term results of conservative management of midshaft clavicle fracture. Int Orthop. 2010;34:731–6.
Ring D, Holovacs T. Brachial plexus palsy after intramedullary fixation of a clavicular fracture. A report of three cases. J Bone Joint Surg Am. 2005;87:1834–7.
Smekal V, Oberladstaetter J, Struve P, et al. Shaft fractures of the clavicle: current concepts. Arch Orthop Trauma Surg. 2009;129:807–15.
Nowak J, Holgersson M, Larsson S. Can we predict long-term sequelae after fractures of the clavicle based on initial findings? A prospective study with nine to ten years of follow-up. J Shoulder Elbow Surg. 2004;13:479–86.
Lazarides S, Zafiropoulos G. Conservative treatment of fractures at the middle third of the clavicle: the relevance of shortening and clinical outcome. J Shoulder Elbow Surg. 2006;15:191–4.
Drosdowech DS, Manwell SE, Ferreira LM, et al. Biomechanical analysis of fixation of middle third fractures of the clavicle. J Orthop Trauma. 2011;25:39–43.
Harnroongroj T, Vanadurongwan V. Biomechanical aspects of plating osteosynthesis of transverse clavicular fracture with and without inferior cortical defect. Clin Biomech. 1996;11:290–4.
Collinge C, Devinney S, Herscovici D, et al. Anterior-inferior plate fixation of middle-third fractures and nonunions of the clavicle. J Orthop Trauma. 2006;20:680–6.
Goswami T, Markert RJ, Anderson CG, et al. Biomechanical evaluation of a pre-contoured clavicle plate. J Shoulder Elbow Surg. 2008;17:815–8.
Vanbeek C, Boselli KJ, Cadet ER, et al. Precontoured plating of clavicle fractures: decreased hardware-related complications? Clin Orthop Relat Res. 2011;468:3337–43.
Potter JM, Jones C, Wild LM, et al. Does delay matter? The restoration of objectively measured shoulder strength and patient-oriented outcome after immediate fixation versus delayed reconstruction of displaced midshaft fractures of the clavicle. J Shoulder Elbow Surg. 2007;16:514–8.
Smekal V, et al. Elastic stable intramedullary nailing is best for mid-shaft clavicular fractures without comminution: results in 60 patients. Injury. 2010;42:324–9.
Strauss EJ, Egol KA, France MA, et al. Complications of intramedullary Hagie pin fixation for acute midshaft clavicle fractures. J Shoulder Elbow Surg. 2007;16:280–4.
Schemitsch LA, Schemitsch EH, Veillette C, Zdero R, McKee MD. Function plateaus by one year in patients with surgically treated displaced midshaft clavicle fractures. Clin Orthop Relat Res. 2011;469:3351–5.
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Geddes, C.R., McKee, M.D. (2013). Clavicle Fractures. In: Sethi, M., Jahangir, A., Obremskey, W. (eds) Orthopedic Traumatology. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-3511-2_6
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