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Clavicle Fractures

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Orthopedic Surgery Clerkship

Abstract

The clavicle is the most commonly broken bone in the human body, mostly associated with direct trauma. Its superficial location, anatomic structure, and articulation between the axial and appendicular skeleton make it a susceptible bone to direct external forces. Classification systems utilize prevalence rates based on anatomic location. Most fractures can be treated non-operatively in a sling; however, newer studies show indicate that nonunion rates and functional scores may be lower than previously believed, leading to an increase in operative treatment over the last several years.

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References

  1. Postacchini F, Gumina S, De Santis P, Albo F. Epidemiology of clavicle fractures. J Shoulder Elbow Surg. 2002;11(5):452–6.

    Article  PubMed  Google Scholar 

  2. Robinson CM. Fractures of the clavicle in the adult. Epidemiology and classification. J Bone Joint Surg Br. 1998;80(3):476–84.

    Article  CAS  PubMed  Google Scholar 

  3. Nordqvist A, Petersson C. The incidence of fractures of the clavicle. Clin Orthop Relat Res. 1994;300:127–32.

    Google Scholar 

  4. Khan LA, Bradnock TJ, Scott C, Robinson CM. Fractures of the clavicle. J Bone Joint Surg Am. 2009;91(2):447–60.

    Article  PubMed  Google Scholar 

  5. Schulz RMM, Mutze S, Schmidty S, Reisinger W, Schmeling A. Studies on the time frame for ossification of the medial epiphysis of the clavicle as revealed by ct scans. Int J Leg Med. 2005;119(3):142–5.

    Article  Google Scholar 

  6. Garzon-Alvarado DA, Gutierrez ML, Calixto LF. A computational model of clavicle bone formation: a mechano-biochemical hypothesis. Bone. 2014;61:132–7.

    Article  CAS  PubMed  Google Scholar 

  7. Mathieu PA, Marcheix PS, Hummel V, Valleix D, Mabit C. Anatomical study of the clavicle: endomedullary morphology. Surg Radiol Anat. 2014;36(1):11–5.

    Article  PubMed  Google Scholar 

  8. Andermahr J, Jubel A, Elsner A, et al. Anatomy of the clavicle and the intramedullary nailing of midclavicular fractures. Clin Anat. 2007;20(1):48–56.

    Article  PubMed  Google Scholar 

  9. Allman Jr FL. Fractures and ligamentous injuries of the clavicle and its articulation. J Bone Joint Surg Am. 1967;49(4):774–84.

    Article  PubMed  Google Scholar 

  10. Axelrod DSO, Axelrod T, Whyne C, Lubovsky O. Fractures of the clavicle: Which x-ray projection provides the greatest accuracy in determining displacement of the fragments? J Orthop Trauma. 2013;3:1–3.

    Article  Google Scholar 

  11. 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(4):537–9.

    Article  CAS  PubMed  Google Scholar 

  12. McKee RC, Whelan DB, Schemitsch EH, McKee MD. Operative versus nonoperative care of displaced midshaft clavicular fractures: a meta-analysis of randomized clinical trials. J Bone Joint Surg Am. 2012;94(8):675–84.

    Article  PubMed  Google Scholar 

  13. van der Meijden OA, Gaskill TR, Millett PJ. Treatment of clavicle fractures: current concepts review. J Shoulder Elbow Surg. 2012;21(3):423–9.

    Article  PubMed  Google Scholar 

  14. Robinson CM, Goudie EB, Murray IR, et al. Open reduction and plate fixation versus nonoperative treatment for displaced midshaft clavicular fractures: a multicenter, randomized, controlled trial. J Bone Joint Surg Am. 2013;95(17):1576–84.

    Article  CAS  PubMed  Google Scholar 

  15. Partal G, Meyers KN, Sama N, et al. Superior versus anteroinferior plating of the clavicle revisited: a mechanical study. J Orthop Trauma. 2010;24(7):420–5.

    Article  PubMed  Google Scholar 

  16. Formaini N, Taylor BC, Backes J, Bramwell TJ. Superior versus anteroinferior plating of clavicle fractures. Orthopedics. 2013;36(7):e898–904.

    Article  PubMed  Google Scholar 

  17. Grassi FATM, D'Angelo F. Management of midclavicular fractures: comparison between nonoperative treatment and open intramedullary fixation in 80 patients. J Trauma. 2001;50(6):1096–100.

    Google Scholar 

  18. Houwert RM, Wijdicks FJ, Steins Bisschop C, Verleisdonk EJ, Kruyt M. Plate fixation versus intramedullary fixation for displaced mid-shaft clavicle fractures: a systematic review. Int Orthop. 2012;36(3):579–85.

    Article  PubMed  Google Scholar 

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Correspondence to Albert Pearsall MD .

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Kim, D.C., Pearsall, A. (2017). Clavicle Fractures. In: Eltorai, A., Eberson, C., Daniels, A. (eds) Orthopedic Surgery Clerkship. Springer, Cham. https://doi.org/10.1007/978-3-319-52567-9_12

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  • DOI: https://doi.org/10.1007/978-3-319-52567-9_12

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