Treatment of Clavicle Fractures

Summary Clavicle fractures are very common injuries in adults (2–5%) and children (10–15%) (1) and represent the 44–66% of all shoulder fractures (2). Despite the high frequency the choice of proper treatment is still a challenge for the orthopedic surgeon. With this review we wants to focus the attention on the basic epidemiology, anatomy, classification, evaluation and management of surgical treatments in relationship with the gravity of injuries. Both conservative and surgical management are possible, and surgeons must choose the most appropriate management modality according to the biologic age, functional demands, and type of lesion. We performed a review of the English literature thought PubMed to produce an evidence-based review of current concept and management of clavicle fracture. We finished taking a comparison with our survey in order to underline our direct experience.

• Publication year

  2012

• Venue

  Translational medicine @ UniSa

• Publication date

  2012-01-18

• Fields of study

  Medicine

• Identifiers
  PMID 23905044PMCID 3728778
• External record

  Open on Semantic Scholar

• Source metadata

  Semantic Scholar, PubMed

• No claims are published for this paper.

• No concepts are published for this paper.

• Plate versus titanium elastic nail in treatment of displaced midshaft clavicle fractures

  2014cited by this paper
• Surgical fixation of displaced midshaft clavicle fractures: elastic intramedullary nailing versus precontoured plating

  2014cited by this paper
• Risk factors for nonunion after nonoperative treatment of displaced midshaft fractures of the clavicle.

  2013cited by this paper
• Surgical versus conservative interventions for treating fractures of the middle third of the clavicle.

  2013cited by this paper
• Open reduction and plate fixation versus nonoperative treatment for displaced midshaft clavicular fractures: a multicenter, randomized, controlled trial.

  2013cited by this paper
• Complications after plate fixation and elastic stable intramedullary nailing of dislocated midshaft clavicle fractures: a retrospective comparison

  2012cited by this paper
• Retrospective comparison of titanium elastic nail (TEN) and reconstruction plate repair of displaced midshaft clavicular fractures.

  2012cited by this paper
• Treatment of clavicle fractures: current concepts review.

  2012influential reference
• Clavicle Fractures: A Review of the Literature and Update on Treatment

  2011influential reference
• Elastic stable intramedullary nailing is best for mid-shaft clavicular fractures without comminution: results in 60 patients.

  2011cited by this paper
• Complications of clavicle fractures treated with intramedullary fixation.

  2011cited by this paper
• Function Plateaus by One Year in Patients With Surgically Treated Displaced Midshaft Clavicle Fractures

  2011cited by this paper
• Intramedullary nailing of clavicular midshaft fractures in adults using titanium elastic nail.

  2011cited by this paper
• Clavicle fractures: a comparison of five classification systems and their relationship to treatment outcomes

  2010cited by this paper
• Comparison of plates versus intramedullary nails for fixation of displaced midshaft clavicular fractures.

  2010cited by this paper
• Results of surgical treatment for unstable distal clavicular fractures.

  2010influential reference
• Conservative interventions for treating middle third clavicle fractures in adolescents and adults.

  2009cited by this paper
• Elastic Stable Intramedullary Nailing Versus Nonoperative Treatment of Displaced Midshaft Clavicular Fractures-A Randomized, Controlled, Clinical Trial

  2009cited by this paper
• Fractures of the clavicle.

  2009cited by this paper
• A biomechanical study of plate versus intramedullary devices for midshaft clavicle fixation

  2008cited by this paper
• Low-intensity pulsed ultrasound (LIPUS) in fresh clavicle fractures: a multi-centre double blind randomised controlled trial.

  2008cited by this paper
• Acute Midshaft Clavicular Fracture

  2007cited by this paper
• Nonoperative treatment compared with plate fixation of displaced midshaft clavicular fractures. A multicenter, randomized clinical trial.

  2007cited by this paper
• Complications of intramedullary Hagie pin fixation for acute midshaft clavicle fractures.

  2007cited by this paper
• Anatomy of the clavicle and the intramedullary nailing of midclavicular fractures

  2007cited by this paper
• Functional outcome of surgical treatment of symptomatic nonunion and malunion of midshaft clavicle fractures.

  2007cited by this paper
• Deficits following nonoperative treatment of displaced midshaft clavicular fractures.

  2006cited by this paper
• Anterior-inferior Plate Fixation of Middle-third Fractures and Nonunions of the Clavicle

  2006cited by this paper
• Hook-plate fixation of unstable lateral clavicle fractures: A report on 63 patients

  2006cited by this paper
• Brachial plexus palsy after intramedullary fixation of a clavicular fracture. A report of three cases.

  2005cited by this paper
• Anatomic safe zone of pin insertion point for distal clavicle fixation.

  2005cited by this paper
• Treatment of Acute Midshaft Clavicle Fractures: Systematic Review of 2144 Fractures: On behalf of the Evidence-Based Orthopaedic Trauma Working Group

  2005cited by this paper
• Treatment of midclavicular nonunion: comparison of dynamic compression plating and low-contact dynamic compression plating techniques.

  2004cited by this paper
• Estimating the risk of nonunion following nonoperative treatment of a clavicular fracture.

  2004influential reference
• Midshaft malunions of the clavicle. Surgical technique.

  2004cited by this paper
• Midshaft Malunions of the Clavicle

  2003cited by this paper
• Treatment of posterior epiphyseal disruption of the medial clavicle with a modified Balser plate.

  2003cited by this paper
• Simple, minimally invasive surgical technique for treatment of type 2 fractures of the distal clavicle.

  2003cited by this paper
• The bony anatomy of clavicular malunions.

  2003cited by this paper
• Medial clavicle physis fracture with posterior displacement and vascular compromise: the value of three-dimensional computed tomography and duplex ultrasound.

  2003cited by this paper
• Surgical treatment of unstable fractures of the distal clavicle: A comparative study of Kirschner wire and clavicular hook plate fixation

  2002cited by this paper
• The use of a hook-plate in the management of acromioclavicular injuries. Report of ten cases.

  2001cited by this paper
• The treatment of lateral clavicle fractures.

  2000cited by this paper
• Clavicle malunion.

  1999cited by this paper
• Closed treatment of displaced middle-third fractures of the clavicle gives poor results.

  1998cited by this paper
• Fractures of the clavicle in the adult. Epidemiology and classification.

  1998influential reference
• Mid-clavicle fractures in adults: end result study after conservative treatment.

  1998cited by this paper
• Results of the Bosworth method for unstable fractures of the distal clavicle

  1998cited by this paper
• Management of clavicle fractures.

  1997cited by this paper
• Type 2 fractures of the distal clavicle: a new surgical technique.

  1997cited by this paper
• Complications of plate fixation in fresh displaced midclavicular fractures.

  1997cited by this paper
• Closed treatment of displaced middle-third fractures of the clavicle gives poor results.

  1997cited by this paper
• Treatment of unstable distal clavicular fractures with and without lesions of the acromioclavicular joint.

  1996cited by this paper
• Treatment of midshaft clavicular nonunion with plate fixation and autologous bone grafting.

  1995cited by this paper
• Low-contact dynamic compression plating of the clavicle.

  1994cited by this paper
• The incidence of fractures of the clavicle.

  1994cited by this paper
• The natural course of lateral clavicle fracture. 15 (11-21) year follow-up of 110 cases.

  1993cited by this paper
• Complete posterior sternoclavicular epiphyseal separation. A case report and review of the literature.

  1992cited by this paper
• Coracoclavicular screw fixation for unstable fractures of the distal clavicle. A report of five cases.

  1991cited by this paper
• Current concepts review: Migration of pins used in operations on the shoulder

  1990cited by this paper
• Type II Distal Clavicle Fractures: A Retrospective Review of Surgical Treatment

  1990cited by this paper
• Recovery following fractures of the clavicle treated conservatively.

  1988cited by this paper
• Treatment of clavicular fractures. Figure-of-eight bandage versus a simple sling.

  1987cited by this paper
• Fracture patterns in children. Analysis of 8,682 fractures with special reference to incidence, etiology and secular changes in a Swedish urban population 1950-1979.

  1983cited by this paper
• Clavicular function.

  1979cited by this paper
• AMERICAN Society for Surgery of the hand.

  1977cited by this paper
• Fractures of the clavicle

  1975cited by this paper
• Fractures of the distal third of the clavicle.

  1968cited by this paper
• An atlas of anatomy and treatment of midclavicular fractures.

  1968cited by this paper
• Fractures and ligamentous injuries of the clavicle and its articulation.

  1967cited by this paper
• Grant's Method of Anatomy, by Regions Descriptive and Deductive

  1966cited by this paper
• Fracture of the distal clavicle with detachment of the coracoclavicular ligaments in adults.

  1963cited by this paper
• Acromioclavicular separation. New method of repair

  1941cited by this paper

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  2024cites this paper
• Multicenter, Prospective, Observational Study of Nonoperative Versus Operative Treatment for High-Energy Midshaft Clavicle Fractures

  2024cites this paper
• Successful management of a distal clavicular fracture using Titanium elastic nail (TEN) fixation

  2024cites this paper
• Risk Factors for 30-Day Readmission and Reoperation Following Clavicle Open Reduction Internal Fixation

  2024cites this paper
• Clinical and radiological outcome of three treatment modalities for fracture clavicle: A comparative prospective study

  2024cites this paper
• Hydropneumothorax in an Isolated Midshaft Clavicle Fracture

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• A Novel Triad of Bio-Inspired Design, Digital Fabrication, and Bio-Derived Materials for Personalised Bone Repair

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• Musculoskeletal Computed Tomography: How to Add Value When Reporting Adult Upper Limb Trauma

  2023cites this paper
• Trends in the Treatment of Adolescent Clavicle Fractures: Are We Listening to the Evidence?

  2023cites this paper
• Surgical treatment, complications, reoperations, and healthcare costs among patients with clavicle fracture in England

  2022cites this paper
• Operative stabilisation versus non-operative management of mid-shaft clavicle fractures

  2022cites this paper
• Epidemiological, Characteristics and Complication of Clavicular Fractures among Patients in Baghdad

  2021influential citation
• Rates of readmission and reoperation after operative management of midshaft clavicle fractures in adolescents

  2021cites this paper
• Functional and radiological outcome of comminuted middle third clavicle fractures treated with plate osteosynthesis and primary bone grafting

  2021influential citation
• Peri-implant distal clavicle fracture: Case report (overlaying plate fixation: Solution for peri-implant clavicle fractures)

  2021cites this paper
• Factors Affecting Patient Decision-Making Regarding Midshaft Clavicle Fracture Treatment

  2020cites this paper
• Brachial Plexus Injury Significantly Increases Risk of Axillosubclavian Vessel Injury in Blunt Trauma Patients With Clavicle Fractures

  2020cites this paper
• A Review of Common Shoulder Injuries

  2020influential citation
• Clinical profile of patients with clavicle fracture

  2019cites this paper
• Midshaft Clavicle Fractures: Surgery Provides Better Results as Compared With Nonoperative Treatment: A Meta-analysis

  2019cites this paper
• Case report; the posttraumatic regeneration of the clavicle.

  2019cites this paper
• Ipsilateral sternoclavicular joint anterior dislocation with fracture of the mid shaft of the clavicle.

  2019cites this paper
• Mechanical failure of plate breakage after open reduction and plate fixation of displaced midshaft clavicle fracture – a possible new risk factor: a case report

  2019cites this paper
• Surgical treatment, complications, and reimbursement among patients with clavicle fracture and acromioclavicular dislocations: a US retrospective claims database analysis

  2019cites this paper
• Comparison of the effectiveness of oblique and transverse incisions in the treatment of fractures of the middle and outer third of the clavicle.

  2019cites this paper
• Operative treatment of clavicle midshaft fractures by locking plate

  2019cites this paper
• Anatomy of clavicle in the Indian population and its applicability in pre-contoured plating

  2019cites this paper
• Imagen radiográfica dubitativa: modificaciones en el diagnóstico con y sin datos clínicos del paciente

  2018cites this paper
• 14 – Surgical Treatment Options: Mid-Shaft Fracture

  2018cites this paper
• The Acutely Injured Shoulder

  2018cites this paper
• Image-Based 3 D Morphometric Analysis of the Clavicle Intramedullary ( IM ) Canal

  2018cites this paper
• Estudo retrospectivo da placa anterior superior como tratamento para fraturas instáveis da clavícula distal (tipo 2 de Neer)

  2018cites this paper
• Comparative study of Non-operative versus Operative treatment for middle 1/3rd clavicle fracture

  2018cites this paper
• Morphometry of the Human Clavicle and Intramedullary Canal : A 3 D , Geometry-Based Quantification † Running Title : Human clavicle morphometry

  2017cites this paper
• Morphometry of the human clavicle and intramedullary canal: A 3D, geometry‐based quantification

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• SURGICAL OUTCOME OF MIDSHAFT CLAVICULAR FRACTURES TREATED BY FLEXIBLE INTRAMEDULLARY NAILING VERSUS PLATING – A PROSPECTIVE COMPARISON STUDY

  2017cites this paper
• [Intramedullary nailing in diaphyseal clavicle fractures using minimally invasive percutaneous reduction].

  2017cites this paper
• Comparative Evaluation of Results after Internal Fixation of Fracture Clavicle by Titanium Elastic Nailing System / Plate

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• Comparative analysis of functional outcome of midshaft clavicular fractures treated by nonoperative method and elastic nailing

  2017cites this paper
• Die intramedulläre Nagelung der diaphysären Klavikulafraktur in minimal-invasiver Repositionstechnik

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• Positional Change in Displacement of Midshaft Clavicle Fractures: An Aid to Initial Evaluation

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• Emergency department evaluation and treatment of the shoulder and humerus.

  2015cites this paper
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  2014cites this paper