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Clavicle Fractures
Puneet Monga
MAC Educational meet Aug’13
Mechanism of Injury
Mechanisms
Fall on the shoulder
Fall on outstretched
hand
Displacement
Presentation
• Look for Skin under
jeopardy
• Neuro-vascular injury
Classification
Classification
Classified by thirds (Medial, Middle and Lateral)
Most Common
Management
Non operative
Majority non-operative management
Sling vs Figure of 8 bandage
• Prospective randomized trial of 61 patients
• Simple sling-Less discomfort
• Functional and cosmetic results identical
• Alignment of healed fractures unchanged from the initial
displacement in both groups
Andersen et al., Acta Orthop Scand 58: 71-4, 1987.
Indications for
surgery
Young patients with high energy trauma
Comminuted
fractures
Skin under jeopardy
Bony overlap
> 20 mm shortening associated with increased risk of nonunion and poor functional
outcome at 3 years (Hill et al, JBJS 1997: 79B: 537-9)
Floating shoulder
Floating shoulder
Open fractures
Surgical Emergency
Lateral end fractures
Lateral end fractures
Surgical
management
Open Reduction and Internal Fixation
Clavicle fractures
Clavicle fractures
Clavicle fractures
Clavicle fractures
Post-op
• Protect Soft tissues 2 weeks.
• Build up as able; Early return to sports
Outcomes
Our results
• 70 clavicle fractures
• 3 plate fractures
• 2 loosening
Sinnott, Monga. Audit of Clavicle Fractures, WWL NHS Trust 2012
Summary
Early surgery for
with
and leads to
&
reliable
in the absence of

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