Clavicle fractures in adults; current concepts

Background For decades, clavicle fractures have been treated conservatively. In the last 20 years, however, non-union rates after conservative treatment appear higher than previously reported and more evidence regarding operative treatment has become available. This has led to a paradigm shift towar...

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Bibliographic Details
Published in:European journal of trauma and emergency surgery (Munich : 2007) 2020-06, Vol.46 (3), p.519-529
Main Authors: Frima, Herman, van Heijl, Mark, Michelitsch, Christian, van der Meijden, Olivier, Beeres, Frank J. P., Houwert, Roderick M., Sommer, Christoph
Format: Article
Language:English
Subjects:
Adult
Adults
Algorithms
Clavicle - injuries
Conservative Treatment
Critical Care Medicine
Emergency medical care
Emergency Medicine
Fracture Fixation, Internal - methods
Fracture Healing
Fractures
Fractures, Bone - surgery
Fractures, Ununited - surgery
Humans
Intensive
Medical treatment
Medicine
Medicine & Public Health
Orthopedics
Review Article
Shoulder
Skeletal system
Sports Medicine
Surgery
Surgical Orthopedics
Traumatic Surgery
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Summary:Background For decades, clavicle fractures have been treated conservatively. In the last 20 years, however, non-union rates after conservative treatment appear higher than previously reported and more evidence regarding operative treatment has become available. This has led to a paradigm shift towards an increase in operative treatment. The aim of this review is to present the current concepts and available evidence regarding clavicle fracture treatment. Methods Conservative and operative treatment options together with their indications for medial, shaft and lateral clavicle fractures are discussed. For all three anatomical locations, a treatment algorithm is proposed. Conclusion In general, non-displaced fractures are treated conservatively. Operative treatment has to be discussed with patients with displaced clavicle fractures, especially in the young and active patient.
ISSN:1863-9933
1863-9941
DOI:10.1007/s00068-019-01122-4