[Fractures of sternal end of the clavicle--current concept review]
J Bartonícek1, V Fric, L Lunácek
1Ortopedicko-traumatologická klinika 3. LF UK a FNKV, Praha-Vinohrady. bartonic@fnkv.cz
Insights
Medial clavicle fractures require careful diagnosis, often needing CT scans. Non-displaced fractures are treated non-operatively, while displaced fractures may benefit from cerclage fixation.
Area of Science:
- Orthopedic Surgery
- Traumatology
Context:
- Medial clavicle fractures present diagnostic challenges.
- Accurate diagnosis necessitates advanced imaging like CT scans with 3D reconstruction.
Purpose:
- To review diagnostic and treatment strategies for medial clavicle fractures.
- To highlight optimal fixation methods and contraindications.
Summary:
- Non-displaced medial clavicle fractures are managed non-operatively.
- Displaced fractures, especially in active individuals, warrant consideration for operative treatment.
- Cerclage fixation is recommended; K-wires are contraindicated.
Impact:
- Improved diagnostic accuracy through advanced imaging.
- Guidance on surgical intervention for displaced fractures.
- Emphasis on cerclage for optimal fixation outcomes.
Abstract:
Fractures of the medial end of the clavicle are still an outstanding issue with only minimum information available. Their diagnosis requires a special care both in isolated fractures of the clavicle and in polytrauma. An accurate diagnosis is impossible without CT scanning, preferably with a 3D reconstruction. Non-displaced fractures are indicated for non-operative treatment. In displaced fractures, sustained particularly by younger or active individuals, operative treatment should be considered. Best suitable for fixation is a cerclage, K-wires are strictly contraindicated. Formulation of a more specific opinion on the method of treatment, long-term outcomes and complications will be possible only on the basis of a greater number of reported cases.
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