[Clavicular fractures : Diagnostics, treatment and management]
Marco Prillwitz1,2, Mark Tauber1, Frank Martetschläger3
1Deutsches Schulterzentrum, Atos Klinik München, Effnerstr. 38, 81925, München, Deutschland.
Orthopadie (Heidelberg, Germany)
|January 8, 2025
Summary
Clavicle fractures, common in young men and older women, are rising due to sports injuries. Surgical treatment is advised for displaced fractures to prevent nonunion.
Area of Science:
- Orthopedic surgery
- Traumatology
- Sports medicine
Background:
- Clavicle fractures constitute 2.6-4% of adult fractures, predominantly affecting young men, with increased incidence in women over 65.
- Rising incidence linked to increased sports and recreational accidents.
- Typically caused by direct shoulder trauma; indirect trauma is less common.
Purpose of the Study:
- To review the epidemiology, mechanisms of injury, diagnosis, and treatment of clavicle fractures.
- To highlight the indications for surgical versus conservative management.
Main Methods:
- Review of existing literature and clinical guidelines.
- Analysis of fracture incidence, demographics, and injury mechanisms.
- Evaluation of diagnostic methods, primarily standard X-rays.
- Assessment of treatment outcomes for conservative and surgical interventions.
Main Results:
- Standard X-rays confirm clavicle fractures.
- Conservative treatment is effective for closed, nondisplaced fractures.
- Surgical intervention is recommended for dislocated fractures with significant shortening to reduce pseudarthrosis rates.
Conclusions:
- Clavicle fractures require appropriate management based on displacement and shortening.
- Surgical treatment for specific fracture types can improve outcomes and decrease the risk of nonunion.
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