Skip to main content

Fractures of the Clavicle

  • Reference work entry
  • First Online:
Sports Injuries

Abstract

The clavicula fracture has a high incidence with up to 5 % of all fractures.

The most common classification of clavicula fractures given by Allman takes into account the anatomic localization of the fracture (medial/middle/lateral). The treatment options will depend on the localization as well as the displacement of the fracture.

Undisplaced fractures of the clavicle have a high rate of union with good functional outcome after nonoperative treatment.

Displaced and lateralized fractures of the clavicle have a high rate of nonunion under nonoperative treatment. A high rate of union and good clinical outcome has been showed with primary surgical treatment. The osteosynthesis of the collar bone can be done with extramedullary plates or intramedullary nails. The rate of pseudarthrosis for the interlocking osteosynthesis with plates is very low.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 699.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 999.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  • Allman FL (1967) Fracture classification of the clavicle. JBJS 49A:774

    Article  Google Scholar 

  • Banerjee R, Waterman B, Padalecki J, Robertson W (2011) Management of distal clavicle fractures. J Am Acad Orthop Surg 19:392–401

    Article  Google Scholar 

  • Canadian Orthopaedic Trauma Society (2007) Nonoperative treatment compared with plate fixation of displaced midshaft clavicular fractures. A multicenter, randomized clinical trial. J Bone Joint Surg Am 89(1):1–10

    Article  Google Scholar 

  • Craig EV (1990) In: Rockwood CA, Matsen FA (eds) The shoulder, vol 1. Saunders, Philadelphia

    Google Scholar 

  • Craig EV (1996) Rockwood and Green’s. Fractures in adults, vol 1. Philadelphia

    Google Scholar 

  • Cross KP, Warkentine FH, Kim IK, Gracely E, Paul RI (2010) Bedside ultrasound diagnosis of clavicle fractures in the pediatric emergency department. Acad Emerg Med 17(7):687–693. doi:10.1111/j.1553-2712.2010.00788.x. PMID 20653581

    Google Scholar 

  • Duncan SF (2005) Infection after clavicle fractures. Clin Orthop Rel Res 439:74–78

    Article  Google Scholar 

  • Hill J, McGuire M, Crosby L (1997) Closed treatment of displaced middle-third fractures of the clavicle gives poor results. J Bone Joint Surg Br 79:537–539

    Article  CAS  Google Scholar 

  • Huang JL, Toogood P, Chen MR (2007) Clavicular anatomy and the applicability of pre-contoured plates. J Bone Joint Surg Am 89:2260–2265

    Article  Google Scholar 

  • Khan LA, Bradnock TJ, Scott C, Robinson CM (2009) Fractures of the clavicle. J Bone Joint Surg Am 91(2):447–460. doi:10.2106/JBJS.H.00034PMID 19181992

    Article  Google Scholar 

  • Jupiter JB, Ring D (1999) Fractures of the clavicle. In: Iannotti JP, Williams GR (eds) Disorders of the shoulder: diagnosis and management. Lippincott Williams & Wilkins, Philadelphia

    Google Scholar 

  • McKee RC, Whelan DB, Schemitsch EH, McKee MD (2012) Operative versus nonoperative care of displaced midshaft clavicular fractures: a meta-analysis of randomized clinical trials. J Bone Joint Surg Am 94(8):675–684. doi:10.2106/JBJS.J.01364

    Article  Google Scholar 

  • Neer CS 2nd (1968) Fractures of the distal third of the clavicle. Clin Orthop 58:43–50

    Article  Google Scholar 

  • Robinson C (1998) Fractures of the clavicle in the adult. Epidemiology and classification. J Bone Joint Surg Br 80:476–484

    Article  CAS  Google Scholar 

  • Simpson N, Jupiter J (1996) Clavicular nonunion and malunion: evaluation and surgical management. J Am Acad Orthop Surg 4(1):1–8

    Article  CAS  Google Scholar 

  • Zlowodzki M, Zelle B, Cole P, Jeray K, McKee M (2005) Evidence-Based Orthopedic Trauma Working Group. Treatment of acute midshaft clavicle fractures: systematic review of 2144 fractures: on behalf of the Evidence-Based Ortho- paedic Trauma Working Group. J Orthop Trauma 19:504–507

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Andreas Lenich .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2015 Springer-Verlag Berlin Heidelberg

About this entry

Check for updates. Verify currency and authenticity via CrossMark

Cite this entry

Lenich, A., Imhoff, A.B. (2015). Fractures of the Clavicle. In: Doral, M.N., Karlsson, J. (eds) Sports Injuries. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-36569-0_33

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-36569-0_33

  • Published:

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-36568-3

  • Online ISBN: 978-3-642-36569-0

  • eBook Packages: MedicineReference Module Medicine

Publish with us

Policies and ethics