Herman Frima1, Mark van Heijl2, Christian Michelitsch3, Olivier van der Meijden4, Frank J P Beeres5, Roderick M Houwert6, Christoph Sommer3. 1. Department of Trauma Surgery, Kantonsspital Graubünden, Loëstrasse 170, 7000, Chur, Switzerland. herman.frima@ksgr.ch. 2. Department of Surgery, Diakonessenhuis, Bosboomstraat 1, 3582 KE, Utrecht, The Netherlands. 3. Department of Trauma Surgery, Kantonsspital Graubünden, Loëstrasse 170, 7000, Chur, Switzerland. 4. Institut Universitaire de Locomotion et du Sport, Centre Hospitalier Universitaire de Nice, Hôpital Pasteur 2, Nice, France. 5. Department of Trauma Surgery, Luzerner Kantonsspital, Spitalstrasse 16, 6000, Lucerne, Switzerland. 6. Utrecht Traumacenter, Universitair Medisch Centrum Utrecht, Heidelberglaan 100, 3584 CX, Utrecht, The Netherlands.
Abstract
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.
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.
Authors: Rodrigo Nicolás Brandariz; Maria Guillermina Bruchmann; Franco Luis De Cicco; Luciano Andres Rossi; Ignacio Tanoira; Maximiliano Ranalletta Journal: Case Rep Orthop Date: 2019-12-23
Authors: Kristian J de Ruiter; Tjibbe J Gardenbroek; Kelly Bos; Mark van Heijl; Jens A Halm Journal: Eur J Trauma Emerg Surg Date: 2019-08-06 Impact factor: 3.693