Management of midshaft clavicle fractures in adults.

Patrick J. Denard*, Kenneth J. Koval, Robert V. Cantu, James Neil Weinstein

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

44 Scopus citations


Fractures of the clavicle are common injuries. The usual mechanism of clavicle fracture is a direct fall on the shoulder. There are 3 types of clavicle fractures, but type II or midshaft fractures make up the vast majority. Most clavicle fractures can be effectively treated nonoperatively. Rates of nonunion and poor functional outcome, however, may be higher than previously thought. Risk factors for nonunion include initial fracture displacement, comminution, shortening, and older age. The 2 main methods of operative management are plate-and-screws and intramedullary fixation. Study results for both methods have been good. Indications for operative management, however, remain controversial.

Original languageEnglish (US)
Pages (from-to)527-536
Number of pages10
JournalAmerican journal of orthopedics (Belle Mead, N.J.)
Issue number11
StatePublished - Nov 2005

ASJC Scopus subject areas

  • Medicine(all)

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