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 article

44 Scopus citations

Abstract

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.)
Volume34
Issue number11
StatePublished - Nov 2005

ASJC Scopus subject areas

  • Medicine(all)

Fingerprint Dive into the research topics of 'Management of midshaft clavicle fractures in adults.'. Together they form a unique fingerprint.

  • Cite this

    Denard, P. J., Koval, K. J., Cantu, R. V., & Weinstein, J. N. (2005). Management of midshaft clavicle fractures in adults. American journal of orthopedics (Belle Mead, N.J.), 34(11), 527-536.