CLAVICLE FRACTURE                                                 KANDILNOTES                                                                               

INTRODUCTION

  • Collarbone (clavicle) fractures are common injuries to the upper extremity

  • Many different types of fractures exist, characterized by location (medial, shaft, distal), age (pediatric vs. adult), and amount of shortening or displacement

  • More common in younger patients, but can be present in any patient after a trauma

  • 75% of clavicle fractures occur in the middle or shaft of the clavicle

CAUSES

  • Clavicle fractures occur when a person falls on an outstretched hand or sustains a direct trauma to the collarbone

  • SIGNS AND SYMPTOMS

  • Pain over the collarbone

  • Tenderness over the collarbone 

  • Prominence or deformity of the collarbone, oftentimes with skin tenting, can be present

TREATMENT​​

  • Most clavicle fractures are treated without surgery

  • Factors associated with nonsurgical treatment include: younger age, shaft fracture location, minimal displacement, minimal shortening

  • Factors that increase the risk of surgery include: older age, open fracture, distal clavicle fracture location, and greater displacement and shortening. These risk factors increase the risk of the fracture ends not healing, leading to a nonunion and persistent pain

  • Patients treated non-operatively usually are placed in a sling for a few weeks followed by a A course of physical therapy or a home exercise program 

  • In patients where surgery is indicated, the procedure is a clavicle repair with a plate and screws. The procedure is very common and has high success rates 

PREVENTION

  • Avoid activities that put you at risk of falling on your collarbone

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