Mid Shaft (Subscribe)  

Case Report of a clavicle fracture in which the diagnosis was obscured by monitoring leads over the fracture.
Joe Nemeth, MD, CCFP, EM; Catherine Patocka, MDCM; David Barbic, MD, MSc Medscape 2009

A 42 year old male carpenter sustained a ipsilateral clavicle fracture and glenoid neck fracture. The shoulder girdle was medially and distally displaced. He was treated closed for the glenoid neck fracture and treated with a Congruent Clavicle Plate for the clavicle fracture.
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In the United States, clavicle fractures account for 5% of fractures seen in emergency departments. Approximately 80% of fractures are in the middle third; 15% are in the lateral third; and 5% involve the medial third. Historically, clavicle fractures have been treated nonoperatively with good functional outcomes. Nonoperative management usually...

The controversy concerns the best management of the young athlete with the completely displaced clavicle fracture. Is the optimum management a figure of 8 bandage, with a high incidence of delayed and non-union, or an open operation with complications such as loss of fixation and non-union?

9 min technique video - Intramedullary Fixation of Midshaft Clavicle Fractures By: Peter J. Millett

Clavicle fractures are common in the adult patient. Classic treatment is nonoperative for midshaft fractures. But treatment options have recently been discussed controversially. In recent years, several studies demonstrated better results with operative treatment, especially for displaced fractures.
This video summarizes the current thinking on midshaft clavicle fractures and leads through...

Fracture of the clavicle is a common traumatic injury and comprises 4% of all fractures in adults. Amongst these, midshaft injuries account for the majority and medial fractures are uncommon. Whilst segmental fractures have been reported in the literature, concurrent lateral and medial injuries are very rare. Mechanism of clavicular...

In ipsilateral mid-clavicular and scapular-neck fractures, the mechanical stability of the suspensory structures is disrupted and muscle forces and the weight of the arm pull the glenoid fragment distally and anteromedially. To prevent late deformity we recommend internal fixation of the fractured clavicle by a plate and screws. We treated...