Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2018 Jun 20;3(6):374-380.
doi: 10.1302/2058-5241.3.170033. eCollection 2018 Jun.

Midshaft clavicle fractures: Current concepts

Paul Hoogervorst  1 , Peter van Schie  1 , Michel Pj van den Bekerom  1
Affiliations

Midshaft clavicle fractures: Current concepts

Paul Hoogervorst et al. EFORT Open Rev. .

Abstract

Clavicle fractures are common fractures and the optimal treatment strategy remains debatable. The present paper reviews the available literature and current concepts in the management of displaced and/or shortened midshaft clavicle fractures.Operative treatment leads to improved short-term functional outcomes, increased patient satisfaction, an earlier return to sports and lower rates of non-union compared with conservative treatment. In terms of cost-effectiveness, operative treatment also seems to be advantageous.However, operative treatment is associated with an increased risk of complications and re-operations, while long-term shoulder functional outcomes are similar.The optimal treatment strategy should be one tailor-made to the patient and his/her specific needs and expectations by utilizing a shared decision-making model. Cite this article: EFORT Open Rev 2018;3:374-380. DOI: 10.1302/2058-5241.3.170033.

Keywords: clavicle; conservative; cost effectiveness; fracture; midshaft; operative; shared decision-making; treatment.

PubMed Disclaimer

Conflict of interest statement

ICMJE Conflict of interest statement: None declared.

Figures

Fig. 1
Fig. 1
a) Example of plate fixation of a clavicle fracture (patient treated in OLVG Amsterdam); b) example of intramedullary fixation of a clavicle fracture (patient treated in OLVG Amsterdam).
See this image and copyright information in PMC

References

    1. Robinson CM. Fractures of the clavicle in the adult. Epidemiology and classification. J Bone Joint Surg [Br] 1998;80-B:476-484. - PubMed
    1. Huttunen TT, Launonen AP, Berg HE, et al. Trends in the incidence of clavicle fractures and surgical repair in Sweden: 2001-2012. J Bone Joint Surg [Am] 2016;98-A:1837-1842. - PubMed
    1. Schairer WW, Nwachukwu BU, Warren RF, Dines DM, Gulotta LV. Operative fixation for clavicle fractures-socioeconomic differences persist despite overall population increases in utilization. J Orthop Trauma 2017;31:e167-e172. - PubMed
    1. Nordqvist A, Petersson C. The incidence of fractures of the clavicle. Clin Orthop Relat Res 1994;(300):127-132. - PubMed
    1. Postacchini F, Gumina S, De Santis P, Albo F. Epidemiology of clavicle fractures. J Shoulder Elbow Surg 2002;11:452-456. - PubMed

LinkOut - more resources