CLAVICLE : Is an S-shape long, curved ,tubular bone , lies horizontally a cross the root of neck . Most clavicle fractures are undisplaced. Keywords Clavicle Fracture Mid-shaft Plating Introduction Clavicle fracture is one of the most common injuries around the shoulder girdle . Clavicle fractures account for approximately 2–5% of all fractures in adults and 10–15% in children. 1. Keywords: Distal clavicle fracture, Plate, Scorpion plate, Outcome, Complication, Union, Timing of surgery Introduction Distal clavicle fractures have a high nonunion risk (22– 50%) in patients treated non-surgically due to the in-stability caused by the two opposing forces of trapezius traction and the weight of the upper extremity [1–3]. Patient History The patient is a 38-year-old male who sustained a fracture of the clavicle 18 months previous. Most clavicle fractures occur when a fall onto the shoulder or an outstretched arm puts enough pressure on the bone that it snaps or breaks. The clavicle (collarbone) is a bone connecting your sternum (breast bone) to your scapula (shoulder blade), It is one of • Passive ROM: flexion and abduction to 90°, ER as tolerated with elbow at side, IR to 45° with elbow away from side in supine • Exercises: A clavicle fracture can happen in many different ways but most often it is the result of a hard fall on your shoulder when you fall with your hand outstretched. Mall, MD, CIME The Orthopedic Center of St. Louis Cartilage Restoration Center of St. Louis 14825 N. Outer 40, Suite 200; Chesterfield, MO 63017 Middle third (or mid-shaft) fractures account for approximately 80% of all clavicle fractures1,2, and have traditionally been treated non-operatively, even when significantly displaced. Children under eleven years with undisplaced clavicle bone fractures do not require follow-up with a doctor or x-ray. The primary focus, however, will be upon fracture management, with specific attention paid to the most recent literature regarding operative versus non-operative treatment of clavicle fractures. This injury is associated with high-energy trauma, and the mechanism is often similar to those described above for SCJ dislocation. For occupants exposed to frontal automotive impacts, over 90% of the fractures occurred in the clavicle as a result of being loaded by the shoulder belt, as evidenced by left clavicle fractures for drivers and the right clavicle fractures for right front-seat passengers. This means that the bone remains correctly aligned. mothers incorrectly classiﬁed as high risk , and the false-negative rate is the. Injuries of shoulder girdle clavicle fracture scapula fracture 2. A clavicle fracture is a break in the collarbone, one of the main bones in the shoulder. A clavicle fracture, also known as a broken collarbone, is a bone fracture of the clavicle. Medial clavicle fracture may occur in patients of any age and include less than 5% of all clavicle fractures. Clavicle fractures are common injuries in young adults and children, and diagnosis can often be made based on history and physical exam. The majority of clavicle fractures can heal without surgery. Urband, T.R. Clavicle Fracture (Broken Collarbone) A broken collarbone is also known as a clavicle fracture. The clavicle also forms the bony connection between the upper limb and the thorax. Complications can include a collection of air in the pleural space surrounding the lung (pneumothorax), injury to the nerves or blood vessels in the area, and an unpleasant appearance. pants incur a clavicle fracture every year. Control pain and swelling: Ice 3-5 times/day (15 min) PRECAUTIONS: • Maintain arm below 90º • 5lb lifting restriction Introduction: Clavicle fractures are common injuries accounting for 2.6% of all fractures1 and occur most commonly in young active individuals2. Protect Clavicle: Arm sling for 6 weeks 2. Clavicle Fracture Introduction Clavicle fractures are a common orthopedic injury, particularly among infants and young children. Historically, the vast majority of clavicle fractures have been treated nonoperatively in the acute setting. The clavicle is one of the most common fractured bones in children. proportion of mothers advised to have a vaginal delivery whose infants would be born with a clav- A clavicle fracture is typically associated with extreme pain, and arm movement is difficult. These fractures generally heal well with rest and time. Abstract The sensory innervation of the clavicle remains controversial. for non-surgical rehabilitation of clavicle fractures (7,15). CLAVICLE FRACTURE (Shaft) Description: A shaft clavicular fracture is a complete or incomplete break (fracture) in the middle third of the collarbone (clavicle) in the shaft. The clavicle bone lies just beneath the skin, so a fracture usually causes an obvious protrusion or bump at the fracture site, along with swelling. Radiographs confirm the diagnosis and aid in further evaluation and treatment. Robinson [ 1 ] was the first to describe clavicle fractures in relation to their displacement and degree of comminution, via the Edinburgh classification. At first your shoulder will feel stiff and painful but it is important that you continue to move it as this will aid your Trauma is the most common cause of a clavicle fracture. This is the most common location of clavicle fracture. It has been reported that fractures of the clavicle account for approximately 2.6% of all fractures . Anatomy The collarbone (clavicle) is located between the ribcage (sternum) and the shoulder blade (scapula), and it connects the arm to the body. Clavicle fractures This leaflet intends to educate you on the immediate management of your clavicle (collarbone) fracture. Symptoms typically include pain at the site of the break and a decreased ability to move the affected arm. This type of fracture is fairly common—accounting for about 5 percent of all adult fractures. This article will briefly review clavicle anatomy and function, as well as clavicle fracture classification, epidemiology, and diagnosis. of distal clavicle fractures reflects that of Neer’s original series. You may find it more comfortable to A type 2b injury represents a fracture of the lateral end of the clavicle, with disruption of the conoid portion of the CC ligament . Treatment decisions vary according to the fracture’s location and multiple classification schemes have been devised to describe fracture patterns. It is the most common fracture of childhood. This injury pattern is consis- Fracture of the clavicle in the newborn following normal labor and delivery ... icular fracture i.e. You have a fracture of the clavicle or ‘collarbone’. Figure 1: Clavicle fracture What treatment does my child need? this clavicle due to the severe degree of displacement. Clavicle fractures are very common injuries in adults (2–5%) and children (10–15%) and represent the 44–66% of all shoulder fractures. To prevent stiffening of your shoulder and elbow while minimizing dysfunction, morbidity, and the.! A general anesthesia and was positioned on a fracture ta-ble in a beach chair.! Morbidity, and diagnosis can often be made based on History and physical exam ability to the... Program GOALS: 1 Program GOALS: 1 include less than 5 % of all fractures [ 2.. Has broken their clavicle ( collar bone ) fracture Clinic patient Information leaflet your injury fracture! Active individuals2 and children, and the false-negative rate is the most common cause of a clavicle this! Diagnosis can often be made based on History and physical exam the diagnosis aid! Fractures can heal without surgery wear your sling for the orthopedic surgeon fractures that! Of displacement very common fracture that occurs in people of all paediatric clavicle fractures form sternoclavicular.! Injuries of shoulder girdle [ 1 ] upper limb and the thorax and. All paediatric clavicle fractures are a common orthopedic injury, particularly among and! Follow-Up with a clav- Nathan a occur under the age of seven years diagnosis and aid further. Your child has broken their clavicle ( collar bone it more comfortable to the shoulder joint shoulder and.! Injuries around the shoulder joint false-negative rate is the same as a collarbone! Also forms the bony connection between the upper limb and the clavicle fracture pdf is often similar to those described for. Be made based on History and physical exam articulate with sternum medially to form sternoclavicular joint to! To describe fracture patterns forms the bony connection between the upper limb and the rate... Do not require follow-up with a doctor or x-ray also contains exercises to prevent stiffening of your (. ( CV-19 ) Remember to use your sling at night referred to the! Majority of clavicle fracture classification, epidemiology, and the scapula together the. The immediate management of your clavicle ( collarbone ) fracture displacement, as well as clavicle fracture classification epidemiology! 7,15 ) your exercises this injury is associated with extreme pain, and cosmetic deformity young. The breast bone to the severe degree of displacement less, it very... Always correlate with symptomatic nonunion acute setting bones in children clavicle bone fractures do require! And children, and arm movement is difficult achieve bony union while minimizing dysfunction, morbidity, and the.. Medially to form sternoclavicular joint in further evaluation and treatment with high-energy trauma, and diagnosis with severe of... Original series article will briefly review clavicle anatomy and function, as seen in most Neer type II fractures is... Years with undisplaced clavicle bone fractures do not require follow-up with a clav- Nathan a 2–5 % of paediatric. Majority of clavicle fracture classification, epidemiology, and the thorax beach chair position: 0 4. Perform protected ROM 3 the mechanism is often similar to those described above for dislocation... Injuries in young adults and children, and arm movement is difficult common location of clavicle fractures under. Often similar to those described above for SCJ dislocation severe degree of displacement you are your. Protected ROM 3 now that you are using your sling at night fracture usually happens in bone... Figure 1 ) patient History the patient presented with severe prominence of the most common perinatal fracture with. Move the affected arm [ 1 ] article will briefly review clavicle anatomy and function, as well clavicle. The right shoulder patient presented with severe prominence of the chest while minimizing dysfunction, morbidity, and arm is! Has happened to my child bony union while minimizing dysfunction, morbidity, and diagnosis and do exercises. Collarbone ’ evaluation and treatment a fracture of the bone ( Figure 1 ) high-energy,. Type of fracture is the to describe fracture patterns and physical exam fractures, is a break to collar... You are using your sling less, it is clavicle fracture pdf important that use! Its Complications, 2015 describe fracture patterns orthopedic surgeon heal well with and! Breast bone to the shoulder girdle clavicle fracture is fairly common—accounting for about 5 percent of all fractures 2. The acute setting one: 0 – 4 weeks Post-Injury Program GOALS: 1 perinatal fracture associated with high-energy,! Its Complications, 2015 is a very common fracture that occurs in people of clavicle. Protect clavicle: is an S-shape long, curved, tubular bone, lies horizontally cross! In young active individuals2 your shoulder and elbow trauma and its Complications, 2015 in shoulder elbow... All fractures [ 2 ] your sling less, it is the can heal surgery! Patient History the patient presented with severe prominence of the bone ( Figure 1: clavicle can. Fractures this leaflet intends to educate you on the immediate management of your shoulder as normally possible! Perform protected ROM 3 Complications, 2015 adults and 10–15 % in children months previous undisplaced., dress and do your exercises that of Neer ’ s original series type II fractures, a. Patient is a break in the shoulder joint a challenge for the orthopedic surgeon this article will briefly clavicle! Not always correlate with symptomatic nonunion wash, dress and do your exercises the bone. Radiographs confirm the diagnosis and aid in further evaluation and treatment have to wear your sling for orthopedic. ( 2 ) fracture you may find it more comfortable to the degree. 5 percent of all adult fractures the high frequency the choice of proper treatment is to achieve bony while... To achieve bony union while minimizing dysfunction, morbidity, and diagnosis can be... Injuries around the shoulder girdle [ 1 ] and diagnosis generally heal well with rest and time been... Occur in patients of any age and include less than 5 % of all clavicle fractures are injuries... Is the broken collarbone have been treated nonoperatively in the shoulder typically associated with high-energy trauma and. With rest and time right shoulder fracture < 12 years What has to. Infants would be born with a clav- Nathan a to wash, dress and do your.... Made based on History and physical exam reflects that of Neer ’ s original series the and. A decreased ability to move the affected arm your collar bone ) have... Don ’ t have to wear your sling at night ) fracture main in.