Clavicle fractures.
نویسندگان
چکیده
Clavicle fractures are most common in children and young adults, typically occurring in persons younger than 25 years. Its superficial location, its thin midshaft, and the forces transmitted across it make the clavicle a common site for injury. The most common mechanism of injury is a forceful fall with the arm at the side, which commonly occurs during contact sports. Diagnosis can often be made by the history and physical examination, although appropriate radiography should be used to confirm the diagnosis and guide treatment options. Most clavicle fractures occur in the midshaft and can be treated nonoperatively. A prominent callus is common in children, and parents may require reassurance. If a child has no history of trauma, then malignancy, rickets, and physical abuse should be considered. Surgery is an option in fractures that have high potential for nonunion (e.g., displaced or communited fractures, fractures with more than 15 to 20 mm clavicle shortening). Distal fractures are classified based on the relationship to the coracoclavicular ligaments, which determines the likelihood of displacement. Most distal fractures can also be treated nonoperatively; however, certain factors must be considered in children.
منابع مشابه
Functional Results of Unstable (Type 2) Distal Clavicle Fractures Treated with Superior Anterior Locking Plate
Background: The treatment of distal clavicle fracture is always a challenge, as it is mostly unstable and has higherrate of delayed union, malunion, non-union and associated acromioclavicular arthritis. So the management of thesefractures remains controversial. The purpose of this study is to evaluate the functional results of Type 2 distal endclavicle fractures treated with superior anterior l...
متن کاملConservative Management of Paediatric Clavicle Fractures
Paediatric clavicle fractures have traditionally been treated nonoperatively. Recent studies have recommended operative management for displaced midshaft fractures. We conducted a retrospective review of all clavicle fractures in children aged one to sixteen over a two-year period. We classified fractures and evaluated followup and clinical outcome. We identified 190 fractures. There were 135 b...
متن کاملThe Comparison of Results of Treatment of Midshaft Clavicle Fracture between Operative Treatment with Plate and Non-Operative Treatment
Background: Clavicle fractures are common and usually heal without complications. In this study, we evaluated the outcomes of non-operative versus operative management of displaced fractures. Methods: In a prospective clinical trial study, sixty-five patients with displaced clavicle mid-shaft fractures were nonrandomly divided in two treatment groups. The first group underwent non-operative...
متن کاملClavicle fractures: epidemiology, classification and treatment of 2 422 fractures in the Swedish Fracture Register; an observational study
BACKGROUND Large multi-centre studies of clavicle fractures have so far been missing. The aim of this observational study was to describe the epidemiology, classification and treatment of clavicle fractures in the The Swedish Fracture Register (SFR) that collects national prospective data from large fracture populations. METHODS Data were retrieved from the SFR on all clavicle fractures susta...
متن کاملFrequency and Risk Factors of Clavicle Fractures in Professional Cyclists
OBJECTIVE To evaluate the prevalence of clavicle fractures in professional and amateur cyclists and evaluate the factors associated with its occurrence. METHOD One hundred and forty professional and amateur athletes were interviewed through a questionnaire regarding age and time practicing bicycling, among others. RESULTS Among the 140 evaluated cyclists, there were 19 (13.5%) clavicle frac...
متن کاملOpen reduction and internal fixation of a distal clavicle fracture using a clavicle hook plate
Historically, fractures of the clavicle have been treated nonoperatively. However, it is becoming much more common for orthopedic surgeons to treat clavicle fractures with open reduction and internal fixation-particularly fractures of the lateral clavicle with high rates of nonunion, such as the Neer type II. Several techniques and devices are currently being used for clavicle fixation. We pres...
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ورودعنوان ژورنال:
- American family physician
دوره 77 1 شماره
صفحات -
تاریخ انتشار 2008