Clavicle fractures in adults; current concepts

Herman Frima; Mark van Heijl; Christian Michelitsch; Olivier van der Meijden; Frank J P Beeres; Roderick M Houwert; Christoph Sommer

doi:10.1007/s00068-019-01122-4

Clavicle fractures in adults; current concepts

Herman Frima, Mark van Heijl, Christian Michelitsch, Olivier van der Meijden, Frank J P Beeres, Roderick M Houwert, Christoph Sommer

Department of Traumatology

Research output: Contribution to journal › Review article › peer-review

Abstract

BACKGROUND: For decades, clavicle fractures have been treated conservatively. In the last 20 years, however, non-union rates after conservative treatment appear higher than previously reported and more evidence regarding operative treatment has become available. This has led to a paradigm shift towards an increase in operative treatment. The aim of this review is to present the current concepts and available evidence regarding clavicle fracture treatment.

METHODS: Conservative and operative treatment options together with their indications for medial, shaft and lateral clavicle fractures are discussed. For all three anatomical locations, a treatment algorithm is proposed.

CONCLUSION: In general, non-displaced fractures are treated conservatively. Operative treatment has to be discussed with patients with displaced clavicle fractures, especially in the young and active patient.

Original language	English
Pages (from-to)	519-529
Number of pages	11
Journal	European Journal of Trauma and Emergency Surgery
Volume	46
Issue number	3
Early online date	3 Apr 2019
DOIs	https://doi.org/10.1007/s00068-019-01122-4
Publication status	Published - 1 Jun 2020

Keywords

Clavicle
Conservative treatment
Fracture
Operative treatment
Treatment options

Access to Document

10.1007/s00068-019-01122-4

Cite this

@article{d5701b66367f493ea2c5cd18715bc8d5,

title = "Clavicle fractures in adults; current concepts",

abstract = "BACKGROUND: For decades, clavicle fractures have been treated conservatively. In the last 20 years, however, non-union rates after conservative treatment appear higher than previously reported and more evidence regarding operative treatment has become available. This has led to a paradigm shift towards an increase in operative treatment. The aim of this review is to present the current concepts and available evidence regarding clavicle fracture treatment.METHODS: Conservative and operative treatment options together with their indications for medial, shaft and lateral clavicle fractures are discussed. For all three anatomical locations, a treatment algorithm is proposed.CONCLUSION: In general, non-displaced fractures are treated conservatively. Operative treatment has to be discussed with patients with displaced clavicle fractures, especially in the young and active patient.",

keywords = "Clavicle, Conservative treatment, Fracture, Operative treatment, Treatment options",

author = "Herman Frima and {van Heijl}, Mark and Christian Michelitsch and {van der Meijden}, Olivier and Beeres, {Frank J P} and Houwert, {Roderick M} and Christoph Sommer",

note = "Funding Information: The authors thank Michelle Reynolds for the excellent copy-editing of this manuscript. Publisher Copyright: {\textcopyright} 2019, Springer-Verlag GmbH Germany, part of Springer Nature. Copyright: Copyright 2020 Elsevier B.V., All rights reserved.",

year = "2020",

month = jun,

day = "1",

doi = "10.1007/s00068-019-01122-4",

language = "English",

volume = "46",

pages = "519--529",

journal = "European Journal of Trauma and Emergency Surgery",

issn = "1863-9933",

publisher = "Springer International Publishing AG",

number = "3",

}

TY - JOUR

T1 - Clavicle fractures in adults; current concepts

AU - Frima, Herman

AU - van Heijl, Mark

AU - Michelitsch, Christian

AU - van der Meijden, Olivier

AU - Beeres, Frank J P

AU - Houwert, Roderick M

AU - Sommer, Christoph

N1 - Funding Information: The authors thank Michelle Reynolds for the excellent copy-editing of this manuscript. Publisher Copyright: © 2019, Springer-Verlag GmbH Germany, part of Springer Nature. Copyright: Copyright 2020 Elsevier B.V., All rights reserved.

PY - 2020/6/1

Y1 - 2020/6/1

N2 - BACKGROUND: For decades, clavicle fractures have been treated conservatively. In the last 20 years, however, non-union rates after conservative treatment appear higher than previously reported and more evidence regarding operative treatment has become available. This has led to a paradigm shift towards an increase in operative treatment. The aim of this review is to present the current concepts and available evidence regarding clavicle fracture treatment.METHODS: Conservative and operative treatment options together with their indications for medial, shaft and lateral clavicle fractures are discussed. For all three anatomical locations, a treatment algorithm is proposed.CONCLUSION: In general, non-displaced fractures are treated conservatively. Operative treatment has to be discussed with patients with displaced clavicle fractures, especially in the young and active patient.

AB - BACKGROUND: For decades, clavicle fractures have been treated conservatively. In the last 20 years, however, non-union rates after conservative treatment appear higher than previously reported and more evidence regarding operative treatment has become available. This has led to a paradigm shift towards an increase in operative treatment. The aim of this review is to present the current concepts and available evidence regarding clavicle fracture treatment.METHODS: Conservative and operative treatment options together with their indications for medial, shaft and lateral clavicle fractures are discussed. For all three anatomical locations, a treatment algorithm is proposed.CONCLUSION: In general, non-displaced fractures are treated conservatively. Operative treatment has to be discussed with patients with displaced clavicle fractures, especially in the young and active patient.

KW - Clavicle

KW - Conservative treatment

KW - Fracture

KW - Operative treatment

KW - Treatment options

UR - http://www.scopus.com/inward/record.url?scp=85064198566&partnerID=8YFLogxK

U2 - 10.1007/s00068-019-01122-4

DO - 10.1007/s00068-019-01122-4

M3 - Review article

C2 - 30944950

SN - 1863-9933

VL - 46

SP - 519

EP - 529

JO - European Journal of Trauma and Emergency Surgery

JF - European Journal of Trauma and Emergency Surgery

IS - 3

ER -

Clavicle fractures in adults; current concepts

Abstract

Keywords

Access to Document

Other files and links

Fingerprint

Cite this