Treatment of acute midshaft clavicle fractures

Systematic review of 2144 fractures. On behalf of the Evidence-Based Orthopaedic Trauma Working Group

Michael Zlowodzki, Boris A Zelle, Peter A. Cole, Kyle Jeray, Michael D. McKee

Research output: Contribution to journalArticle

359 Citations (Scopus)

Abstract

Background: Fractures of the clavicle were reported to represent 2.6% of all fractures with an overall incidence of 64 per 100,000 per year (1987, Malmö, Sweden). Midshaft fractures account for approximately 69% to 81% of all clavicle fractures. Treatment options for acute midshaft clavicle fractures include nonoperative treatment (mostly sling or figure-of-eight bandage), open reduction and internal fixation with plates, and closed or open reduction and internal fixation with intramedullary pins, wires, or a nail. Most surgeons prefer nonoperative treatment of nondisplaced midshaft clavicle fractures. However, the optimal treatment option for isolated acute displaced midshaft clavicle fractures remains controversial. Objectives: This study was designed to systematically summarize and compare results of different treatment options (nonoperative, operative extramedullary fixation, and operative intramedullary fixation) in the management of midshaft clavicle fractures, specifically for displaced fractures.

Original languageEnglish (US)
Pages (from-to)504-507
Number of pages4
JournalJournal of Orthopaedic Trauma
Volume19
Issue number7
DOIs
StatePublished - Aug 2005
Externally publishedYes

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Clavicle
Orthopedics
Wounds and Injuries
Therapeutics
Bandages
Nails
Sweden
Incidence

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine
  • Physical Therapy, Sports Therapy and Rehabilitation

Cite this

Treatment of acute midshaft clavicle fractures : Systematic review of 2144 fractures. On behalf of the Evidence-Based Orthopaedic Trauma Working Group. / Zlowodzki, Michael; Zelle, Boris A; Cole, Peter A.; Jeray, Kyle; McKee, Michael D.

In: Journal of Orthopaedic Trauma, Vol. 19, No. 7, 08.2005, p. 504-507.

Research output: Contribution to journalArticle

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