Clavicle fractures in adults; current concepts.

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 towa...

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Detalles Bibliográficos
Publicado en:European Journal of Trauma & Emergency Surgery Vol. 46; no. 3; pp. 519 - 530
Autores principales: Frima, Herman, van Heijl, Mark, Michelitsch, Christian, van der Meijden, Olivier, Beeres, Frank J. P., Houwert, Roderick M., Sommer, Christoph
Formato: algorithm case study diagnostic images pictorial review Journal Article
Publicado: Springer Nature Jun2020
Acceso en línea:Ver este registro en EBSCOhost
Descripción
Sumario: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.