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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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
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      dt: Jun2020
      vid: 46
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s00068-019-01122-4
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        atl: Clavicle fractures in adults; current concepts.
      aug:
        au:
          Frima, Herman
          van Heijl, Mark
          Michelitsch, Christian
          van der Meijden, Olivier
          Beeres, Frank J. P.
          Houwert, Roderick M.
          Sommer, Christoph
        affil: Department of Trauma Surgery, Kantonsspital Graubünden, Loëstrasse 170, 7000, Chur, Switzerland
      sug:
        subj:
          Clavicle Fractures Surgery
          Female
          Adult
          Middle Age
          Algorithms
          Paradigms
          Fracture Fixation Methods
          Clavicle Fractures Epidemiology
          Clavicle Fractures Classification
          Clavicle Fractures Diagnosis
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Female
      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.
      pubtype: Academic Journal
      doctype:
        algorithm
        case study
        diagnostic images
        pictorial
        review
        Journal Article
      ougenre: Article
    language: English
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