Clavicle Fracture

Clavicle Fractures

Introduction:

Clavicle fractures are one of the most common fractures seen in the emergency department. They occur due to falling on outstretched hands, sports injuries and road traffic accidents.

Symptoms

Swelling and deformity over the fracture

Pain that increases with shoulder movement and associated crackling sound on shoulder movement.

Treatment methods

Non-surgical management - in the form of arm sling, medications, physical therapy. Patients who are treated conservatively will require three weeks of immobilization followed by shoulder mobilisation exercise. Shoulder strengthening exercise from 3 months



23 years old gentleman with right clavicle middle third shaft fracture treated non operatively shows good fracture union in 4 months follow up

Surgical treatment - indicated in patients with tenting of skin over the fracture site, open fractures, nonunion and if the neurovascular deficit is present. The surgical treatment is in the form of plate fixation and immediate mobilization of the shoulder joint.



28 years old gentleman with type I open commented clavicle fracture treated with debridement, open reduction and plating of left clavicle. Fracture healed in 4 months follow up.



OUTCOME