Executive Editor: Joseph Schatzker

Authors: Jonas Andermahr, Michael McKee, Diane Nam

Clavicle

back to skeleton

Glossary

Medial, extraarticular

Please select a treatment option:
Treatment Main indication Skill Equipment
Nonoperative treatment Undisplaced fracture Basic surgical experience, no specialized skills Basic equipment only
Reduction of sternoclavicular dislocation Posterior or superior displaced fracture Basic surgical experience, no specialized skills Basic equipment only

Medial, articular

Please select a treatment option:
Treatment Main indication Skill Equipment
Nonoperative treatment Undisplaced fracture Basic surgical experience, no specialized skills Basic equipment only
Reduction of sternoclavicular dislocation Posterior or superior displaced fracture Basic surgical experience, no specialized skills Basic equipment only

Medial, complete articular

Please select a treatment option:
Treatment Main indication Skill Equipment
Nonoperative treatment Undisplaced fracture Basic surgical experience, no specialized skills Basic equipment only
Reduction of sternoclavicular dislocation Posterior or superior displaced fracture Basic surgical experience, no specialized skills Basic equipment only

Diaphyseal simple, spiral

Please select a treatment option:
Treatment Main indication Skill Equipment
Nonoperative treatment Shortening and displacement < 2 cm Basic surgical experience, no specialized skills Basic equipment only

Diaphyseal simple, oblique

Please select a treatment option:
Treatment Main indication Skill Equipment
Nonoperative treatment Shortening and displacement < 2 cm Basic surgical experience, no specialized skills Basic equipment only
ORIF - Lag screw with neutralization plate Shortening and displacement > 2 cm Some specialized surgical experience Simple surgical and imaging resources
ORIF - Compression plate with lag screw Shortening and displacement > 2 cm Some specialized surgical experience Full specialized surgical and imaging resources
Flexible intermedullary nail Shortening and displacement > 2 cm Some specialized surgical experience Simple surgical and imaging resources

Diaphyseal simple, transverse

Please select a treatment option:
Treatment Main indication Skill Equipment
Nonoperative treatment Shortening and displacement < 2 cm Basic surgical experience, no specialized skills Basic equipment only
ORIF - Compression plate Shortening and displacement > 2 cm Some specialized surgical experience Full specialized surgical and imaging resources
Flexible intermedullary nail Shortening and displacement > 2 cm Some specialized surgical experience Simple surgical and imaging resources

Diaphyseal wedge, intact spiral wedge

Please select a treatment option:
Treatment Main indication Skill Equipment
Nonoperative treatment Shortening and displacement < 2 cm Basic surgical experience, no specialized skills Basic equipment only
ORIF - Bridge plate Shortening and displacement > 2 cm Highly experienced and skilled surgeon Full specialized surgical and imaging resources

Diaphyseal wedge, Intact bending wedge

Please select a treatment option:
Treatment Main indication Skill Equipment
Nonoperative treatment Shortening and displacement < 2 cm Basic surgical experience, no specialized skills Basic equipment only
Flexible intermedullary nail Shortening and displacement > 2 cm Some specialized surgical experience Simple surgical and imaging resources
ORIF - Lag screw with neutralization plate Shortening and displacement > 2 cm Some specialized surgical experience Full specialized surgical and imaging resources
ORIF - Bridge plate Shortening and displacement > 2 cm Highly experienced and skilled surgeon Full specialized surgical and imaging resources

Diaphyseal wedge, fragmentary wedge

Please select a treatment option:
Treatment Main indication Skill Equipment
Nonoperative treatment Shortening and displacement < 2 cm Basic surgical experience, no specialized skills Basic equipment only
ORIF - Bridge plate Shortening and displacement > 2 cm Highly experienced and skilled surgeon Full specialized surgical and imaging resources

Diaphyseal multifragmentary, fragmentary spiral

Please select a treatment option:
Treatment Main indication Skill Equipment
Nonoperative treatment Shortening and displacement < 2 cm Basic surgical experience, no specialized skills Basic equipment only
ORIF - Bridge plate Shortening and displacement > 2 cm Highly experienced and skilled surgeon Full specialized surgical and imaging resources

Diaphyseal multifragmentary, intact segmental

Please select a treatment option:
Treatment Main indication Skill Equipment
Nonoperative treatment Shortening and displacement < 2 cm Basic surgical experience, no specialized skills Basic equipment only
ORIF - Compression plate Shortening and displacement > 2 cm Some specialized surgical experience Full specialized surgical and imaging resources

Diaphyseal multifragmentary, fragmentary segmental

Please select a treatment option:
Treatment Main indication Skill Equipment
Nonoperative treatment Shortening and displacement < 2 cm Basic surgical experience, no specialized skills Basic equipment only
ORIF - Bridge plate Shortening and displacement > 2 cm Highly experienced and skilled surgeon Full specialized surgical and imaging resources
MIO - Bridge plate Shortening and displacement > 2 cm Highly experienced and skilled surgeon Full specialized surgical and imaging resources

Lateral, undisplaced fracture with CC intact, extraarticular

Please select a treatment option:
Treatment Main indication Skill Equipment
Nonoperative treatment All undisplaced extraarticular fractures of the lateral clavicle Basic surgical experience, no specialized skills Basic equipment only

Lateral, undisplaced fracture with CC intact, articular

Please select a treatment option:
Treatment Main indication Skill Equipment
Nonoperative treatment All undisplaced articular fractures of the lateral clavicle Basic surgical experience, no specialized skills Basic equipment only

Lateral, displaced fracture with CC intact, extraarticular

Please select a treatment option:
Treatment Main indication Skill Equipment
Nonoperative treatment Shortening or displacement < 2 cm Basic surgical experience, no specialized skills Basic equipment only
ORIF - Pre-contoured distal plate Shortening or displacement > 2 cm Some specialized surgical experience Full specialized surgical and imaging resources

Lateral, displaced fracture with CC intact, fragmentary

Please select a treatment option:
Treatment Main indication Skill Equipment
Nonoperative treatment Shortening or displacement < 2 cm. Low demand (typically elderly) patients Basic surgical experience, no specialized skills Basic equipment only
ORIF - Hook plate Severely displaced fracture Highly experienced and skilled surgeon Full specialized surgical and imaging resources
ORIF - Pre-contoured distal plate Severely displaced fracture Highly experienced and skilled surgeon Full specialized surgical and imaging resources

Lateral, displaced fracture with CC disrupted, extraarticular

Please select a treatment option:
Treatment Main indication Skill Equipment
Nonoperative treatment Minimally displaced fractures or low demand (typically elderly) patients Basic surgical experience, no specialized skills Basic equipment only
ORIF - Hook plate Severely displaced fracture Highly experienced and skilled surgeon Full specialized surgical and imaging resources
ORIF - Pre-contoured distal plate Severely displaced fracture Highly experienced and skilled surgeon Full specialized surgical and imaging resources

Lateral, displaced fracture with CC disrupted, articular

Please select a treatment option:
Treatment Main indication Skill Equipment
Nonoperative treatment Minimally displaced fractures Basic surgical experience, no specialized skills Basic equipment only
ORIF - Hook plate Severely displaced fracture or AC joint dislocation in young active patients Highly experienced and skilled surgeon Full specialized surgical and imaging resources

Special considerations
Floating shoulder - Sequence of repair
Complete LSSS Failure
*Skill
Basic surgical experience, no specialized skills Basic surgical experience, no specialized skills
Some specialized surgical experience Some specialized surgical experience
Highly experienced and skilled surgeon Highly experienced and skilled surgeon
*Equipment
Basic equipment only Basic equipment only
Simple surgical and imaging resources Simple surgical and imaging resources
Full specialized surgical and imaging resources Full specialized surgical and imaging resources

2.0 2016-12-05