Executive Editor: Joseph Schatzker

Authors: Jonas Andermahr, Michael McKee, Diane Nam

Clavicle Diaphyseal simple, spiral

back to skeleton

Glossary

General considerations

A1 fractures are common fractures of the clavicle. They are usually treated conservatively if there is not a major displacement. A1 fractures are not amenable to intramedullary fixation because of the risk of telescoping effect.

Nonoperative treatment
Main indication Skill Equipment
Shortening and displacement < 2 cm Basic surgical experience, no specialized skills Basic equipment only


Supporting indications

  • Situations where larger interventions are contraindicated

Advantages

  • No surgery

Disadvantages

  • Immobilization up to 6 weeks
  • Yield more incidences of nonunion or shortening

Contraindications

  • Open fracture
  • Neurovascular injury
  • Risk of skin penetration by bone
*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