Executive Editor: Joseph Schatzker

Authors: Jonas Andermahr, Michael McKee, Diane Nam

Clavicle Lateral, displaced fracture with CC intact, extraarticular

back to skeleton

Glossary

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


Supporting indications

  • Elderly patients with poor bone stock
  • Low demand patients

Advantages

  • No surgical risk

Disadvantages

  • Risk of malunion and bone protrusion

Contraindications

  • Floating shoulder
ORIF - Pre-contoured distal plate
Main indication Skill Equipment
Shortening or displacement > 2 cm Some specialized surgical experience Full specialized surgical and imaging resources


Supporting indications

  • Lateral fragment of sufficient size for multiple screw fixation
  • Open fractures
  • Fractures with neurovascular compromise
  • Severe displacement
  • Active young patient

Contraindications

  • Poor soft tissue coverage
  • Active infection
  • Anticipated patient non-compliance (especially substance abuse)
*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