Executive Editor: Joseph Schatzker General Editor: Jonas Andermahr, Michael McKee, Diane Nam

Clavicle

back to skeleton

Glossary

15.1 A Medial clavicle, extra 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

15.1 B Medial clavicle, intra 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

15.1 C Medial clavicle, multifragmentary

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

15.2 A1 Simple shaft, 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

15.2 A2 Simple shaft, 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
Lag screw with neutralization plate Shortening and displacement > 2 cm Some specialized surgical experience Simple surgical and imaging resources
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

15.2 A3 Simple shaft, 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
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

15.2 B1 Wedge shaft, 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

15.2 B2 Wedge shaft, 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
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

15.2 B3 Wedge shaft, fragmented 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

15.2 C1 Complex shaft, complex 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

15.2 C2 Complex shaft, 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
Compression plate Shortening and displacement > 2 cm Some specialized surgical experience Full specialized surgical and imaging resources

15.2 C3 Complex shaft, complex irregular

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

15.3 A1 Undisplaced lateral, extra articular

Please select a treatment option:
Treatment Main indication Skill Equipment
Nonoperative treatment All A1 fractures Basic surgical experience, no specialized skills Basic equipment only

15.3 A2 Undisplaced lateral, intra articular

Please select a treatment option:
Treatment Main indication Skill Equipment
Nonoperative treatment All A2 fractures Basic surgical experience, no specialized skills Basic equipment only

15.3 B1 Displaced lateral, CC intact, extra articular

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
Precontoured distal plate Shortening or displacement > 2 cm Some specialized surgical experience Full specialized surgical and imaging resources

15.3 B2 Displaced lateral, CC intact, comminuted

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
Hook plate Severely displaced fracture Highly experienced and skilled surgeon Full specialized surgical and imaging resources
Precontoured distal plate Severely displaced fracture Highly experienced and skilled surgeon Full specialized surgical and imaging resources

15.3 C1 Displaced lateral, CC ruptured, extra articular

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
Hook plate Severely displaced fracture Highly experienced and skilled surgeon Full specialized surgical and imaging resources
Precontoured distal plate Severely displaced fracture Highly experienced and skilled surgeon Full specialized surgical and imaging resources

15.3 C2 Displaced lateral, CC ruptured, intra 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
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

1.0