Clavicle fractures - one of the painful injuries in sports
DOI:
https://doi.org/10.12775/QS.2024.19.53756Keywords
clavicle fracture, distal clavicle, neer classificationAbstract
Introduction
Clavicle fractures can be treated either surgically or non-operatively. Traditionally, displaced fractures of the clavicle shaft in adults have been treated non-operatively. However, recent evidence suggests that the rate of non-union following non-operative treatment is higher than previously thought. In addition, there is a growing body of literature suggesting better functional outcomes with operative treatment. This shift in understanding has led to an increased preference for operative management of these fractures in recent years. The aim of this review is to summarise the current evidence on the management of clavicle fractures.
Review methods
English-language scientific literature found in PubMed and Google Scholar was used for the review. Articles were searched based on keywords. Each article was analyzed for knowledge currency and relevance for use in the review.
Description of the State of Knowledge
After searching the articles, 20 articles were selected for final analysis. The collected data provided the latest information on clavicle fractures regarding the epidemiology, treatment and its results.
Summary
Clavicle fractures are one of the injuries happening in sports. As the surgical techniques become better overtime, the dilemma regarding invasive versus non-invasive treatment appears. Overall, both these approaches yield similar results, however may be suitable for different individuals.
References
Kihlström C, Möller M, Lönn K, Wolf O. Clavicle fractures: epidemiology, classification and treatment of 2 422 fractures in the Swedish Fracture Register; an observational study. BMC Musculoskelet Disord. 2017;18(1):82. Published 2017 Feb 15. doi:10.1186/s12891-017-1444-1
Postacchini F, Gumina S, De Santis P, Albo F. Epidemiology of clavicle fractures. J Shoulder Elbow Surg. 2002;11(5):452-456. doi:10.1067/mse.2002.126613
Smekal V, Oberladstaetter J, Struve P, Krappinger D. Shaft fractures of the clavicle: current concepts. Arch Orthop Trauma Surg. 2009;129(6):807-815. doi:10.1007/s00402-008-0775-7
Stenson J, Baker W. Classifications in Brief: The Modified Neer Classification for Distal-third Clavicle Fractures. Clin Orthop Relat Res. 2021;479(1):205-209. doi:10.1097/CORR.0000000000001456
Knipe H, Murphy A. Neer classification of clavicle fractures. In: Radiopaedia.org. Radiopaedia.org; 2020. doi:10.53347/rid-74187
Andersen K, Jensen PO, Lauritzen J. Treatment of clavicular fractures. Figure-of-eight bandage versus a simple sling. Acta Orthop Scand. 1987;58(1):71-74. doi:10.3109/17453678709146346
Khan LA, Bradnock TJ, Scott C, Robinson CM. Fractures of the clavicle. J Bone Joint Surg Am. 2009;91(2):447-460. doi:10.2106/JBJS.H.00034
Ban I, Branner U, Holck K, Krasheninnikoff M, Troelsen A. Clavicle fractures may be conservatively treated with acceptable results - a systematic review. Dan Med J. 2012;59(7):A4457.
Riehl JT, Athans BJ, Munro MW, et al. Minimally displaced clavicle fracture after high-energy injury: are they likely to displace?. Can J Surg. 2014;57(3):169-174. doi:10.1503/cjs.003613
Kim DW, Kim DH, Kim BS, Cho CH. Current Concepts for Classification and Treatment of Distal Clavicle Fractures. Clin Orthop Surg. 2020;12(2):135-144. doi:10.4055/cios20010
Vaishya R, Vijay V, Khanna V. Outcome of distal end clavicle fractures treated with locking plates. Chin J Traumatol. 2017;20(1):45-48. doi:10.1016/j.cjtee.2016.05.003
Asadollahi S, Bucknill A. Hook Plate Fixation for Acute Unstable Distal Clavicle Fracture: A Systematic Review and Meta-analysis. J Orthop Trauma. 2019;33(8):417-422. doi:10.1097/BOT.0000000000001481
Polat A, Fidan F. An effective nonabsorbable suture technique for distal clavicle fractures. Jt Dis Relat Surg. 2022;33(2):359-366. doi:10.52312/jdrs.2022.544
Loriaut P, Moreau PE, Dallaudière B, et al. Outcome of arthroscopic treatment for displaced lateral clavicle fractures using a double button device. Knee Surg Sports Traumatol Arthrosc. 2015;23(5):1429-1433. doi:10.1007/s00167-013-2772-9
Huttunen TT, Launonen AP, Berg HE, Lepola V, Felländer-Tsai L, Mattila VM. Trends in the Incidence of Clavicle Fractures and Surgical Repair in Sweden: 2001-2012. J Bone Joint Surg Am. 2016;98(21):1837-1842. doi:10.2106/JBJS.15.01284
Salipas A, Kimmel LA, Edwards ER, Rakhra S, Moaveni AK. Natural history of medial clavicle fractures. Injury. 2016;47(10):2235-2239. doi:10.1016/j.injury.2016.06.011
Asadollahi S, Bucknill A. Acute medial clavicle fracture in adults: a systematic review of demographics, clinical features and treatment outcomes in 220 patients. J Orthop Traumatol. 2019;20(1):24. Published 2019 Jun 28. doi:10.1186/s10195-019-0533-3
Lindsey MH, Grisdela P, Lu L, Zhang D, Earp B. What Are the Functional Outcomes and Pain Scores after Medial Clavicle Fracture Treatment?. Clin Orthop Relat Res. 2021;479(11):2400-2407. doi:10.1097/CORR.0000000000001839
Chen MR, Huang JI, Victoroff BN, Cooperman DR. Fracture of the clavicle does not affect arthritis of the ipsilateral acromioclavicular joint compared with the contralateral side. J Bone Joint Surg Br. 2010;92-B(1):164-168. doi:10.1302/0301-620X.92B1.22678
Jessen M, Schnetzke M, Studier-Fischer S, Grützner PA, Gühring T, Porschke F. Morphologic Alterations of the Sternoclavicular Joint following Ipsilateral Clavicle Fractures. Int J Environ Res Public Health. 2022;19(22):15011. Published 2022 Nov 15. doi:10.3390/ijerph192215011
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Dawid Łoś, Aleksandra Nowak, Anita Janus, Agata Kaptur, Dawid Dziedziński, Oliwia Kwaśniewska
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Stats
Number of views and downloads: 37
Number of citations: 0
