Management of type ii distal clavicle fractures has always been a challenge. Full text full text is available as a scanned copy of the original print version. Pdf despite the frequency of open fractures, their management remains one of the greatest and most debated orthopedic challenges. However, recent wellconducted studies demonstrate that plate fixation of displaced midshaft clavicle fractures may result in improved functional outcome and a lower rate of malunion and nonunion, compared. Learn vocabulary, terms, and more with flashcards, games, and other study tools. Start studying ortho l3 principles of fracture management. Nonoperative treatment has a high risk of complications and should be considered only for elderly and frail patients. The physician will generally consult with the physical therapist to develop an individualized. The emphasis of this article is on the management of these injuries. Treatment of clavicle fractures pubmed central pmc. Ortho l3 principles of fracture management flashcards. Despite the high frequency the choice of proper treatment is still a challenge for the orthopedic surgeon.
Millett, md, msc steadman philippon research institute, vail, co, usa clavicle fractures are common in adults and children. Most clavicle fractures occur when a fall onto the shoulder or an outstretched arm puts enough pressure on the bone that it snaps or breaks. Fracture management overview history who, what, when, where, why o who age, job, hobbies, hand dominance if hand involved, cognition amts score if elderly o what happened and exactly how it happened mechanism of injury force involved likelihood of other structure damage o when it happened o where it happened o why. Open fractures are often the result of highenergy trauma and can lead to significant longterm morbidity and disability. Fractures of the talus include a broad spectrum of injuries and consequently require an individualized approach to their evaluation and management. Joint replacemen arthroscopysports medicine handfoot surgery dougherty ferry rd, ste. Clavicle fracture broken collarbone orthoinfo aaos. A clavicle fracture is a break in the collarbone, one of the main bones in the shoulder. This type of fracture is fairly commonaccounting for about 5 percent of all adult fractures. Historically, only unstable distal clavicle fractures were treated operatively. Middle third most common broad arm sling to support limb for 2 weeks or until comfortable.
472 1320 1248 36 1151 929 1250 174 685 482 987 414 1211 1047 725 734 953 544 1249 967 1051 1567 1208 907 609 983 542 225 759 1147 1316 1060 803 1476 6 930 1425 194 333 71 1444 1141