Clavicle fractures in adults; current concepts.
Clavicle
Conservative treatment
Fracture
Operative treatment
Treatment options
Journal
European journal of trauma and emergency surgery : official publication of the European Trauma Society
ISSN: 1863-9941
Titre abrégé: Eur J Trauma Emerg Surg
Pays: Germany
ID NLM: 101313350
Informations de publication
Date de publication:
Jun 2020
Jun 2020
Historique:
received:
06
12
2018
accepted:
27
03
2019
pubmed:
5
4
2019
medline:
2
2
2021
entrez:
5
4
2019
Statut:
ppublish
Résumé
For decades, clavicle fractures have been treated conservatively. In the last 20 years, however, non-union rates after conservative treatment appear higher than previously reported and more evidence regarding operative treatment has become available. This has led to a paradigm shift towards an increase in operative treatment. The aim of this review is to present the current concepts and available evidence regarding clavicle fracture treatment. Conservative and operative treatment options together with their indications for medial, shaft and lateral clavicle fractures are discussed. For all three anatomical locations, a treatment algorithm is proposed. In general, non-displaced fractures are treated conservatively. Operative treatment has to be discussed with patients with displaced clavicle fractures, especially in the young and active patient.
Sections du résumé
BACKGROUND
BACKGROUND
For decades, clavicle fractures have been treated conservatively. In the last 20 years, however, non-union rates after conservative treatment appear higher than previously reported and more evidence regarding operative treatment has become available. This has led to a paradigm shift towards an increase in operative treatment. The aim of this review is to present the current concepts and available evidence regarding clavicle fracture treatment.
METHODS
METHODS
Conservative and operative treatment options together with their indications for medial, shaft and lateral clavicle fractures are discussed. For all three anatomical locations, a treatment algorithm is proposed.
CONCLUSION
CONCLUSIONS
In general, non-displaced fractures are treated conservatively. Operative treatment has to be discussed with patients with displaced clavicle fractures, especially in the young and active patient.
Identifiants
pubmed: 30944950
doi: 10.1007/s00068-019-01122-4
pii: 10.1007/s00068-019-01122-4
doi:
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM