Midshaft clavicle fractures: Current concepts

Paul Hoogervorst, Peter van Schie, Michel P.J. van den Bekerom

Research output: Contribution to journalArticlepeer-review

7 Scopus citations

Abstract

▪ Clavicle fractures are common fractures and the optimal treatment strategy remains debatable. The present paper reviews the available literature and current concepts in the management of displaced and/or shortened midshaft clavicle fractures. ▪ Operative treatment leads to improved short-term functional outcomes, increased patient satisfaction, an earlier return to sports and lower rates of non-union compared with conservative treatment. In terms of cost-effectiveness, operative treatment also seems to be advantageous. ▪ However, operative treatment is associated with an increased risk of complications and re-operations, while long-term shoulder functional outcomes are similar. ▪The optimal treatment strategy should be one tailor-made to the patient and his/her specific needs and expectations by utilizing a shared decision-making model.

Original languageEnglish (US)
Pages (from-to)374-380
Number of pages7
JournalEFORT Open Reviews
Volume3
Issue number6
DOIs
StatePublished - Jun 1 2018
Externally publishedYes

Bibliographical note

Publisher Copyright:
© 2018 The author(s).

Keywords

  • Clavicle
  • Conservative
  • Cost effectiveness
  • Fracture
  • Midshaft
  • Operative
  • Shared decision-making
  • Treatment

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