The prevalence of a broken collarbone can be between 2.6% and 5% of all adult fractures and 35% to 44% of all shoulder girdle fractures. The occurrence of a broken collarbone is approximately 29 to 64 per 100,000 of population per year.
A direct impact injury to the clavicle is rarely seen to be the reason for a broken collarbone. Type 1 fractures are those of the medial 1/3rd and type 3 of the lateral 1/3rd. Type 2 fractures consist of the numerous midshaft fractures.
The indications for collarbone surgical treatment include healthy, active clients in between the ages of 16-60 with entirely displaced midshaft fracture with shortening of 2 cm or more. Superior displacement with skin tenting and/or impending open.
In a study by Drs. Hurst and Millet in 2009 discovered in 61 clients a complication rate of 30% and nonunions at 9.8%. Currently, Dr. Millet’s choice for basic displaced fractures with or without inferior butterfly pieces is intramedullary fixation. This is a minimally intrusive method and is shown to have a low issue rate. For more segmental and/or seriously comminuted fractures a plate fixation is the collarbone surgery of option. This technique provides a more steady construct.
After soft tissue preparation the fracture is minimized utilizing clamps, sutures and k-wires. The superior side of the bone is then prepared for the plate positioning.
Post-operative x-rays can show the full length of the bone being brought back. The rehab following damaged collarbone treatment is active and passive variety of motion from the first day after elimination. No heavy lifting or filling for 4 weeks. Once clinically and radiographically stable client can return to full activities in 4 weeks.
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