Clavicle Fractures

Bone Break

Anatomy of the Clavicle

credit:https://www.theskeletalsystem.net/arm-bones/clavicle-collarbone.html

The clavicle is a long bone that extends from the manubrium of the sternum to the acromion of the scapula

Ligaments:

- Costoclavicular ligament

- Coracoclavicular ligament

Muscles:

The shaft of the clavicle is an attachment point for many muscles including:

- deltoid, trapezius, subclavius, pectoralis major, sternocleidomastoid and sternohyoid

Clavicle fractures:

- Most common MOI: FOOSH or fall on shoulder

- 15% of clavicle fractures occur in lateral third, 80% in middle third, and 5% in medial third.

- With operative management, the supraclavicular nerves may be damaged and result in numbness over the upper chest and shoulder.

Resources

Woltz S, Stegeman SA, Krijnen P, van Dijkman BA, van Thiel TP, Schep NW, de Rijcke PA, Frölke JP, Schipper IB. Plate fixation compared with nonoperative treatment for displaced midshaft clavicular fractures: a multicenter randomized controlled trial. JBJS. 2017 Jan 18;99(2):106-12.-

https://www.researchgate.net/profile/Zachary-Working-2/publication/347761724_Orthopaedic_Care_of_the_Transgender_Patient/links/647df71c2cad460a1bf887b1/Orthopaedic-Care-of-the-Transgender-Patient.pdf

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8423531/https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8423531/

https://teachmeanatomy.info/upper-limb/bones/clavicle/

Mastering the principles of Orthopaedic Surgery, one break at a time.
Hosted by Dr. Kaid van Kampen
Produced by the UBC Orthopaedic Continuing Professional Development Program
In Collaboration with COSSNET and the Canadian Orthopaedic Association