A clinical study on role of surgical management of clavicle fractures in adults

Abstract

Introduction: Current literature has clearly shown that the indications for surgical treatment of clavicle fractures in adults are expanding. Although clavicle fractures in children and adolescents have traditionally been treated non-operatively, surgical treatment of displaced clavicle fractures may be indicated in adults. Results: Excellent outcomes and rapid return to work can be achieved with surgical management of displaced clavicle fractures in the adults with high functional demands, similar to those of their adult counterparts. Complications include hardware irritation, screw loosening, pin migration, peri-incisional numbness, and refracture. Athletes and families must be counseled regarding complications and potential need for secondary surgery to remove hardware. Conclusion:The patients with a displaced, shortened, or comminuted clavicle fracture presents a unique, controversial dilemma for the surgeon. Earlier return to work, can be achieved with surgical management to restore length and alignment and may prevent malunion, nonunion, and poor outcomes.