Clavicle Fracture

Basics

Description

Clavicular fractures account for 5% of all fractures in all age groups
80% of clavicular fractures involve the middle third
15% occur in the distal third
5% occur in the medial third
Classification
Group I: Middle third fractures
Group II: Distal third fractures:
- Type I: Coracoclavicular ligaments are intact (nondisplaced)
- Type II: Severing of the coracoclavicular ligaments (conoid)
- Type III: Articular surface involvement of the acromioclavicular joint
Group III: Medial (proximal) third fractures

Etiology

Mechanism:

Direct trauma to the clavicle
Fall on the lateral shoulder
Fall on the outstretched hand

Pediatric Considerations

Most common of all pediatric fractures
May occur in newborns secondary to birth trauma

Geriatric Considerations
Geriatric patients who sustain a clavicular fracture may have difficulty performing activities of daily living. The patient's social and living situations should be assessed to determine a safe discharge plan that may require additional assistance at home

Pregnancy Considerations
Clavicular fractures are the result of direct trauma. Patients who are pregnant should be appropriately worked up for other injuries but also should receive fetal monitoring to ensure the health of the fetus. Even minor injuries can result in trauma or harm to the fetus

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