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- Clavicular fractures account for 5% of all fractures in all age groups.
- 80% of clavicular fractures involve the middle 3rd.
- 15% occur in the distal 3rd.
- 5% occur in the medial 3rd.
- Group I: Middle-3rd fractures
- Group II: Distal-3rd 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)-3rd fractures
- Direct trauma to the clavicle
- Fall on the lateral shoulder
- Fall on the outstretched hand
- Most common of all pediatric fractures
- May occur in newborns secondary to birth trauma
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.
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.