Fractures of sternal end of the clavicle--current concept review

Fractures of the medial end of the clavicle are still an outstanding issue with only minimum information available. Their diagnosis requires a special care both in isolated fractures of the clavicle and in polytrauma. An accurate diagnosis is impossible without CT scanning, preferably with a 3D reco...

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Bibliographic Details
Published inRozhledy v chirurgii Vol. 87; no. 9; p. 480
Main Authors Bartonícek, J, Fric, V, Lunácek, L
Format Journal Article
LanguageCzech
Published Czech Republic 01.09.2008
Subjects
Clavicle - injuries
Fractures, Bone - diagnosis
Fractures, Bone - surgery
Humans
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Summary:Fractures of the medial end of the clavicle are still an outstanding issue with only minimum information available. Their diagnosis requires a special care both in isolated fractures of the clavicle and in polytrauma. An accurate diagnosis is impossible without CT scanning, preferably with a 3D reconstruction. Non-displaced fractures are indicated for non-operative treatment. In displaced fractures, sustained particularly by younger or active individuals, operative treatment should be considered. Best suitable for fixation is a cerclage, K-wires are strictly contraindicated. Formulation of a more specific opinion on the method of treatment, long-term outcomes and complications will be possible only on the basis of a greater number of reported cases.
ISSN:0035-9351