Medial clavicle fractures only account for about 5% of clavicle fractures. Growth plate fractures of the clavicle can be seen into the late teens and early 20s. Treatment of these fractures requires direct visualization and reduction of the fracture fragments through a vertical incision. In general, surgical fixation is recommended for type II distal clavicle fractures. Clavicle fracture is a common fracture that accounts for 2.65.0 of all fractures in adults and 3540 of shoulder injuries, and distal clavicle fractures account for approximately 20 of all. One of the last growth plates to close in the body is at the medial end of the clavicle. Many techniques of surgical fixation of distal clavicle fractures have been described in the literature. Medial clavicle fractures: These are much less common and often have a relationship to injury to the sternoclavicular joint.Distal clavicle fractures account for roughly 20% of all clavicle fractures. This part of the shoulder is called the acromioclavicular (AC) joint, and distal clavicle fractures often have similar treatment considerations as an AC joint injury. Distal clavicle fractures: These occur in close proximity to the end of the collarbone at the shoulder joint.The Neer classification system offers a useful framework for clinicians to assess the type. The management of distal clavicle fractures still represents a great clinical challenge (1, 2). Mid-shaft fractures account for approximately 75% of all clavicle fractures. Distal clavicle fractures are among the most common injuries in adults, accounting for 2.65 of all fractures and 21 of clavicle fractures 1,2,3,4,5. Clavicle fractures are a frequent and challenging problem for orthopaedic surgeons. Distal clavicle fractures refer to fractures that occur in the lateral third of the clavicle, which make up approximately 1030 of all clavicle fractures. Multiple breaks in the bone (segmental fractures), significant displacement (separation), or shortening of the length of the bone are particular concerns. These fractures can then take up to three months to completely heal. If it is undisplaced and there is no obvious lump, the fracture can be treated without surgery and resting the arm in a sling for 4-5 weeks. Various strategies for surgical treatment of distal clavicle fractures have been reported, including precontoured locking plate fixation, hook plate fixation, coracoclavicular (CC) fixation (using a suture anchor, suture button device, or screw), tension band wiring fixation, transacromial Kirschner (K)-wire fixation, and arthroscopically assist. Mid-shaft clavicle fractures: Occurring in the central third of the bone, they can be a simple crack in the bone or badly displaced. The management of the distal clavicle fracture really depends on whether it is displaced or undisplaced.
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