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Fracture of
clavicle
By:- Dr. Bindesh D. Patel, PT
Deputy Registrar
P P Savani University
Pathoanatomy
• Junction of middle and outer-third is
commonest site
• Fracture is usually displaced
Outer fragment
Displaces medially
and downwards
Because of pull of
pectoralis major
muscle
Inner fragment
Displaces upward
Because of pull of
sternocleidomastoid
muscle
Diagnosis
• History of trauma followed by pain, swelling
and crepitus
• Can be confirmed
on x-ray
• Also check for
neurovascular
deficit
Treatment
• Unites readily
• Immobilization is sufficient in triangular sling for
minimal displacement.
• A figure of 8 bandage can be applied in young
adult with a displaced fracture.
• Open reduction and internal fixation is required
– Severally displaced fracture
– Patient with neurovascular deficit
• Fracture is fixed with a plate or a nail
Complications
• Early complication :- Fracture fragment may
injure the subclavian vessels or brachial plexus
• Late complication :- shoulder stiffness,
Malunion, Non-union.

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1. Fracture of Clavicle

  • 1. Fracture of clavicle By:- Dr. Bindesh D. Patel, PT Deputy Registrar P P Savani University
  • 2. Pathoanatomy • Junction of middle and outer-third is commonest site
  • 3. • Fracture is usually displaced
  • 4. Outer fragment Displaces medially and downwards Because of pull of pectoralis major muscle Inner fragment Displaces upward Because of pull of sternocleidomastoid muscle
  • 5. Diagnosis • History of trauma followed by pain, swelling and crepitus • Can be confirmed on x-ray • Also check for neurovascular deficit
  • 6. Treatment • Unites readily • Immobilization is sufficient in triangular sling for minimal displacement. • A figure of 8 bandage can be applied in young adult with a displaced fracture. • Open reduction and internal fixation is required – Severally displaced fracture – Patient with neurovascular deficit • Fracture is fixed with a plate or a nail
  • 7.
  • 8.
  • 9.
  • 10. Complications • Early complication :- Fracture fragment may injure the subclavian vessels or brachial plexus • Late complication :- shoulder stiffness, Malunion, Non-union.