eMedicine Specialties > Sports Medicine > Shoulder

Clavicular Injuries: Multimedia

Author: Kevin J Eerkes, MD, Clinical Assistant Professor, Department of Medicine, New York University School of Medicine; Medical team physician, New York University athletic teams
Coauthor(s): Janos P Ertl, MD, Assistant Professor, Department of Orthopedic Surgery, Indiana University School of Medicine; Chief of Orthopaedic Surgery, Wishard hospital; John B Mitchell, MD, Consulting Staff, Department of Orthopedics, Kaiser Permanente
Contributor Information and Disclosures

Updated: Aug 18, 2008

Multimedia

Anteroposterior view of middle third clavicular f...Media file 1: Anteroposterior view of middle third clavicular fracture illustrating a more typical fracture pattern.
Anteroposterior view of middle third clavicular f...

Anteroposterior view of middle third clavicular fracture illustrating a more typical fracture pattern.

Anteroposterior view of distal clavicular fractur...Media file 2: Anteroposterior view of distal clavicular fracture, type 2, showing wide displacement.
Anteroposterior view of distal clavicular fractur...

Anteroposterior view of distal clavicular fracture, type 2, showing wide displacement.

Comminuted fracture in a hockey player (same pati...Media file 3: Comminuted fracture in a hockey player (same patient in Images 3-5). Note the medial fragment tenting the skin.
Comminuted fracture in a hockey player (same pati...

Comminuted fracture in a hockey player (same patient in Images 3-5). Note the medial fragment tenting the skin.

Additional view of fracture displacement and comm...Media file 4: Additional view of fracture displacement and comminution in a hockey player (same patient in Images 3-5). The sternocleidomastoid is the deforming force of the medial fragment.
Additional view of fracture displacement and comm...

Additional view of fracture displacement and comminution in a hockey player (same patient in Images 3-5). The sternocleidomastoid is the deforming force of the medial fragment.

Radiographs after open reduction and internal fix...Media file 5: Radiographs after open reduction and internal fixation of a comminuted fracture in a hockey player (same patient in Images 3-5).
Radiographs after open reduction and internal fix...

Radiographs after open reduction and internal fixation of a comminuted fracture in a hockey player (same patient in Images 3-5).

A posterior view demonstrating a closed clavicle ...Media file 6: A posterior view demonstrating a closed clavicle fracture tenting the skin (arrow) (same patient in Images 6-8), which can potentially lead to an open fracture.
A posterior view demonstrating a closed clavicle ...

A posterior view demonstrating a closed clavicle fracture tenting the skin (arrow) (same patient in Images 6-8), which can potentially lead to an open fracture.

Comparison of both clavicles, with the left tenti...Media file 7: Comparison of both clavicles, with the left tenting the skin (wide arrow) (same patient in Images 6-8).
Comparison of both clavicles, with the left tenti...

Comparison of both clavicles, with the left tenting the skin (wide arrow) (same patient in Images 6-8).

Close-up view of clavicle tenting the skin (<i>ar...Media file 8: Close-up view of clavicle tenting the skin (arrow) (same patient in Images 6-8).
Close-up view of clavicle tenting the skin (<i>ar...

Close-up view of clavicle tenting the skin (arrow) (same patient in Images 6-8).

More on Clavicular Injuries

Overview: Clavicular Injuries
Differential Diagnoses & Workup: Clavicular Injuries
Treatment & Medication: Clavicular Injuries
Follow-up: Clavicular Injuries
Multimedia: Clavicular Injuries
References

References

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  2. Jeray KJ. Acute midshaft clavicular fracture. J Am Acad Orthop Surg. Apr 2007;15(4):239-48. [Medline].

  3. [Best Evidence] Zlowodzki M, Zelle BA, Cole PA, Jeray K, McKee MD. Treatment of acute midshaft clavicle fractures: systematic review of 2144 fractures: on behalf of the Evidence-Based Orthopaedic Trauma Working Group. J Orthop Trauma. Aug 2005;19(7):504-7. [Medline].

  4. Housner JA, Kuhn JE. Clavicle fractures: individualizing treatment for fracture type. Phys Sportsmed. Dec 2003;31(12):30-6. [Full Text].

  5. Kochhar T, Jayadev C, Smith J, Griffiths E, Seehra K. Delayed presentation of subclavian venous thrombosis following undisplaced clavicle fracture. World J Emerg Surg. Jul 22 2008;3:25. [Medline][Full Text].

  6. Pieske O, Dang M, Zaspel J, et al. [Midshaft clavicle fractures - classification and therapy : Results of a survey at German trauma departments.] [German]. Unfallchirurg. Jun 2008;111(6):387-94. [Medline].

  7. Neer CS 2nd. Fractures of the distal third of the clavicle. Clin Orthop Relat Res. May-Jun 1968;58:43-50. [Medline].

  8. Rockwood CA Jr, Jenson KL. X-ray evaluation of shoulder problems. In: Rockwood CA Jr, Matsen FA III, eds. The Shoulder. 2nd ed. Philadelphia, Pa: WB Saunders; 1998:199-231.

  9. Chalidis B, Sachinis N, Samoladas E, et al. Acute management of clavicle fractures. A long term functional outcome study. Acta Orthop Belg. Jun 2008;74(3):303-7. [Medline].

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  12. Mueller M, Rangger C, Striepens N, Burger C. Minimally invasive intramedullary nailing of midshaft clavicular fractures using titanium elastic nails. J Trauma. Jun 2008;64(6):1528-34. [Medline].

  13. Huang JI, Toogood P, Chen MR, Wilber JH, Cooperman DR. Clavicular anatomy and the applicability of precontoured plates. J Bone Joint Surg Am. Oct 2007;89(10):2260-5. [Medline].

  14. Checchia SL, Doneux PS, Miyazaki AN, Fregoneze M, Silva LA. Treatment of distal clavicle fractures using an arthroscopic technique. J Shoulder Elbow Surg. May-Jun 2008;17(3):395-8. [Medline].

  15. Allman FL Jr. Fractures and ligamentous injuries of the clavicle and its articulation. J Bone Joint Surg Am. Jun 1967;49(4):774-84. [Medline][Full Text].

  16. Bronstein RD. Taking the trauma out of clavicle fractures. J Musculoskel Med. Oct 2001;485-94.

  17. Neviaser JS. Injuries of the clavicle and its articulations. Orthop Clin North Am. Apr 1980;11(2):233-7. [Medline].

  18. Wang SJ, Wong CS. Extra-articular Knowles pin fixation for unstable distal clavicle fractures. J Trauma. Jun 2008;64(6):1522-7. [Medline].

Further Reading

Keywords

clavicular injuries, clavicle fracture, clavicle fractures, clavicle dislocation, shoulder injury, shoulder girdle injury, collar bone fractures, broken collar bone

Contributor Information and Disclosures

Author

Kevin J Eerkes, MD, Clinical Assistant Professor, Department of Medicine, New York University School of Medicine; Medical team physician, New York University athletic teams
Disclosure: Nothing to disclose.

Coauthor(s)

Janos P Ertl, MD, Assistant Professor, Department of Orthopedic Surgery, Indiana University School of Medicine; Chief of Orthopaedic Surgery, Wishard hospital
Janos P Ertl, MD is a member of the following medical societies: American Academy of Orthopaedic Surgeons, American Orthopaedic Association, Hungarian Medical Association of America, and Sierra Sacramento Valley Medical Society
Disclosure: Nothing to disclose.

John B Mitchell, MD, Consulting Staff, Department of Orthopedics, Kaiser Permanente
Disclosure: Nothing to disclose.

Medical Editor

Joseph P Garry, MD, Director of Sports Medicine and Sports Medicine Fellowship, Associate Professor of Family Medicine and Exercise and Sport Science, Department of Family Medicine, East Carolina University Brody School of Medicine
Joseph P Garry, MD is a member of the following medical societies: American Academy of Family Physicians, American College of Sports Medicine, American Heart Association, American Medical Society for Sports Medicine, North American Primary Care Research Group, and North Carolina Medical Society
Disclosure: Nothing to disclose.

Pharmacy Editor

Francisco Talavera, PharmD, PhD, Senior Pharmacy Editor, eMedicine
Disclosure: Nothing to disclose.

Managing Editor

Henry T Goitz, MD, Chief, Sports Medicine, Associate Professor, Department of Orthopaedic Surgery, Medical College of Ohio
Henry T Goitz, MD is a member of the following medical societies: American Academy of Orthopaedic Surgeons and American Orthopaedic Society for Sports Medicine
Disclosure: Nothing to disclose.

CME Editor

Jon B Whitehurst, MD, Clinical Instructor of Surgery, University of Illinois College of Medicine; Partner and Executive Board Member, Rockford Orthopedic Associates; Orthopedic Chairman, Rockford Memorial Hospital
Jon B Whitehurst, MD is a member of the following medical societies: American Academy of Orthopaedic Surgeons, American Orthopaedic Society for Sports Medicine, and Arthroscopy Association of North America
Disclosure: Nothing to disclose.

Chief Editor

Craig C Young, MD, Professor, Departments of Orthopedic Surgery and Community and Family Medicine, Medical Director of Sports Medicine, Sports Medicine Fellowship Director, Medical College of Wisconsin
Craig C Young, MD is a member of the following medical societies: American Academy of Family Physicians, American College of Sports Medicine, American Medical Society for Sports Medicine, Phi Beta Kappa, and Wilderness Medical Society
Disclosure: Nothing to disclose.

 
 
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