Title Treatment of midshaft clavicle fractures in adults /
Translation of Title Treatment of Midshaft Clavicle Fractures in Adults.
Authors Hamalainen, Juuso
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Pages 43
Keywords [eng] Midshaft clavicular fracture, Treatment of midshaft clavicular fracture, Operative treatment of midshaft clavicular fracture, non-operative treatment of midshaft clavicular fractures, Treatment indications of midshaft clavicular fractures, Surgical treatment indications of midshaft clavicular fractures, non-surgical treatment indications of midshaft clavicular fractures
Abstract [eng] The clavicle is the most fractured bone in the human body. It is estimated that 2-10% of all the fractures in adults occur in the clavicle. Clavicular fractures involve the midshaft of the clavicle in four out of five cases. These fractures have been historically treated by conservative methods, but surgical treatment in recent years has become more popular. There are controversies in the literature about the optimal treatment method and indications of surgical treatment and conservative treatment to this day. This literature review aims to summarize what current literature states about indications for operative versus non-operative treatment of midshaft clavicular fractures in adults and the current controversies related to treatment indications. The summarization is done through literature review by synthesizing pre-existing research data about the treatment indications of midshaft clavicular fractures in adults. 19 articles from PubMed and Cochrane library were included in this literature review. The literature shows some controversies related to diagnostics of conditions like shortening or skin tenting and the optimal treatment method of different types of fractures is still not clear. The studies included in this literature review show good outcomes in both surgical and conservative treatment of the midshaft clavicle fractures and many authors suggest individualized treatment decisions according to patient characteristics. More studies are needed to improve the standardization of the indications and to definitively determine the optimal set of indications for surgical and conservative treatment of these fractures.
Dissertation Institution Vilniaus universitetas.
Type Master thesis
Language English
Publication date 2025