← All decks
The first 25 slides, exactly as they appear. The full deck has 74 content slides.
Orthopaedics
Fracture of the Clavicle
Built from Tang — Orthopaedic Trauma Vol 1: Upper Extremity
What’s inside
5 sections · 74 slides
Overview
- What this deck covers
Basic Theory and Concepts
Anatomy, biomechanics, how the bone breaks, and how we classify it
- How common is a broken collarbone?
- Why the middle third is the weak spot
- Muscles that attach to the clavicle
- Why the broken ends drift apart
- Ligaments that stabilise the clavicle
- The two ligaments that matter most
- Vital structures behind the inner third of the clavicle
- What lies behind the collarbone
- How the clavicle moves with the shoulder
- The clavicle rotates — so fixation must resist twist
- How the clavicle is broken
- What actually breaks a collarbone
- How surgeons sort clavicle fractures
- Craig classification at a glance
- Craig Group II (distal-third) subtypes
- Reading the distal-third (Group II) subtypes
- Rarer Group II and the proximal (Group III) fractures
- Examining the patient
- X-ray views of the clavicle
- Imaging: which picture answers which question
Surgical Treatment
Who needs an operation, and the technique for each fracture pattern
- When surgery is needed — a middle-third break
- Surgery in the proximal and distal thirds
- When NOT to operate, and what surgery aims for
- The toolbox of techniques
Technique by technique
From the proximal joint out to the distal hook plate
- Proximal: resection and sternoclavicular reconstruction
- Marking the incision over the sternoclavicular joint
- Removing the worn inner end of the clavicle
- Rebuilding the joint step by step
- Sternoclavicular joint rebuilt with a tendon graft
- After the proximal reconstruction
- Midshaft: superior plate and screws — the workhorse
- Positioning and incision for midshaft plating
- Exposing and reducing the fracture
- Placing the plate correctly
- Midshaft fracture fixed with a superior plate
- Getting the plate shape right
- When fixation fails: displacement and recovery
- Broken plate and nonunion needing revision
- Revision of the nonunion, continued
- Anatomical locking plates for the clavicle
- Why locking plates earn their place
- Midshaft: anterior (front) plating
- Anterior plate fixation of a midshaft fracture
- Midshaft: intramedullary nail
- Preparing the proximal canal
- Preparing the distal canal
- Nail placed, fracture reduced and compressed
- Living with a nail: rehab and removal
- Distal third: the clavicular hook plate
- Marking the incision for a distal fracture
- Sliding the hook under the acromion
- Hook plate fixed and ligament repaired
- The hook plate's dark side — complications
- Hook plate broken after a combined injury
- A late fracture at the plate's stress point
- Acromial bone absorbed beneath the hook
- Timing removal, and salvaging old distal injuries
- Coracoacromial ligament transfer for an old injury
Complications and Prevention
Nonunion, malunion, vessel/nerve injury, implant problems
- The numbers that drive decisions
- Nonunion — when the bone won't knit
- Malunion, vessel/nerve injury, and implant problems
- Three things to remember
- A young adult has a displaced midshaft clavicle fracture shortened by 2.5 cm. What is the concern and the plan?
- References (1/4)
- References (2/4)
- References (3/4)
- References (4/4)
- Orthopaedic Trauma Surgery — Volume 1: Upper Extremity