Clavicle Fractures

3 Groups based on thirds
medial (5 %),middle (85%),distal (10 %)
*consider ORIF-open,n-v injury,skin compromise,ipsilateral scapula or flail chest

Distal Clavicle Classification
(Neer and Rockwood)
Type I-lateral to intact C-C ligaments (C/T)
Type II-complex injuries (30% non-union without surgery)
medial fragment separated from C-C ligaments by A-obligue # (ie. Iig attached to lateral fragment) or B-ligaments cause segmental avulsion from underside of clavicle
Type III-Intra-articular A-C joint fractures

Type I and III-Symptomatic treatment