Clavicle Fracture Treatment—A Review
The standard teaching was always that fractures of the clavicle heal without any active intervention, and that this healing does not seriously compromise on function of the shoulder. We have been traditionally lead to believe that even though displaced clavicular fractures are not reducible, they heal up with acceptable cosmesis and excellent function, despite bayoneting or overlap. Even an operative textbook of Orthopaedics generally cautioned the surgeon to exercise restraint from using the knife in these injuries. However, this blanket opinion over all clavicle fractures has since been questioned, and recent evidences suggest that this view is no longer valid. All clavicle fractures do not behave as innocuously as we would be traditionally forced to think. Rather, certain fracture specifics could predispose to higher incidences of non-union and deficit of shoulder function. The final word is however not yet out on which clavicles are likely to give a bad result.