title: Fractures of the distal clavicle: a case for fixation.
abstract: We present a series of 43 Neer type 2 fractures of the distal one-third of the clavicle. These displaced fractures are associated with a high incidence of non-union. In those patients treated non-operatively there was a higher incidence of local complications, residual shoulder dysfunction and non-union than in those treated by open reduction and internal fixation. We recommend that type 2 fractures should be treated by open reduction and internal fixation.
authors.affiliation: Carshalton Hospital, Surrey, UK.
authors.forename: D J
authors.initials: DJ
authors.lastname: Edwards
authors.forename: T G
authors.initials: TG
authors.lastname: Kavanagh
authors.forename: M C
authors.initials: MC
authors.lastname: Flannery
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001858:Bone Nails; D001863:Bone Screws; D001864:Bone Wires; D002648:Child; D002968:Clavicle / Q000293:injuries*; D005260:Female; D005593:Fracture Fixation, Internal; D050723:Fractures, Bone / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D013997:Time Factors; D014945:Wound Healing