[Fractures of sternal end of the clavicle--current concept review].
Fractures of the medial end of the clavicle are still an outstanding issue with only minimum information available. Their diagnosis requires a special care both in isolated fractures of the clavicle and in polytrauma. An accurate diagnosis is impossible without CT scanning, preferably with a 3D reconstruction. Non-displaced fractures are indicated for non-operative treatment. In displaced fractures, sustained particularly by younger or active individuals, operative treatment should be considered. Best suitable for fixation is a cerclage, K-wires are strictly contraindicated. Formulation of a more specific opinion on the method of treatment, long-term outcomes and complications will be possible only on the basis of a greater number of reported cases.
Bartonícek
J
J
Ortopedicko-traumatologická klinika 3. LF UK a FNKV, Praha-Vinohrady. bartonic@fnkv.cz
Fric
V
V
Lunácek
L
L
D002968:Clavicle / Q000293:injuries*; D050723:Fractures, Bone / Q000175:diagnosis* / Q000601:surgery; D006801:Humans