A comprehensive, integrated study of the clavicle: Its topographical anatomy, biomechanical architecture and function; pathological anatomy of mid-shaft fractures and the decision-making process for a surgical approach when planning an intramedullary impl: Part 4 The pathological anatomy of mid-diaphyseal fractures, radiography controversy and new paradigms

Gandhi Harjeet Singh

doi:10.24297/ijct.v26i.9860

Authors

Gandhi Harjeet Singh Hamilton Health Sciences, Ontario

DOI:

https://doi.org/10.24297/ijct.v26i.9860

Keywords:

Clavicle fracture, Clavicle shortening, Malunion, Clavicle radiography, Coracoid process, Pectoral girdle, Clavicle trauma series

Abstract

Highlights: The failure of the Subclavius muscle to depress the clavicle, the open state of the sterno-costoclavicular joint, and the deep cervical fascial traction encircling the neck elevate the medial fragment. The persistent shortening of the clavicle with torsional deformity misaligns the scapula, causing subtle or even clinically significant posttraumatic mechanical “winging”.

For clavicle reconstruction, follow its anatomical plane to create clavicle-specific oblique slices and generate 3D Computed Tomography images for greater accuracy. Longitudinal bidirectional asymmetry exceeding 10 mm occurs in 7% of cases. The repositioning of the coracoid process indicates three-planar reduction of a clavicle fracture. The study recommends a five-view trauma series for clavicle fracture assessment and management.

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