Burnham Jeremy M, Kim Daniel C, Kamineni Srinath
Orthopedics. 2016 Sep 1;39(5):e814-21. doi: 10.3928/01477447-20160517-06. Epub 2016 May 25.
The clavicle is the most commonly broken bone in the human body, accounting for up to 5% to 10% of all fractures seen in hospital emergency admissions. Fractures of the middle third, or midshaft, are the most common, accounting for up to 80% of all clavicle fractures. Traditional treatment of midshaft clavicle fractures is usually nonoperative management, using a sling or figure-of-eight bandage. The majority of adults treated nonoperatively for midshaft clavicle fractures will heal completely. However, newer studies have shown that malunion, pain, and deformity rates may be higher than previously reported with traditional management. Recent evidence demonstrates that operative treatment of midshaft clavicle fractures can result in better functional results and patient satisfaction than nonoperative treatment in patients meeting certain criteria. This article provides a review of relevant anatomy, classification systems, and injury mechanisms for midshaft clavicle fractures, as well as a comparison of various treatment options. [Orthopedics.2016; 39(5):e814-e821.].
锁骨是人体最常发生骨折的骨头，在医院急诊收治的所有骨折中占比高达5%至10%。锁骨中1/3或骨干中段骨折最为常见，占所有锁骨骨折的80%。锁骨骨干中段骨折的传统治疗通常采用非手术治疗，使用吊带或8字绷带。大多数接受非手术治疗的成人锁骨骨干中段骨折会完全愈合。然而，最新研究表明，畸形愈合、疼痛和畸形发生率可能高于传统治疗方法先前报道的水平。最近的证据表明，对于符合某些标准的患者，锁骨骨干中段骨折的手术治疗比非手术治疗能产生更好的功能结果和患者满意度。本文综述了锁骨骨干中段骨折的相关解剖结构、分类系统和损伤机制，并比较了各种治疗选择。[《骨科》.2016; 39(5):e814-e821.]
