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Description
- The clavicle is one of the most fractured bones in the human body.
- Traditional treatment involves conservative management with a sling or immobilization but recently the effectiveness of the approach has been questioned.
- Studies done on the adult population have found higher rates of mal or non-union than previously noted, especially in those with displaced or comminuted fractures.
- The noted malunion or non-union was noted to have effects on shoulder mechanics, pain with overhead activity, and loss of strength and endurance.
- Due to differences in physiology the findings in the adult studies do not necessarily translate to the pediatric population.
- A Z-type fracture occurs when a middle-comminuted fracture fragment is oriented vertically and gives the fractured clavicle a Z shape.
- Some studies have recommended that these types of fractures should be treated surgically due to concerns about healing while others suggest that there is no benefit to operative treatment.
Publication Date
5-2024
Keywords
fractured bones
Disciplines
Orthopedics
Recommended Citation
Azeroual S, Wagoner CV, Leider J, Saleh E. Operative versus non-operative treatment of z-type clavicle shaft fracture in adolescents: a retrospective study. Poster presented at: Oakland University William Beaumont School of Medicine Embark Capstone Colloquium; 2024 May; Rochester Hills, MI.
Comments
The Embark Capstone Colloquium at the Oakland University William Beaumont School of Medicine, Rochester Hills, MI, May, 2024.