DOI: http://dx.doi.org/10.18203/issn.2455-4510.IntJResOrthop20200035

Middle third clavicle fractures are the most common fractures in head injuries: a biomechanical and epidemiological study in 1000 patients

Sridhar Gopal Rajagopalan, Saravanan Vasudevan, Raghav Ravi Veeraraghavan, Pravin Kumar Vanchi, Mohan Kumar Murugesan

Abstract


A consecutive series of 1000 cases of head injury, out of which 385 patients presented with fractures. In the 385 patients with fractures, 179 patients presented with clavicle fractures, among that, 127 are middle third fractures. Out of the 189 patients who had clavicle fractures, 90% of them had direct blow to shoulders and 10% had fallen on the outstretched hand. This variation with the mechanism of injury was further investigated by biomechanical analysis of the forces involved in clavicular fractures.

 


Keywords


Middle third clavicle fractures, Head injuries, Shoulder

Full Text:

PDF

References


Birch R. Shoulder girdle and arm. In: Standring S (ed). Gray’s anatomy. The anatomical basis of clinical practice. 41st edition. Churchill Livingstone Elseiver; 2016: 799.

Bernat A, Huysmans T, Van Glabbeek F, Sjibers J, Gielen J, Van Tongel A. The anatomy of clavicle: a tree-dimensional cadaveric study. Clinical Anatomy. 2014;27(5):712-23.

Holder J, Kolla S, Lehto S. Clavicle fractures: Allman and Neer classification. J Adv Radiol Med Image. 2017;2(1):102.

Allman FL. Fractures and ligamentous injuries of the clavicle and its articulation. J Bone Joint Surg Am. 1967;49(4):774-84.

DeFroda SF, Lemme N, Kleiner J, Gil J, Owens BD. Incidence and mechanism of injury of clavicle fractures in the NEISS database: athletic and non-athletic injuries. J Clin Orthop Trauma. 2019;10(5):954-8.

Stanely D, Throwbridge EA, Norris SH. The mechanism of clavicular fracture a clinical and biomechanical analysis. J Bone Joint Surg Br. 1988;70(3):461-4.

Kihlström C, Möller M, Lönn K, Wolf O. Clavicle fractures: epidemiology, classification and treatment of 2,422 fractures in the Swedish Fracture Register; an observational study. BMC Musculoskelet Disord. 2017;18(1):82.

Ferree S, van Laarhoven JJ, Houwert RM, Hietbrink F, Verleisdonk EJ, Leenen LP. Distribution and treatment of clavicular fractures in monotrauma and polytrauma patients. J Trauma Manag Outcomes. 2014;27:8-17.