Burden of isolated clavicle fractures at tertiary care healthcare centre: a look into registry

Sruti Sharma, Vishal Kumar, Raman Sharma, Sameer Aggarwal


Background: Clavicle is one of the common bones to undergo fractures with incidence rate higher in second to third decade of one’s life as well as in elderly age. Management of these clavicle fractures have always been a subject of debate, where literature have been advocating both non-operative as well as operative methods.

Methods: The present study was conceived to know the burden of these isolated clavicle fracture cases reporting to tertiary level healthcare institute of North India and to study about their management pattern.

Results: During the five years study duration (2014-2018), a total of 38 patients had reported to the trauma centre of the institute. Out of total, males had more preponderance 77% (29) and incidences were reported more in younger population. All patients were managed well by opting conservative measures, besides deformity had been reported in 2 (5.26%) patients. 3 (7.9%) patients had reported with complaints of pain, weakness while doing work, fatigue and pain when lying on the affected shoulder None of the patient was managed by open reduction and fixation.

Conclusions: The present study concludes that the number of patients having isolated clavicle fracture are not contributing to any sort of burden at tertiary level institutes and are not even time consuming.


Clavicle, Isolated, Fracture, Management

Full Text:



Toogood P, Horst P, Samagh S, Feeley BT. Clavicle fractures: a review of the literature and update on treatment. Phys Sports Med. 2011;39(3):142-50.

Hippocrates. On The Articulations. 400 B.C.E.

Nordqvist A, Petersson C. The incidence of fractures of the clavicle. Clin Orthop Relat Res. 1994;(300):127-32.

Robinson CM. Fractures of the clavicle in the adult. Epidemiology and classification. J Bone Joint Surg Br. 1998;80(3):476-84.

Postacchini F, Gumina S, De Santis P, Albo F. Epidemiology of clavicle fractures. J Shoulder Elbow Surg. 2002;11(5):452-6.

Boeke PS, House HR, Graber MA. Injury incidence and predictors on a multiday recreational bicycle tour: The Register’s Annual Great Bike Ride Across Iowa, 2004 to 2008. Wilderness Environ Med. 2010;21(3):202-7.

Robertson GA, Wood AM, Bakker-Dyos J, Aitken SA, Keenan AC, Court-Brown CM. The epidemiology, morbidity, and outcome of soccer-related fractures in a standard population. Am J Sports Med. 2012;40(8):1851-7.

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

Smekal V, Oberladstaetter J, Struve P, Krappinger D. Shaft fractures of the clavicle: current concepts. Arch Orthop Trauma Surg. 2009;129(6):807-15.

Neer CS. 2nd Nonunion of the clavicle. J Am Med Assoc. 1960;172:1006-11.

Rowe CR. An atlas of anatomy and treatment of midclavicular fractures. Clin Orthop Relat Res. 1968;58:29-42.

Virtanen KJ, Remes V, Pajarinen J, Savolainen V, Bjorkenheim JM, Paavola M. Sling compared with plate osteosynthesis for treatment of displaced midshaft clavicular fractures: a randomized clinical trial. J Bone Joint Surg Am. 2012;94(17):1546-53.

Altamimi SA, McKee MD. Nonoperative treatment compared with plate fixation of displaced midshaft clavicular fractures. Surgical technique. J Bone Joint Surg Am. 2008;90(2):1-8.

Lazarides S, Zafiropoulos G. Conservative treatment of fractures at the middle third of the clavicle: the relevance of shortening and clinical outcome. J Shoulder Elbow Surg. 2006;15(2):191-4.

McKee MD, Pedersen EM, Jones C, Stephen DJ, Kreder HJ, Schemitsch EH, et al. Deficits following nonoperative treatment of displaced midshaft clavicular fractures. J Bone Joint Surg Am. 2006;88(1):35-40.

Nowak J, Holgersson M, Larsson S. Sequelae from clavicular fractures are common: a prospective study of 222 patients. Acta Orthop. 2005;76(4):496-502.

Nowak J, Mallmin H, Larsson S. The aetiology and epi- demiology of clavicular fractures. A prospective study dur- ing a two-year period in Uppsala, Sweden. Injury. Int J Care Injured. 2000;31:353-8.

Agarwal S, Das A. Clavicular Fractures: A Retrospective Study of 60 Cases. Int J Contemporary Med Res. 2016;3(10):3025-6.

Eskola A, Vainionnpaa S, Myllynen P. Outcome of clavicular fracture in 89 patients. Arch Orthop Trauma Surg. 1986;105:337-8.

Carley S. Towards evidence-based emergency medicine: best BETs from the Manchester Royal Infirmary. Collar and cuff or sling after fracture of the clavicle. J Accid Emerg Med. 1999;16(2):140.

De Giorgi S, Notarnicola A, Tafuri S, Solarino G, Moretti L, Moretti B. Conservative treatment of fractures of the clavicle. BMC Res Notes. 2011;4:333.

Inman VT, Saunders JB. Observations on the function of the clavicle. Calif Med. 1946;65(4):158-66.

Lazarides S, Zafiropoulos G. Conservative treatment of fractures at the middle third of the clavicle: the relevance of shortening and clinical outcome. J Shoulder Elbow Surg. 2006;15(2):191-4.

Heywood R, Clasper J. An unusual case of segmental clavicle fracture. J Royal Army Medical Corps. 2005;151(2):93-94.

Miller D, Smith KD, McClelland D. Bipolar segmental clavicle fracture. Euro J Orthop Surg Traumatol. 2009;19(5):337-9.

Pang KP, Yung SW, Lee TS, Pang CE. Bipolar clavicular injury. Med J Malaysia. 2003;58(4):621-4.