Author(s): Dr. BLS Kumar Babu, Dr. M Ravindranath Chowdary, Dr. Biju Ravindran

Abstract: Clavicle is the most commonly associated fractures of childhood. It is estimated that one in every twenty fractures is a clavicle fracture. In fact 44% of all shoulder girdle fractures are clavicle fractures. The importance of proximity to vital structures in the neck and thorax necessitates the early and proper management of these fractures. The present study was carried out at Orthopedics Department in General Hospital. During this period 20 patients of clavicle middle one third clavicle fractures were treated surgically. Direct injury occurred in 17 patients (85%) among them 8 patients (40%) were due to fall on shoulder from two wheeler, 5 patients (25%) were due to road traffic accident, 4 patients (20%) were due to fall on the shoulder after slipping. Indirect injury occurred in 3 patients (15%) due to fall on outstretched hand. In this study 1 (5%) patient had superficial infection for which we have treated with antibiotics and 1 (5%) patient had implant failure due to screw proud for which implant removal was done and after fracture got union. No cases with non-union are reported as only middle one third clavicle fracture with minimal comminution are taken in this study.

DOI: https://doi.org/10.33545/orthor.2019.v3.i1c.21