Dear colleague,
Re: Research on displaced midshaft clavicle fractures. (Dr Mike Solomons, Dr Steve Roche and Dr Pim Doppen, Cape Town.)
We have noted an increased number of journal articles regarding clavicle fractures over the past few years. Dedicated clavicle plates (e.g. Acumed locking clavicle plate system) have been designed as well as dedicated intramedullary devices (e.g. Rockwood clavicle pin). Is there a changing attitude to clavicle fractures?
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Question 1:
I do not manage any clavicle fractures. I manage less then 5 clavicle fractures per year. I manage more then 5 clavicle fractures per year
Question 2: 39-year-old office worker Fall off bicycle Closed fracture. No skin compromise. N/V intact. Isolated injury.
What treatment option would you choose?
Non-operative management. Operative management - plate. Operative management - intramedullary device. Operative management - other.
What treatment option would you have chosen 10 years ago?
Question 3:
Question 4: Floating shoulder – fracture of clavicle and glenoid neck
Disregarding the glenoid neck fracture, what treatment option would you choose for the clavicle fracture?
Question 5:
In an isolated clavicle fracture with no complications, what amount of overlap do you think needs surgical correction?
Any. 0,5 cm or more. 1 cm or more. 1,5 cm or more. 2 cm or more. No amount of overlap will get me to operate.
What would you have felt 10 years ago?
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Thank you very much for your time.
Michael Solomons Stephen Roche Pim Doppen
Department of Orthopaedic Surgery Groote Schuur Hospital/ University of Cape Town
