![]() ![]() However, they typically are accompanied by significant multisystem trauma and have a high associated mortality rate. Medial clavicle fractures remain a relatively uncommon injury compared with other clavicular fractures. Class A fractures and extra-articular class B fractures usually cause visible and palpable deformity. Some patients report pain in the shoulder. The area over the fracture is painful, and patients may sense movement of the fracture fragments and instability. Finally, it was found that 11 patients died within 1 month of their injuries, indicating that 20% (11/55) of patients with medial clavicle fractures died as a result of the trauma associated with their injury. Symptoms and Signs of Clavicle Fractures. Operative treatment was rarely performed, and patients typically had little or no pain at the time of follow-up. However, patients almost always had multisystem trauma. Injuries were most often closed and without neurovascular injury. Operative treatment of these fracture is usually considered for open injuries, and fractures with neurovascular compromise or overlying skin. Most medial clavicle fractures have traditionally been treated conservatively 1, 3, 4. Fractures were occasionally missed on chest radiographs but were always identifiable by computed tomography scan. Medial clavicle fractures are uncommon injuries, accounting for 23 of all clavicle fractures 1, 2. Patients were typically men in the fifth decade injured as a result of vehicular trauma. ![]() We evaluated 57 medial fractures in 55 patients. Follow-up data were gathered in 32 of 44 available patients with chart review and telephone survey. These data were evaluated with respect to several epidemiologic points, including mechanism of injury, associated injuries, fracture orientation, fracture displacement, treatment, and associated injuries. medial sided swelling, tenderness, and ecchymosis not sensitive for medial stability. Diagnosis can be suspected clinically with specific provocative tests and supplemented with radiographs or vascular studies. All clavicle fractures treated at our institution over a 5-year period were reviewed by use of all available radiographic studies and medical records. ecchymosis and swelling around the ankle. Thoracic outlet syndrome is a neurovascular disorder resulting from compression of the brachial plexus and/or subclavian vessels in the interval between the neck and axilla. The purpose of this study is to review retrospectively a case series of medial clavicle fractures treated at a tertiary trauma center. Medial clavicle fractures are uncommon, and as a result, there is little information available. Much is known regarding the epidemiology of clavicle fractures, particularly those of the middle-third and distal clavicle. ![]()
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