A midshaft clavicle fracture is a complete or incomplete fracture (break) in the middle third of the clavicle (collarbone) in the shaft. This is the most common location for a clavicle fracture. For significantly displaced midshaft clavicle fractures, open fractures, or fractures associated with other significant nerve, blood vessel, or bone injuries, surgery is recommended. Surgery can stabilize the fracture in proper position to allow healing, movement of the patient, and protection for the other associated injuries.
Surgery consists of making a small open incision over the clavicle, repositioning the fracture fragments, and holding them in place with plates, screws, wires, sutures, or pins. After fracture healing, these fixation devices may be removed if needed. During surgery, X-ray is used to ensure that all fragments are appropriately aligned.
X-ray of a midshaft clavicle fracture
Contraindications to Surgery
- Infection
- Shoulder stiffness
- Patients with poor general health (not advised to proceed with surgery)
Potential Surgical Risks and Complications
- Infection
- Bleeding
- Injury to nerves (numbness)
- Non-healing or incomplete healing of the fracture
Continued pain - Stiffness or loss of motion of the shoulder
- Inability to return to same level of competition or activity
- Moving or breaking of surgical hardware
RESEARCH
A Biomechanical and Clinical Comparison of Midshaft Clavicle Fixation Performed with Either Two or Three Screws on Each Side of the Fracture
Fixing a Midshaft Clavicle Fracture – A Biomechanical Study
Morphologic Study of the Midshaft Clavicle