Fracturas de clavícula distal

Abstract

Fractures of the clavicle account for 4% of adult fractures. About 18% of them are located in the lateral end of the clavicle. The location, relationship with coraco-clavicular ligaments and pattern of injury are of considerable importance in stability of the fracture. For the most part, they have been treated conservatively. Surgical treatment is necessary in displaced fractures. It is usually managed with plating and Kirschner wires with tension-band wires. Specific plates were engineered, such as the hook-plate, improving the results. Arthroscopic assisted treatment is rare and based on acromioclavicular dislocation procedures.