• R Trompetter and A Seekamp.
• Klinik für Unfallchirurgie, Universitätsklinikum Schleswig-Holstein, Campus Kiel, Arnold-Heller-Strasse 7, 24105, Kiel. Reinhard.Trompetter@uksh-kiel.de
• Unfallchirurg. 2008 Jan 1; 111 (1): 27-38; quiz 39.

AbstractClavicle fractures are the most common break injuries in humans second to radius fractures. They often occur alone, mostly after falling directly onto the shoulder and less often onto the stretched out arm. They are also not uncommon in connection with high speed trauma or multiple injuries. Accompanying injuries must also be considered due to the close proximity of important structures such as the subclavian artery and vein and the brachial plexus. Diagnosis is made by inspection and x-ray imaging and in complicated cases computed tomography and/or angiography might also be necessary. Because the clavicle is necessary for precise, powerful and variable use of the arm, an exact morphological repositioning is extremely important. Approximately 90% of all clavicle fractures heal with good results after conservative treatment. However, in particular situations there are absolute (obligatory surgery due to vessel damage) or relative operation indications.

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