1. FRACTURES OF THE CLAVICLE Le Kim Trong MD., Le Nghi Thanh Nhan MD.

6. Anatomy Left Clavicle: Superior & Inferior Views Middle Third Weak to axial load Medial Third Protects brachial plexus, subclavian vessels, & superior lung Convex ventral on medial half Concave ventral on lateral half

7. Anatomy Weakest region of bone

8. Anatomy Subcutaneous along entire length Supraclavicular nerves are only structures to cross anterior to clavicle Scapula and clavicle bound securely by the AC & CC ligaments Main nutrient artery enters just medial to CC ligaments

21. Classifications

24. Closed Reduction Techniques

25. Immobilisation

39. a) Reconstruction plate fixation at the top. b) DCP fixation at the anterior surface .

44. McKeever intramedullary fixation of clavicle

45. Rockwood intramedullary pin of clavicle

49. DISTAL CLAVICULAR FRACTURES The literature is more controversial for this fracture type than for the midclavicle

60. The clavicular hook plate: +The distal fragment is too small . +The plate has an offset lateral hook, designed to engage distal to the posterior aspect of the acromion. + Most surgeons advise routine plate removal at three months after implantation

65. Clinical case