Management of distal clavicle fractures

Rahul Banerjee, Brian Waterman, Jeff Padalecki, William Robertson

Research output: Contribution to journalReview articlepeer-review

106 Scopus citations


Most clavicle fractures heal without difficulty. However, radiographic nonunion after distal clavicle fracture has been reported in 10% to 44% of patients. Type II distal clavicle fractures, which involve displacement, are associated with the highest incidence of nonunion. Several studies have questioned the clinical relevance of distal clavicle nonunion, however. Nonsurgical and surgical management provide similar results. The decision whether to operate may be influenced by the amount of fracture displacement and the individual demands of the patient. Surgical options to achieve bony union include transacromial wire fixation, a modified Weaver-Dunn procedure, use of a tension band, screw fixation, plating, and arthroscopy. Each technique has advantages and disadvantages; insufficient evidence exists to demonstrate that any one technique consistently provides the best results.

Original languageEnglish (US)
Pages (from-to)392-401
Number of pages10
JournalJournal of the American Academy of Orthopaedic Surgeons
Issue number7
StatePublished - Jul 2011

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine


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