Global Journal of Surgery
ISSN (Print): 2379-8742 ISSN (Online): 2379-8750 Website: Editor-in-chief: Baki Topal
Open Access
Journal Browser
Global Journal of Surgery. 2013, 1(2), 8-10
DOI: 10.12691/js-1-2-1
Open AccessArticle

Treatment of Acute Clavicle Fractures with an Anatomical Congruent Clavicle Plate

Daniel Gheorghiu1, , Christos Sinopidis2 and Daniel J. Brown1

1Trauma and Orthopaedics, Royal Liverpool and Broadgreen University Hospital, Liverpool, UK

2Trauma and Orthopaedics, St Luke’s Hospital, Thessaloniki, Greece

Pub. Date: May 08, 2013

Cite this paper:
Daniel Gheorghiu, Christos Sinopidis and Daniel J. Brown. Treatment of Acute Clavicle Fractures with an Anatomical Congruent Clavicle Plate. Global Journal of Surgery. 2013; 1(2):8-10. doi: 10.12691/js-1-2-1


Morbidity following un-united and mal-united adult clavicle fractures is being increasingly recognised and the indications for operative treatment of displaced fractures of the clavicle are increasing. Plate fixation options include low contact dynamic compression plates, which are strong, but difficult to contour and cause soft tissue irritation. Reconstruction plates are easier to contour, but lack sufficient mechanical strength. Pre-contoured locking plates are now available, matching the shape of the adult clavicle. The purpose of this study is to assess the clinical and radiological outcome of a pre-contoured congruent clavicle plate in the treatment of acute, displaced, mid-shaft clavicle fractures. This study presents the results of 29 patients treated with an anatomical congruent clavicle plate for acute displaced, mid-shaft fractures of the clavicle at a tertiary referral centre. All patients were treated with a congruent clavicle plate. The fracture united in all cases with minimal complications and high patient satisfaction on the Disability of the Arm and Shoulder (DASH) score, American Shoulder and Elbow Surgeons score (ASES) and Pain Visual analogue score (VAS). The results compare favourably with other published studies, and we believe that a congruent clavicle plate represents an advance in the operative management of these fractures.

clavicle fracture plate fixation union

Creative CommonsThis work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit


Figure of 2


[1]  Neer CS. “Nonunion of the clavicle”. JAMA 1960; 172:1006-11.
[2]  Post M. “Current concepts in the treatement of fractures of the clavicle”. Clin Orthop 1989; 245:89-101.
[3]  Robinson CM. “Fractures of the clavicle in the adult. Epidemiology and classification”. J Bone Joint Surg [Br] 1998; 80-B (3): 476-84.
[4]  Rowe CR. “An atlas of anatomy and the treatment of midclavicular fracture”. Clin Orthop 1968; 58:29-42.
[5]  Hill JM, McGuire MH, Crosby LA. “Closed treatment of displaced middle third clavicular fractures of the clavicle gives poor results”. J Bone Joint Surg [Br] 1997; 79-B (4):537-9.
[6]  McKee MD, Pedersen EM, Jones C, Stephen DJG, et al. J Bone Joint Surg [Am] 2006; 88-A (1): 35-40.
[7]  Jupiter JB, Leffert RD. “Non-union of the clavicle”. J Bone Joint Surg [Am] 1987; 69 A (5):753-60.
[8]  Manske DJ, Szabo RM. “The operative treatment of mid shaft clavicular non-unions”. J Bone Joint Surg [Am] 1985; 67-A (9):1367-71.
[9]  Poigenfurst J, RappoldG, Fischer W. “Plating of fresh clavicular fractures: Results of 122 operations”. Injury 1992; 23(4): 237-41.
[10]  Herbsthofer B, Schuz W, Mockwitz J. “Indications for the surgical treatment of clavicular fractures”. Aktuelle Traumatol 1994; 24:263-8.
[11]  Jubel A, Andemahr J, Bergmann H, et al. “Elastic stable intramedullary nailing of midclavicular fractures in athletes”. Br J Sports Med 2003; 37: 480-484.
[12]  Ngarmukos C, Parkpain V, Patradul A. “Fixation of fractures of the midshaft of the clavicle with Kirschner wires. Results in 108 patients”. J Bone Joint Surg [Br] 1998; 80: 106-8.
[13]  Ali Khan MA, Lucas HK. "Plating of fractures of the middle third of the clavicle". Injury 1978; 9: 263-267.
[14]  Mullaji AB, Jupiter JB. “Low contact dynamic compression plating of the clavicle”. Injury 1994; 25:41-45.
[15]  Schwarz N, Hocker K.” Osteosynthesis of irreducible fractures of the clavicle with 2.7mm ASIF plates”. J Trauma. 1992; 33:179-183.
[16]  Lyons FA, Rockwood CA.” Migration of pins used in operations on the shoulder”. J Bone Joint Surg [Am] 1990; 72-A: 1262-7.
[17]  Norell H, Llewellyn RC. “Migration of threaded Steinmann pin from an acrmioclavicular joint into the spinal canal:a case report”. J Bone Joint Surg [Am] 1965; 47-A: 1024-6.
[18]  Iannotti MR, Crosby LA, Stafford P, et al. “Effects of plate location and selection on the stability of midshaft clavicle osteotomies: a biomechanical study”. J shoulder Elbow Surgery. 2002; 11:457-62.
[19]  Allmann FL. “Fractures and Ligamentous Injuries of the Clavicle and Its Articulation”. J Bone Joint Surg [Am] 1967;49:774-784.
[20]  Hudak PL, Amadio PC, Bombardier C. “Development of an upper extremity outcome measure: DASH (Disabilities of the Arm Shoulder and hand)”. The Upper Extremity Collaborative Group (UECG). Am J Ind Med 1996; 29:602-8.
[21]  Chan KY, Jupiter JB, Leffert RD, Marti R. “Clavicle malunion”. J Shoulder Elbow Surg 1999; 8: 287-90.
[22]  Canadian Orthopaedic Trauma Society. “Nonoperative treatment compared with plate fixation of displaced midshaft clavicular fractures. A multicenter randomised clinical trial”. J Bone Joint Surg [Am]. 2007; 89:1-10.
[23]  Huang JI, Toogood P, Chen MR,et al. “Clavicular Anatomy and the Applicability of Precontoured Plates”. J Bone Joint Surg[Am].2007;89(10):2260.