Clavicle fractures are common in the adult patient. Classic treatment is nonoperative for midshaft fractures. ... read more ↘ But treatment options have recently been discussed controversially. In recent years, several studies demonstrated better results with operative treatment, especially for displaced fractures. This video summarizes the current thinking on midshaft clavicle fractures and leads through a case demonstrating intramedullary fixation with a clavicle pin. While not as popular as plating, intramedullary fixation has distinct advantages, which are highlighted in this video. The authors have included many surgical pearls and pitfalls for these two procedures, which should help both the novice and the experienced traumatologist, shoulder specialist, or general orthopaedic surgeon in the management of midshaft clavicle fractures. Hopefully these ‘pearls’ will translate into more successful surgical practice and better postoperative outcomes. ↖ read less
