AAOS American Academy of Orthopaedic Surgeons
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Guideline
APPROPRIATE USE CRITERIA: Treatment of Mid-Shaft Clavicle Fracture
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Background
INDICATION PROFILE
Fracture Type
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Displaced (more than 100%) - Shortened (2cm or more)
Displaced (more than 100%) - Not Shortened
Non-Displaced
Angulation greater than 10 degrees (medial segment related to lateral segment)
Comminution
Yes
No
Age
Adolescent (post-pubescent) (<18yrs old)
Adult (>18yrs old)
Identifiable Factors That Negatively Affect Healing or Outcomes
Identifiable Factors That Negatively Affect Healing or Outcomes Present (e.g. poorly controlled diabetes, smoking, etc.)
No Identifiable Factors That Negatively Affect Healing or Outcomes
Pre-Injury Activity Level of the Patient
High (Patients experiencing substantial stress/strain on their shoulder on a regular basis; Contact Sports, Heavy Labor Jobs/Activities, Overhead Labor Activities, etc.)
Moderate (General Recreational Activities)
Low (Low activity, Regular Activities of Daily Living)
PROCEDURE RECOMMENDATIONS
Treatment recommendations are not available for this patient scenario.
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