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CLAVICLE FRACTURES Kevin R. Stone, M.D. The Stone Clinic, San Francisco, CA
CLAVICLE FRACTURES  prevalence ,[object Object],[object Object],[object Object]
1/3 rd  CLAVICLE FRACTURES  Clinical Findings and Questions ,[object Object],[object Object],[object Object],[object Object]
CLAVICLE FRACTURES  Clinical Findings and Questions ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CLAVICLE FRACTURES  published outcome studies ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CLAVICLE FRACTURES operative indications ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
OPERATIVE TECHNIQUE   Intra-medullary fixation  (modified from Cave 1958) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
OPERATIVE TECHNIQUE   Intra-medullary fixation  (continued) ,[object Object],[object Object],[object Object],[object Object]
OPERATIVE TECHNIQUE   Intra-medullary fixation
OPERATIVE TECHNIQUE   Intra-medullary fixation
OPERATIVE TECHNIQUE   Intra-medullary fixation
OPERATIVE TECHNIQUE   Intra-medullary fixation
OPERATIVE TECHNIQUE   Intra-medullary fixation
CLAVICLE FRACTURE Open reduction with IM Fixation: problems ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CLAVICLE FRACTURES Patient Example: SF ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CLAVICLE FRACTURES Patient Example: SF ,[object Object],[object Object],[object Object]
Patient Example: SF ,[object Object],[object Object],Post-op X-ray, day 1 Post-op X-ray, 4 weeks
CLAVICLE FRACTURES Patient Example: JC ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CLAVICLE FRACTURES Patient Example: JC Pre-op x-ray
CLAVICLE FRACTURES Patient Example: JC Post-op x-ray Open reduction and internal fixation Problem - Proud Screw
Patient Example: JC 2 Mo. Post-op x-ray Hardware Removal 8 Mo. Post-op
CLAVICLE FRACTURES Patient Example: MM ,[object Object],[object Object],[object Object]
CLAVICLE FRACTURES Patient Example: MM X-ray Immediately Post Trauma Non-operative care or operative fixation??? AP Oblique
CLAVICLE FRACTURES Patient Example: MM 1 Mo. Post Trauma X-ray Non-operative care Oblique AP
CLAVICLE FRACTURES Summary ,[object Object],[object Object],[object Object],[object Object]
Thank you

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