Abstract

CARVAJAL-ESCOBAR, Mario David; GOMEZ-LONDONO, Carlos; BORJA-GOMEZ, Wilmer  and  SEPULVEDA-GALLEGO, Luz Elena. DIAPHYSEAL CLAVICLE FRACTURE: REVIEW OF PUBLISHED EVIDENCE. Biosalud [online]. 2016, vol.15, n.1, pp.87-97. ISSN 1657-9550.  https://doi.org/10.17151/biosa.2016.15.1.10.

Introduction: The clavicle is one of the bones more prone to injury because due to their subcutaneous and relative anterior position. Its management, either orthopedic or surgical, remains controversial. Therefore, the objective that guided this review was to identify current trends in the diagnosis and management of broken clavicle. Materials and Methods: a review of articles was conducted using PubMed / Medline, ScienceDirect, Embase, Ovid, and SpringerLink databases. Fifty-seven (57) references were selected based on the quality of the evidence they presented. Results and Discussion: Choosing the most appropriate treatment for broken clavicle continues to be a challenge for the orthopedist. The analysis should be based on the individual characteristics of each patient, a careful consideration of the benefits and the relative harms of each intervention, as well as patient preferences. To advance in the definition of therapeutic standards, are required the performance of studies that take into account a greater number of individuals particularly in the extremes of life, which allow generating a higher level of evidence.

Keywords : clavicle; intramedullary fracture fixation; shoulder fractures.

        · abstract in Spanish     · text in Spanish     · Spanish ( pdf )