Orthopedics MCQ – Treatment of clavicular fracture

Clavicular fracture is treated by?

A. Fixation with plate and screw

B. Open reduction and internal fixation

C. Skeletal traction

D. Figure of eight bandage

Correct answer : D. Figure of eight bandage

Clavicular fracture heals with good functional results even if there is moderate displacement of the fracture ends
Perfect reduction is not essential
Treatment consists of a ‘Figure of Eight’ bandage which is periodically tightened
A sling can be used initially to support the upper limb
In case of elderly patients with risk of axillary neurovascular compression, only a sling is used instead of the ‘figure of eight’ bandage
Open reduction is done in case of non union, neurovascular damage, floating shoulder and wide separation of the fracture ends with interposition of soft tissue.