Most comon area of fractur is at the junction of inner 2/3 and outer 1/3. However, at times, the fracture occurs more outwards and closer to the shoulder joint. The latter presents a technically challenging scenario.
Most collar bone fractures can be treated without surgery. Usually a cuff and collar sing is provided for pain relief, and exercises are started after 4 weeks.
In certain situations, wherein the vascular or neural structures are in jeopardy due to pressure by fracture fragments, operation may be required. Surgery is also indicated in fractures occurring close to the shoulder joint.
With greater emphasis on cosmetic appearance, surgery is often demanded by young girls, who do not want a fracture bump. In such cases, a plate may be used with minimum surgical scar.
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