Clavicle Fractures Classification - Everything You Need To Know - Dr. Nabil Ebraheim
Dr. Ebraheim’s educational animated video describes clavicle fractures and explains Allman classification in a simple and easy way that helps you understand all you need to know.
The Allman classification is based on the anatomical location of the fracture. Clavicle fractures are traditionally treated conservatively and there is more evidence that conservative treatment is not ideal for displaced clavicle fractures. Conservative treatment may result in a higher incidence of malunion, nonunion and permanent shoulder dysfunction.
Three groups in the Allman classification:
Group I: Fracture involving the middle third of the clavicle. Accounts for approximately 80% of clavicle fractures. As a general rule, when the fracture is less than 100% displaced, then it is treated conservatively with a sling. When it is more than 100% displaced, the fracture is treated with surgery. When there is displacement, the medial fragment is usually elevated and the distal fragment is displaced downward due to gravity and the weight of the arm.
Group II: Fracture in the lateral third of the clavicle which accounts for about 10-15% of all clavicle fractures. Neer classification is applied to fractures in the lateral third of the clavicle.
Type I (Neer) - Fracture occurs lateral to the coracoclavicular ligaments, which remain intact to the medial segment.
Type II - Type IIA (Neer) - Both conoid and trapezoid remain attached to the distal segment. Fracture occurs medial to the intact ligaments. The medial clavicle is unstable and the nonunion rate is high without surgery.
Type II - Type IIB (Neer) - Fracture may occur either between the ruptured conoid and an intact trapezoid or fracture may occur lateral to both ligaments that are torn. The medial segment is unstable with conoid torn. Nonunion is high without operative treatment. Fracture will require surgery!
If the fracture occurs lateral to the ligaments the medial clavicle remains stable.
Type III (Neer) - Extension of the fracture into the AC joint. Intraarticular extension fracture that is stable. The patient may develop post-traumatic arthritis.
Group III: Fractures involving the medial third of the clavicle. Accounts for 5% of clavicular fractures. Displacement and nonunion is rare. Treatment of this fracture type is usually nonoperative and the fracture is rarely symptomatic.
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Пікірлер: 56
Thank you, that was very helpful!
Beautifully explained
Thank you. Do you have a source for when the displacement of Allman group 1 fractures is greater that 100 percent, it should be treated surgically?
Thank u dr for ur great videos😍
THANK YOU DOCTOR
Thanks for the awesome video!
Thank you for vidio
Excellent
thanks for vid ...
Thank you sir Very knowledgeable vedio
Can we do regular work after healing of shortening clavicle
Perfect
thanks
What can i do if I have a right clavicle fracture
I have a right collarbone fracture very helpful informative information.
@caroljones4511
2 жыл бұрын
@Adrian Chong Perfect no problems at all just my bone sticks out a bit at the site of the break. I stopped wearing the sling the hospital gave me and was back on my bike around 3 weeks after break which was a bit naughty of me. WHEN I broke my collar bone I was 8 miles from home so I cycled 8 miles to my nearest hospital then cycled to supermarket and then cycled back home all this with my broken collar bone. then all hell broke loose with the bruising and pain which was terrible and I really suffered. Thank you for asking.
ty
great
Respect from Pakistan sir 👍❤️🇵🇰
I fractured my clavical in 2 spots and the end of my clavical healed 1.5" from the AC joint. My arm hangs lower and I get grinding noise when I lift my arm. I asked the Doctor about the gap between the end of the clavicle and the AC joint and he said thats normal. The way he said it brought up a flag for me. I would like to get it corrected as I enjoy swimming and dont want to deal with cronic tendonitis. Can it be corrected after healing? It healed in a clump of bones.
Oh damn. I have 2 Fraktures on my color bone. Type 1 and 2. What can I do ?
Clavcle .. Fracture make too painfull are .. Almost one of clind me are .. Doctrine are saying ,after an repairing opperation.. Its difficult cure up .. Now still walking around with pain .. Thankful hear doct are speach about ..
Can a malunion of a right distal clavicle fracture cause pain numbness easy fatigue and pain in the rotator group of the Left shoulder due to the asymmetry as a result of the fracture?
@michaelbodine6142
5 жыл бұрын
After being an AUDITOR are you f**** I took an entire automobile and I had Mary Jane fired from her job in AT Chicago Tribune ; MARY JANE no longer AT her job not only did she STALK people with her white Dodge ; she doesn't give a shot about people who don't work at the tribune towers so I UTILIZED Weber family against Mary Jane.... M.A.B..
@michaelbodine6142
5 жыл бұрын
YES
Im guessing we are all here bc we broke our clavicles
@madbross9879
Жыл бұрын
😂😂😂yup
@madbross9879
Жыл бұрын
I got broked into 3pieces
@bikexplorer2203
Жыл бұрын
Yup hahahaha
@gaffar92
Жыл бұрын
Lol 🤣🤣 so true😜
@cooljenes
Жыл бұрын
@@madbross9879 How ypu doing now and what you opted for? I had Z type 3 piece fracture on 17th Oct'22. Please advise what is better, conventional way of healing or surgery. I got mixed advise from different doctors.
What can I do?I have a left side clecvical bone fractured in middle side..is surgery is possible??
@souel9740
Жыл бұрын
Hru doing now?
Can we start weight lifting after break collarbone
@ShentotsuGaming
2 жыл бұрын
i wanna know this too, i just broke my collarbone few days ago and I'm still trying to decide if I should do the surgery or not. I think I have the Group 2 (neer) Type 2 IIA . it's so painful
I have my clavicle fructure ay my left houlder..the sad thing there's no octor at this moment,it been a week..
@bahot454
2 жыл бұрын
How did go?
Can i add pictures on this comment box? But how....i just wanna ask questions thankyou
Can we do push-ups and pull ups after clevical fracture recovery.
mine like group II type IIb.. and still hurt until now :(
@stylishteen8869
4 жыл бұрын
Mine tooo
I feel inflamation in the ligaments because of malunion in the mid-shaft section
Hello, My name is Kelly Rollinson. I hope all is great, I had an accident back in 2016 and had some x-rays turned out to have a broken collar bone, I hadn't done any surgeries due to personal issues but from 2020 till this stage 2022 at the age of 22years I have been experiencing much pain, numbness, pain at the back, there is no that I can do all I can do is to get used to the pain whenever I talk to my mom she's just giving me hope that everything will work out soon, I totally understand but I'm the one who is in pain. Kindly advise me if there is any prescription medication that I can take because whenever it's cold I'm completely numb I can't feel my hand, head, lips, and leg well to feel better I massage using my right hand. I hope there is any treatment to release the pain that I'm able to bare for it rest of my life
@vanessadiaz3204
Жыл бұрын
Mejoró?
The collar bone is steel in the bone. They can be as good as before. Gym can do.
My injury is not classified
Te amo asies
I have a Clavicle fracture at my left shoulder, i think its a group 2 (neer) good thing theres no surgery needed. they just gave me medicine and a vitamin for the bones and a arm sling, they said it took 3 -4 months of healing period.
@Usui1414
Жыл бұрын
how are you?
@traviskloschinsky811
Жыл бұрын
I have a type 2 neer and it’s been about a month and a bit it’s getting better but my full movement still has a lot of pain I suggest start doing physical treatment to it
@ecargcameron
Жыл бұрын
How have you recovered. I think I have done the same thing but a comminuted break.
great