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Operative Fixation of a Displaced Midshaft Clavicle Fracture

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David Campbell, Mike McKee

Midshaft clavicle fractures are frequently encountered orthopaedic injuries. Significant displacement portends a higher likelihood of nonunion and symptomatic malunion after nonoperative treatment. Surgical fixation has been shown to reduce the rate of these adverse outcomes. This video describes the operative treatment of a healthy patient whose occupation involves frequent overhead lifting. We begin with a physical exam in clinic, observing the deformity and scapular malposition secondary to his injury. This is followed by operative preparation, exposure, reduction, and fixation using lag screws and stabilization with a plate and screw construct. We conclude with his outcome at two-week clinic follow-up.