1、锁骨干骨折手术指征和并发症解 剖l 连接自由上肢骨与躯干l 一体两端l 内侧 2/3凸向前，外侧 1/3凸向后解 剖Abdo Bachoura, MDa, Andrew S. Deane, PhDb, James N. Clavicle morphometry revisited: a 3-dimensional study with relevance to operative fixation. J Shoulder Elbow Surg (2013) 22, e15-e21功 能l 增加上肢运动范围l 稳定上肢结构l 肌肉附着点功 能l 保护血管神经结构l 增强呼吸l 美人骨Clavic
2、le Fracture Broken Collarbonel 手术l 保守治疗Clavicle Fracture Broken CollarboneNeer CS 2nd. Nonunion of the clavicle. J Am Med Assoc. 1960 Mar 5;172 (10):1006-11Rowe CR. An atlas of anatomy and treatment of midclavicular fractures. Clin Orthop Relat Res 1968;58:29-42.不愈合率：l 保守 1%l 手术 4%Clavicle Fracture Broken Collarbonel Canadian OrthopaedicTrauma Society, 2007 RCT不愈合率：l 保守 11%l 手术 3%Canadian Orthopaedic Trauma Society. Nonoperative treatment compared with plate fixation of displaced midshaft clavicular fractures. A multicenter, randomized clinicaltrial. J Bone Joint Surg Am. 2007;89(1):1-10
