Original Investigation

Non-operative Treatment of Adult Clavicular Shaft Fractures and Functional Outcomes


  • Alican Barış
  • Emrah Kovalak
  • Ozan Beytemur
  • Gökhan Barbaros
  • Abdullah Obut
  • Ayhan Ethem Unkar

Received Date: 18.08.2012 Accepted Date: 23.08.2012 İstanbul Med J 2013;14(1):40-43


In our study, we aimed to assess the effect of the conservative treatment for clavicular midshaft fractures to shoulder functions in adults.


A total of 19 patients with clavicular midshaft fracture were evaluated. Clinical and radiological follow-up was performed for all patients. The length of fractured and intact clavicle was measured using computed tomography. Shoulder functions were assessed with DASH and Constant scores.


The patients comprised of 15 males and 4 females; the mean age was 35.5 years. The mean follow-up period was 20.6 months. While complete union was achieved in 11 patients, 6 patiens developed malunion and 1 patient developed non-union. All patients having a malunion reported discomfort arising in a process over the clavicle. When the mean DASH score was measured as 6.6, the mean constant score of 84.4 points was assessed as a good result.


Most clavicular midshaft fractures can be effectively treated with conservative therapy. Although mal-union occurs at a higher rate, it does not affect the shoulder functions.

Keywords: Clavicle fracture, short clavicle length, conservative treatment, mal-union