The Anatomical basis of clinical practice. The clavicle, or collarbone, is a slender, S-shaped bone approximately 6 inches (15 cm) long bone that serves as a strut between the shoulder blade and the sternum (breastbone). [2]. Bernat A,Huysmans T,Van Glabbeek F,Sijbers J,Gielen J,Van Tongel A, The anatomy of the clavicle: a three-dimensional cadaveric study. Author Information . The transition from medial to lateral curvature occurs at approximately two-thirds the length of the bone as measured… Anatomy. The clavicle is the first bone in the body to ossify, around the fifth fetal week, but the medial physis does not fuse until young adulthood at ages 22 to 25. There are two clavicles, one on the left and one on the right. Jeon A(1), Seo CM(1), Lee JH(2), Han SH(3). Clinical Relevance Fracture of the Clavicle • The clavicle acts to transmit forces from the upper limb to the axial skeleton. Author information: (1)Department of Anatomy, College of Medicine, Chung-Ang University, Seoul, South Korea. Clinical Relevance. Relevant Anatomy . Elastic stable intramedullary nailing versus nonoperative treatment of displaced midshaft clavicular fractures-a randomized, controlled, clinical trial. There are two clavicles, one on the left and one on the right. Treatment of clavicle fractures: current concepts review. Chapter 7; Upper Limb. Anatomical variations in the clavicle of relevance to this procedure are analyzed. J Shoulder Elbow Surg. jandermahr@t-online.de; PMID: 16506232 DOI: 10.1002/ca.20269 Abstract Intramedullary fixation is used increasingly to treat clavicular fractures. The distributed pattern of the neurovascular structures around clavicle to minimize structural injury in clinical field: anatomical study. Keywords acromioclavicular, coracoclavicular, clavicle, conoid, trapezoid. Surgical and clinical anatomy of the interclavicular ligament Surg Radiol Anat. A clavicle fracture, also known as a broken collarbone, is a bone fracture of the clavicle. 2012 Mar. Clinical Anatomy 27:712–723 (2014) Clavicular morphology has developed in recent years a great interest among researchers. Scapula (Shoulder blade) : Structure, Attachments, Side Determination, Ossification, Functions & Clinical Anatomy Overview The scapula is a thin bone placed on the posterolateral aspect of the thoracic cage that connects the humerus (upper arm bone) with the clavicle (collar bone). 52 patients were included in the present study. Andermahr J(1), Jubel A, Elsner A, Johann J, Prokop A, Rehm KE, Koebke J. Author information: (1)Clinic of Trauma-, Hand- and Reconstructive Surgery, University of Cologne, Köln, Germany. Patients and Methods . 1 Clinic of Trauma-, Hand- and Reconstructive Surgery, University of Cologne, Köln, Germany. According to Michael Gardner, MD, chief of the orthopaedic trauma service, radiographic parameters historically informed clinical decision making for DCF. clavicle anatomy - Google Search. Swelling, ecchymosis, and tenderness may be noted over the clavicle . Clinical Anatomy of the Brachial Plexus. The clavicle is the only long bone in the body that lies horizontally.Together with the shoulder blade, it makes up the shoulder girdle. Clavicle fractures are very common. Additionally, it is subject to various gender, ethnic, and side-specific variations, which has implications for surgical repair of fractures and separations [2]. Surgical and Radiologic Anatomy January 2014 , Volume 36, Issue 1 , pp 11–15 | Cite as Anatomical study of the clavicle: endomedullary morphology Smekal V, Irenberger A, Struve P, Wambacher M, Krappinger D, Kralinger FS. Anatomy: When considering the anatomy of the clavicle, it can be said to have two curves which gives it the features that looks like a ‘key’. Explore. Clavicle (Collarbone) : Structure, Attachments, Side Determination, Sex Determination, Functions & Clinical Anatomy Overview The clavicle is a long bone that serves as a strut between the shoulder blade and the sternum or breastbone. Complications can include a collection of air in the pleural space surrounding the lung (pneumothorax), injury to the nerves or blood vessels in the area, and an unpleasant appearance. CONCLUSION. Learn and reinforce your understanding of Anatomy clinical correlates: Clavicle and shoulder through video. jandermahr@t-online.de Intramedullary fixation is used increasingly to treat clavicular fractures. Fig. Anatomy clinical correlates: Clavicle and shoulder 1. Clavicle length can be obtained intraoperatively. These findings allow the surgeon to predict the origin of the conoid and trapezoid ligaments accurately and to correctly create bone tunnels to reconstruct the anatomy of the CC complex. Updated December 2016. Structure The bone has a shaft (cylindrical part), and two […] ANATOMY OF THE CLAVICLE AND ITS APPLICABILITY IN MANAGEMENT OF CLAVICULAR FRACTURES Manjunath CS *1, ... Gray’s Anatomy. These anatomical variations can make the use of extramedullary fixation … A reemergence of interest in clavicle anatomy was prompted because of the advocacy for operative treatment of midshaft clavicle fractures. The middle third is most often fractured [ 12 … Given its relative size, this leaves it particularly susceptible to fracture. CLAVICLE FRACTURES ⁣ ⁣ An extremely common injury with high rates of non-union! Today. The slender S-shaped clavicle (derived from latin word clāvis meaning key) is the only direct skeletal attachment between trunk and the upper limb. Thus, the anatomy of the clavicle and any anomalies in its morphology are of great interest across various disciplines. Steinmetz, Garrett MD; Conant, Scott MD; Bowlin, Barrett MD; Hamilton, John MD; Allen, Judd MD; Stoner, Julie PhD; White, Christopher MD . 2.1 Left clavicle, boney anatomy, and muscle attachments viewed from superiorly and inferiorly The larger medial curvature allows more space for passage of neurovascular structures from the neck into the upper extremity through the costoclavicular interval. The most common mechanism of injury is a fall onto the shoulder, or onto an outstretched hand. Your account has been temporarily locked due to incorrect sign in attempts and will be automatically unlocked in 30 mins. Several anatomical studies of the clavicle have been performed in western population. Edited by Standring S. London: Churchill Livingstone Elsevier, 2016; 799. Fig. The shoulder may appear shortened relative to the opposite side and may droop. At its sternal end, the clavicle has a pyramidal cross section whereas in the lateral end it becomes flattened. It ossifies between 12-19 years of age and fuses fully by 22-25 years. Department of Orthopedic Surgery, University of Oklahoma, Norman, OK. Reprints: Garrett Steinmetz, … Netter’s Clinical Anatomy 3rd ed. Shoulder Sprain. 21(3):423-9. . Saunders/Elsevier; 2014:347-352. Upper Limb Anatomy Anatomy Bones Human Skeleton Anatomy Human Anatomy Acromioclavicular Joint Axial Skeleton Anatomy Practice Carotid Artery. Their incidence is rising [ 2 , 3 ]. Background The anatomy of the clavicle is specific and varied in reference to its topography and shape. 2007 Jul;29(5) :357-60. doi ... As a result, the interclavicular ligament prevented the upward displacement of the clavicle during forceful depression of the humerus and the shoulder. 10.1. 12. Your account has been temporarily locked. According to studies, they represent between 2 and 10 % [ 3 , 4 , 18 ] of all fractures and 35–44 % of shoulder fractures [ 2 ]. References. Clinical Anatomy of Clavicle. In the following chapter, we will attempt to expand on the basic and clinical anatomy of this complex bone. ... are reported in clinical cases (e.g., Saadeh and El‐Sabban, 2005; Oguz et al., 2010; Reinhardt et al., 2011; Ali and Wase, 2012). More information... People also love these ideas Pinterest. Hansen, JT. The characteristic clinical picture of the patient with fractured clavicle is that of a man/woman supporting his sagging upper limb with the opposite hand. It is a long, thin bone that sits in-front of the top of the ribcage. The Anatomy of the Clavicle and Its In Vivo Relationship to the Vascular Structures A 2D and 3D Reconstructive Study Using CT Scans. It connects the sternum (breastbone) to the acromion (front part of the scapula) forming two joints, the sternoclavicular and acromioclavicular joints. Anatomy of the clavicle and the intramedullary nailing of midclavicular fractures. Clinical signs and symptoms of clavicle fracture include the following: The patient may cradle the injured extremity with the uninjured arm. Background . American Academy of Orthopedic Surgeons. Bernat A, Huysmans T, Van Glabbeek F, Sijbers J, Gielen J, Van Tongel A. 80% of clavicular growth occurs at the medial epiphysis. The anatomy of the clavicle has been widely studied using cadaver and bone bank specimens with anatomical variations between different age, gender and race groups found [ 1 ]. OrthoInfo. Clavicle Anatomy. The clavicle is the first bone in the body to ossify (intrauterine week 5), but the medial clavicular epiphysis is the last to appear and close. Harvard Health Publishing. There are multiple ligamentous connections that are relevant. The fracture at the junction of lateral one- third and medial two-third occurs because: This is the weakest site. Clavicle Fracture (Broken Collarbone). 41st edi-tion. Structure The scapula has two surfaces, three borders, three angles, and three processes. Saved by Dana Rogers. 2014 Jul [PubMed PMID: 24142486] The tensile force necessary for failure was >53.7 N/cm(2) in all the specimens. However, there was no anatomical study of clavicle in Chinese population. Clinical anatomy (New York, N.Y.). Symptoms typically include pain at the site of the break and a decreased ability to move the affected arm. In Hansen JT, ed. The clavicle, aka collarbone, sits at the front of the shoulder joint. Yet, measurements taken this way fail to capture complex 3D changes in the shoulder associated with a clavicle fracture. Two curvatures of clavicle … George K. Bal, in Clinical Sports Medicine, 2006. Updated April 2019. Harvard Medical School. Anatomy of the brachial plexus. 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