The type of injury determines the treatment approach, the duration of immobilization, and the prognosis for restoring arm function.
By fracture line location
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Fracture of the middle third of the clavicle. The most common variant, accounting for the majority of clinical cases. This area is most often injured during a fall onto the shoulder or an outstretched arm.
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Fracture of the lateral (acromial) third of the clavicle. Located closer to the shoulder joint and may be associated with ligament injuries, affecting the stability of the shoulder girdle.
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Fracture of the medial (sternal) third of the clavicle. Occurs less frequently and requires special attention due to its anatomical proximity to major blood vessels and organs of the chest.
By skin integrity
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Closed clavicle fracture. The skin over the fracture site remains intact, with no open wound. This is the most common type.
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Open clavicle fracture. Accompanied by a disruption of skin integrity and an increased risk of infectious complications, therefore requiring urgent medical care.
By the presence of fragment displacement
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Fracture without displacement. Bone fragments retain a relatively correct anatomical position, which usually allows for conservative treatment.
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Displaced clavicle fracture. Bone fragments shift relative to each other, which may lead to visible deformity, prolonged healing time, and an increased risk of complications if not properly treated.
When assessing a fracture, the physician also considers its stability and possible associated injuries to soft tissues, nerve, or vascular structures. This comprehensive classification makes it possible to choose the safest and most effective treatment strategy for each individual patient.