From the Guidelines
A sternoclavicular (SC) fracture is not explicitly defined in the provided evidence, but based on the context, it can be inferred that it refers to a break in the joint where the collarbone (clavicle) meets the breastbone (sternum), although the provided studies primarily focus on clavicle fractures. The provided evidence discusses clavicle fractures, which are breaks in the collarbone, and their treatment options. According to the studies 1, clavicle fractures can be managed successfully without surgery, with a low nonunion rate, especially for those with minimal displacement. However, widely displaced fractures often result in malunions, which may have adverse effects on strength and function of the shoulder.
Key Points to Consider
- The studies provided do not directly address sternoclavicular fractures but offer insights into the management of clavicle fractures.
- Treatment of clavicle fractures depends on the severity of the fracture, with conservative management recommended for minor, stable fractures, and surgical intervention for more severe or unstable fractures.
- High-quality evidence shows that higher union rates and better early patient-reported outcomes result after surgical treatment of displaced clavicle fractures in adults 1.
- The current evidence suggests that both surgical and nonsurgical treatments are valid options for displaced clavicle fractures, with the choice depending on individual patient factors and the severity of the fracture.
Clinical Considerations
- The primary goal in managing any fracture, including sternoclavicular fractures, should be to achieve proper alignment and stability to promote healing and minimize complications.
- Given the lack of direct evidence on sternoclavicular fractures, clinicians must rely on their expertise and the principles of fracture management to guide treatment decisions.
- Patient education on the importance of follow-up care to monitor healing and address potential complications is crucial.
From the Research
Definition of Sternoclavicular (SC) Fracture
There are no research papers to assist in answering this question as the provided studies focus on clavicle fractures, not specifically sternoclavicular (SC) fractures.
Clavicle Fracture Information
- Clavicle fractures are common injuries that can occur in patients of all ages 2
- These fractures are almost always the result of trauma, often a direct blow to the shoulder, and occur most often in the young male population 3
- Evaluation of clavicle fractures begins with a thorough history and physical examination, and typically progresses to plain radiographs to identify the fracture site and pattern 3
- Clavicle fractures have been classified into groups based on their location, with treatment options varying depending on the location and severity of the fracture 3, 4
Treatment of Clavicle Fractures
- Non-displaced fractures are typically treated conservatively, while displaced fractures may require operative treatment, especially in young and active patients 5, 3
- Operative treatment options include open reduction and internal fixation, which has shown superior results compared to conservative management in recent trials 3, 6
- The choice of treatment depends on various factors, including the location and severity of the fracture, as well as the patient's overall health and activity level 4, 2