Klavikulafrakturen: Diagnostik und Wahl des geeigneten Therapieverfahrens

Indirekte Gewalteinwirkung bei Freizeit- und Sportunfallen, wie z. B. der Sturz auf den ausgestreckten oder adduzierten Arm, ist der haufigste Unfallmechanismus bei Schlusselbeinfrakturen. Neben der gezielten klinischen Untersuchung muss die entsprechende Bildgebung eingeleitet werden, um die richtige Diagnose zu stellen und anschlie ss end eine geeignete Therapiemethode anzuwenden. Die konservative Therapie war lange Zeit das Standardverfahren, heute kommt dank der Weiterentwicklung der chirurgischen Verfahren haufig die operative Therapie zum Einsatz. Abstract Clavicle fractures are one of the most common injuries of the shoulder girdle. In addition to the targeted clinical examination, the appropriate imaging must be initiated to formulate the correct diagnosis and subsequently apply an appropriate therapeutic method. Indirect force impact in recreational and sports accidents, such as falling on the outstretched or adducted arm, is the most common accident mechanism. The prevalence shows a bipartite clustering. On the one hand, there are young male patients and, on the other hand, female patients from the age of 65. Thus, a heterogeneous patient population with different complication profiles and different functional demands presents itself. The demand for a stable and, as far as possible, anatomical restoration after clavicle fracture results from its function as the sole connection between the shoulder joint and the sternum. Conservative therapy was the standard procedure for a long time, but due to further development of surgical therapy is now frequently used. Pediatric clavicle fracture remains the domain of conservative therapy. Early functional exercise of the shoulder girdle is essential for outcome in both surgical and conservative therapy.