Fractures of the distal clavicle: a case for fixation

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Edwards DJ. Kavanagh TG. Flannery MC. Injury; British Journal of Accident Surgery. [JC:gon] 23(1):44-6, 1992. We present a series of 43 Neer type 2 fractures of the distal one-third of the clavicle. These displaced fractures are associated with a high incidence of non-union. In those patients treated non-operatively there was a higher incidence of local complications, residual shoulder dysfunction and non-union than in those treated by open reduction and internal fixation. We recommend that type 2 fractures should be treated by open reduction and internal fixation.