Clavicle Fractures Classification - Everything You Need To Know - Dr. Nabil Ebraheim

Dr. Ebraheim’s educational animated video describes clavicle fractures and explains Allman classification in a simple and easy way that helps you understand all you need to know.
The Allman classification is based on the anatomical location of the fracture. Clavicle fractures are traditionally treated conservatively and there is more evidence that conservative treatment is not ideal for displaced clavicle fractures. Conservative treatment may result in a higher incidence of malunion, nonunion and permanent shoulder dysfunction.
Three groups in the Allman classification:
Group I: Fracture involving the middle third of the clavicle. Accounts for approximately 80% of clavicle fractures. As a general rule, when the fracture is less than 100% displaced, then it is treated conservatively with a sling. When it is more than 100% displaced, the fracture is treated with surgery. When there is displacement, the medial fragment is usually elevated and the distal fragment is displaced downward due to gravity and the weight of the arm.
Group II: Fracture in the lateral third of the clavicle which accounts for about 10-15% of all clavicle fractures. Neer classification is applied to fractures in the lateral third of the clavicle.
Type I (Neer) - Fracture occurs lateral to the coracoclavicular ligaments, which remain intact to the medial segment.
Type II - Type IIA (Neer) - Both conoid and trapezoid remain attached to the distal segment. Fracture occurs medial to the intact ligaments. The medial clavicle is unstable and the nonunion rate is high without surgery.
Type II - Type IIB (Neer) - Fracture may occur either between the ruptured conoid and an intact trapezoid or fracture may occur lateral to both ligaments that are torn. The medial segment is unstable with conoid torn. Nonunion is high without operative treatment. Fracture will require surgery!
If the fracture occurs lateral to the ligaments the medial clavicle remains stable.
Type III (Neer) - Extension of the fracture into the AC joint. Intraarticular extension fracture that is stable. The patient may develop post-traumatic arthritis.
Group III: Fractures involving the medial third of the clavicle. Accounts for 5% of clavicular fractures. Displacement and nonunion is rare. Treatment of this fracture type is usually nonoperative and the fracture is rarely symptomatic.
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[@TheOriginalMarimoChan]

Thank you, that was very helpful!

[@fatimakadi8887]

Thank u dr for ur great videos😍

[@drjsm]

Beautifully explained

[@erik9817]

Thank you. Do you have a source for when the displacement of Allman group 1 fractures is greater that 100 percent, it should be treated surgically?

[@TinqXP]

Thanks for the awesome video!

[@geojor]

thanks for vid ...

[@jigneshbhaivyas649]

Thank you for vidio

[@lifehope1447]

Excellent

[@parsachance5003]

Perfect

[@shaileshvaish292]

Thank you sir

[@stylishteen8869]

Can we do regular work after healing of shortening clavicle

[@tommykourie8529]

THANK YOU DOCTOR

[@bipolarpunt5721]

I fractured my clavical in 2 spots and the end of my clavical healed 1.5" from the AC joint. My arm hangs lower and I get grinding noise when I lift my arm. I asked the Doctor about the gap between the end of the clavicle and the AC joint and he said thats normal. The way he said it brought up a flag for me. I would like to get it corrected as I enjoy swimming and dont want to deal with cronic tendonitis. Can it be corrected after healing? It healed in a clump of bones.

[@jayjayvargas2648]

What can i do if I have a right clavicle fracture

[@IbrahimAlShehaby]

thanks

[@pyrodelfin6563]

Oh damn. I have 2 Fraktures on my color bone. Type 1 and 2. What can I do ?

[@rudramunibedarakere3616]

great

[@aumparekh6574]

ty

[@bolymarkdiego4984]

Can i add pictures on this comment box? But how....i just wanna ask questions thankyou

[@onewatch488]

Can a malunion of a right distal clavicle fracture cause pain numbness easy fatigue and pain in the rotator group of the Left shoulder due to the asymmetry as a result of the fracture?