Description
In this informative talk, Michael Walton, Clinical Director and Shoulder Surgeon at Wrightington Upper Limb Unit, discusses his management strategies for clavicle fractures in elite athletes. Walton begins by highlighting the crucial role of the clavicle in shoulder mechanics, which facilitates throwing motions essential for many sports. He outlines that clavicle fractures are relatively common, representing 2% to 5% of all adult fractures, with a higher incidence among adolescents due to sports injuries.
He provides an overview of various studies comparing surgical and non-surgical treatment methods, showing a significant shift in clinical practice towards surgical intervention after randomized controlled trials demonstrated better outcomes with internal fixation, minimizing the risk of non-union. Walton emphasizes the challenges in managing these fractures, particularly in elite athletes demanding quick return to sport.
He introduces a systematic approach for non-operative management but highlights that the majority of adult athletes, particularly those in high-impact sports, would benefit from surgical fixation due to the predictability of outcomes and quicker return to activity. Walton shares technical insights regarding surgical techniques, including the use of specific plating methods and postoperative care to ensure optimal recovery and functionality. He concludes by reiterating the importance of tailored treatment plans based on individual patient populations and their unique demands, especially in elite sports contexts.