Abstract
Fractures of the medial end of the clavicle are still an outstanding issue with only minimum information available. Their diagnosis requires a special care both in isolated fractures of the clavicle and in polytrauma.
An accurate diagnosis is impossible without CT scanning, preferably with a 3D reconstruction. Non-displaced fractures are indicated for non-operative treatment.
In displaced fractures, sustained particularly by younger or active individuals, operative treatment should be considered. Best suitable for fixation is a cerclage, K-wires are strictly contraindicated.
Formulation of a more specific opinion on the method of treatment, long-term outcomes and complications will be possible only on the basis of a greater number of reported cases.