May 6, 2015
For the classification of distal clavicle fractures, researchers found the determination of fracture pattern stability may be a more appropriate and reliable method compared with distal fragment size and Neer classification.
Fourteen shoulder/sports medicine fellowship-trained orthopedic surgeons evaluated 30 radiographs of patients treated for distal clavicle fracture between 2006 and 2011. The researchers asked the evaluators to measure the size of the distal fragment, classify the fracture pattern as stable or unstable, assign the Neer classification and recommend operative vs. nonoperative treatment. The researchers reordered and redistributed the radiographs 3 months later, and inter- and intrarater agreement was determined for the distal fragment size, stability of the fracture, Neer classification and decision to operate.