Clavicle fractures are the most common injury seen around the shoulder girdle, accounting for up to five percent of all fractures. This comprehensive orthopaedic masterclass covers everything from the Allman and Neer classifications to surgical decision-making using the PLATE and COTS mnemonics. ⏱ Chapters 0:00 Intro 0:13 Essentials 0:37 Allman 0:58 Deforming 1:30 Neer 2:01 Plate 2:26 Management 2:58 Cots 3:24 Numbers 3:55 Clinical reasoning — Displaced 4:31 Clinical reasoning — Lateral Understanding clavicle fractures requires a deep knowledge of anatomy, deforming forcesand the evidence behind operative versus non-operative management. This video provides an in-depth analysis of midshaft, lateraland medial fracture patterns, detailing the indications for open reduction and internal fixation (ORIF) and highlighting critical clinical pitfalls regarding neurovascular structures and hardware complications. 🦴 IN THIS VIDEO YOU'LL LEARN • How to classify clavicle fractures using the Allman, Robinsonand Neer systems • The unique S-shaped anatomy of the clavicle and why eighty percent of fractures occur at the midshaft • The specific muscular deforming forces that cause classic step-off shortening and displacement • When to indicate for surgery using the PLATE mnemonic (Polytrauma, Length, Athlete, Tented skin, Extreme displacement) • The landmark operative evidence for midshaft fractures summarised by the COTS acronym • Why Neer Type Two lateral third fractures are inherently unstable and carry a high nonunion risk • How to manage posteriorly displaced medial third fractures to protect the great vessels • The clinical significance of the fifteen percent nonunion rate in completely displaced midshaft fractures • How to identify and manage complex patterns like the floating shoulder ⏱️ CHAPTERS 📌 KEY TAKEAWAYS ✔️ Shortening greater than two centimetres is a critical threshold for considering midshaft ORIF. ✔️ Neer Type Two lateral fractures involve coracoclavicular ligament disruption and typically require surgical fixation. ✔️ ORIF of midshaft fractures provides better cosmesis, higher osseous union ratesand faster healing, but functional scores at one year are similar to non-operative treatment. ✔️ Posteriorly displaced medial third fractures mandate a CT angiogram to rule out injury to the great vessels. ✔️ Warn patients about a twenty to forty percent incidence of symptomatic hardware requiring eventual plate removal. 👩⚕️ WHO THIS IS FOR This masterclass is essential viewing for orthopaedic trainees, junior doctorsand medical students seeking a comprehensive understanding of shoulder girdle trauma. It also serves as a valuable resource for physiotherapists and curious patients wanting to understand clavicle fracture management and surgical decision-making. 📚 RELATED TOPICS: Acromioclavicular Joint Injuries and Dislocations · Floating Shoulder: Scapular Neck and Clavicle Fractures · Sternoclavicular Joint Dislocation Management · Nonunion and Malunion of the Clavicle · Superior Shoulder Suspensory Complex Injuries · Brachial Plexus and Subclavian Vascular Injuries in Shoulder Trauma 🔗 More free orthopaedic teaching at Orthovellum.com — subscribe for weekly videos. 🎨 CREDITS • Original Orthovellum production. ⚠️ DISCLAIMER: Educational only — not individual medical advice. Always consult a qualified clinician for diagnosis and treatment. #orthopaedics #claviclefracture #trauma #orthopedicsurgery #shoulderfracture #orif #medicaleducation #orthoteaching #shouldersurgery #fracturemanagement #neerclassification #orthopaedicmasterclass