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—With the exception of the femur, there is no bone fracture with which the surgeon meets where a shortening so uniformly results as in the clavicle. The testimony of surgeons from Hippocrates to the present time in that however careful the treatment of this fracture, deformity almost always results. The difficulty does not lie in the reduction of the fracture, for as a rule this is very easily accomplished; the trouble we meet is in retaining the reduction sufficiently long for nature to establish an osseous union, even after the parts are properly adjusted the slightest movement of the head, arm, or even the movements occasioned by respiration are frequently sufficient to displace the fragments again to the position they occupied before their reduction.
I would like to call the attention of the profession to a treatment that has proved successful, that is the use of the bone dowel or
Kinnaman AS. Treatment of Fracture of Clavicle.. JAMA. 1892;XIX(4):116-117. doi:10.1001/jama.1892.02420040028011