Background
The clavicle is the most frequently fractured bone of the human skeleton. 70–80%
of fractures occur at the middle third of the shaft of the bone. Anatomical variations
in the clavicle of relevance to form intramedullary fixation.
Objectives
The purpose of this study was attempted to know about comparative differences
between curvatures of the right and left clavicles, from certain metrical parameters.
Methods
The materials for the present study consisted of 257 (135 right and 122 left) adult
clavicles, which were collected from the Department of Anatomy and from the
students of the first year M.B.B.S during the period 2010 - 2011, Department of
Anatomy, Kathmandu University School of Medical Sciences, Dhulikhel, Nepal. The
deepest points of the curvatures of the clavicle, where the convexities were the
maximum. These angles were measured with the help of a protractor. The sum of
the two angles constituted the total curvature of the bone.
Results
The average medial angle, lateral angle and sum of the two angles of right side
were 150.97º ±6.16 SD, 139.76º ±7.55 SD and 290.73º ±11.14 respectively and that
of the left side were 151.50º ±5.67SD, 141.73º ±8.44 SD and 293.23º ±11.69SD
respectively. The present study revealed that the medial and lateral angles of the
left clavicle were greater than that of the right clavicle and medial curvature was
more than the lateral curvature of the same clavicle.
Conclusions
It is important to recognize anatomical variations in the curvatures of clavicle when
considering intramedullary nailing techniques. It also helps Anthropologists in their
study of evolution.
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