Final answer:
Typical treatment for a mid-shaft clavicle fracture is a sling and swath for immobilization, although ORIF may be necessary for severe cases. A figure-eight bandage is less common now, and spica casts are not used for clavicle fractures.
Step-by-step explanation:
The treatment of mid-shaft clavicle fractures often begins with conservative management, especially if the broken fragments are well-aligned. The most common initial treatment is the use of a sling and swath, a method that immobilizes the arm and provides support to the clavicle. This conservative approach allows the natural healing process to occur, which involves the formation of a hematoma, the development of internal and external calli, and the eventual union and remodeling of the bone.
In some cases, particularly when the fracture is severely displaced or if healing is not progressing adequately with conservative treatments, surgical intervention may be necessary. Open reduction and internal fixation (ORIF) is a surgical procedure where the bone is exposed and the fracture is anatomically reduced, followed by stabilization with hardware such as plates and screws.
A figure-eight bandage was historically used but has fallen out of favor due to comfort issues and difficulty in maintaining adequate reduction. A spica cast is not typically used for clavicle fractures, as it is more common for lower extremity fractures.