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Ann R Coll Surg Engl. 2009 July; 91(5): 437–438.
PMCID: PMC2758453
Technical Notes and Tips
Bruce Campbell, Section Editor

‘Neck-Line’ Incision for Open Reduction and Internal Fixation of the Clavicle

Conventional incisions for clavicle surgery are made transversely along the clavicle. These often remain prominent. We propose a ‘neck-line’ incision (Fig. 1) closer to the sagittal plane, more aligned with Langer's lines, resulting in a more aesthetic outcome than conventional incisions. The cutaneous innervation of the clavicular region, via subclavicular branches (C4, C5), travels typically in the sagittal plane under the platysma; an incision closer to this plane may reduce postoperative sensory loss. The incision allows adequate exposure of the clavicle for surgical fixation due to tissue mobility, and patients can conceal the scar more effectively with their clothes.

Figure 1
The ‘neck-line’ incision post surgery.

Articles from Annals of The Royal College of Surgeons of England are provided here courtesy of The Royal College of Surgeons of England