Table 2.

Treatment recommendations for the proposed fracture classification of the manubrium

Manubrium fractures
Fracture type	Treatment
A-fractures
A0-fractures	conservative treatment, follow up examination (lateral x-ray in sitting position)
A1-fractures	longitudinal (double) plating
A2-fractures	longitudinal (double) plating
A3-fractures	longitudinal (double) plating
B-fractures
B1-fractures	transverse plates bridging the rib–sternum–rib axis
B2-fractures	transverse plates bridging the rib–sternum–rib axis or longitudinal (double) plating
B3-fractures	transverse plates bridging the rib–sternum–rib axis or longitudinal (double) plating
C-fractures
C1-fractures	longitudinal (double) plating
C2-fractures	transverse plates bridging the rib–sternum–rib axis, T- or H-shaped plates to address multidirectional instability
C3-fractures	T- or H-shaped plates to address multidirectional instability