Biopsy Anatomical Approach

Region specific approaches



- want to traverse one muscle / one compartment

- keep away from NV bundle

- as a rule perform open biopsy through compartment the tumour is in

- this is the compartment that will require surgical removal in wide excision

- direct approach without going through muscle if possible i.e. tibia, distal ulna


Lower Limb




Clavicle Fractures

Clavicle Fracture Displaced



Usually a direct blow 

- less commonly a fall on the outstretched hand


RTA / sporting accidents commonest causes


Can be pathological as a result of radionecrosis

- eg following radiotherapy for breast cancer.  




Fractures of the clavicle are common