Clavicle fracture - Revision history

Rossdonaldson1: /* Background */

2021-04-10T14:04:35Z

Background

← Older revision		Revision as of 14:04, 10 April 2021
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	==Background==		==Background==
	[[File:Gray201.png\|thumb\|Calvicular anatomy.]]		[[File:Gray201.png\|thumb\|Calvicular anatomy (left anterior view).]]
	*Generally secondary to shoulder trauma (direct trauma over the clavicle is less common)		*Generally secondary to shoulder trauma (direct trauma over the clavicle is less common)
	*Fractured segment:		*Fractured segment:

2021-04-10T14:03:36Z

Background

← Older revision		Revision as of 14:03, 10 April 2021
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	==Background==		==Background==
			[[File:Gray201.png\|thumb\|Calvicular anatomy.]]
	*Generally secondary to shoulder trauma (direct trauma over the clavicle is less common)		*Generally secondary to shoulder trauma (direct trauma over the clavicle is less common)
	*Fractured segment:		*Fractured segment:

2020-06-13T17:57:03Z

Speciality Care

← Older revision		Revision as of 17:57, 13 June 2020
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	==Speciality Care==		==Speciality Care==
	*Type I (middle)		*Type I (middle)
			**Almost all non-operative
	*Type II (lateral)		*Type II (lateral)
			**Depends on stable vs unstable clasification pattern (e.g. Neer IIA, IIB, V)
	*Type III (medial)		*Type III (medial)

2020-06-13T17:47:50Z

Speciality Care

2020-06-13T17:46:59Z

Disposition

← Older revision		Revision as of 17:46, 13 June 2020
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	==Disposition==		==Disposition==
	*Almost all may be discharged with orthopedic surgery follow-up (if no indications for immediate surgical management; see above)		*Almost all may be discharged with orthopedic surgery follow-up (if no indications for immediate surgical management; see above)

			==Speciality Care==

	==See Also==		==See Also==

2020-06-13T17:40:07Z

Management

← Older revision		Revision as of 17:40, 13 June 2020
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	**Open fracture		**Open fracture
	**Neurovascular compromise		**Neurovascular compromise
			**Adolescent fractures with significant shortening (>2cm)

	==Disposition==		==Disposition==

2020-06-13T17:34:58Z

Disposition

← Older revision		Revision as of 17:34, 13 June 2020
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	==Disposition==		==Disposition==
	*Almost all may be discharged with orthopedic surgery follow-up (if no indications for immediate surgical management; see above)		*Almost all may be discharged with orthopedic surgery follow-up (if no indications for immediate surgical management; see above)
	*Urgent follow-up indicated for (possible need for surgical intervention):
	**Displacement
	**Comminution

	==See Also==		==See Also==

2020-06-13T17:34:00Z

Management

← Older revision		Revision as of 17:34, 13 June 2020
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	==Management==		==Management==
			*Pain management
	*Place the affected extremity in a [[Sling and swathe splint\|sling]] or shoulder immobilizer		*Place the affected extremity in a [[Sling and swathe splint\|sling]] or shoulder immobilizer
	*Pain management

	*Orthopedic surgery consultation in the ED for:		*Orthopedic surgery consultation in the ED for:
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	**Open fracture		**Open fracture
	**Neurovascular compromise		**Neurovascular compromise
	**Floating shoulder (distal clavicle and scapula neck fracture with >10 mm displacement)

	==Disposition==		==Disposition==

2020-06-13T17:30:31Z

Diagnosis

2020-06-13T17:28:13Z

Associated Injuries (Rare)

← Older revision		Revision as of 17:28, 13 June 2020
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	*Affected arm may be supported by the contralateral arm		*Affected arm may be supported by the contralateral arm

	===Associated Injuries ~~(Rare)~~===		===Associated Injuries===
			''Rare, but important to evaluate for''
	*Type I (middle)		*Type I (middle)
	**Subclavian artery/vein injury		**Subclavian artery/vein injury