Clavicle fracture

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Background

  • Occurs via direct blow to shoulder
    • Middle third: 80%
    • Distal third: 15%
    • Medial third: 5%


Clinical Features

  • Swelling, deformity, and tenderness overlying the clavicle
  • Arm is supported by the other extremity
  • Distal fx often assoc w/ coracoclavicular ligament rupture
  • Medial fx often assoc w/ intrathoracic injuries

Imaging

  • Routine imaging may miss some fractures (particularly at either end of the bone)
  • CT may be required for definitive diagnosis

Management

  • Consult ortho for:
    • Open fx or persistent skin tenting
    • Comminution
    • Displacement
  • Sling

Source

  • Tintinalli
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