Difference between revisions of "Clavicle fracture"

(Management)
(Clinical Features)
Line 8: Line 8:
 
*Swelling, deformity, and tenderness overlying the clavicle
 
*Swelling, deformity, and tenderness overlying the clavicle
 
*Arm is supported by the other extremity
 
*Arm is supported by the other extremity
*Distal fx often assoc w/ coracoclavicular ligament rupture
+
*Distal fracture often associated with coracoclavicular ligament rupture
*Medial fx often assoc w/ intrathoracic injuries
+
*Medial fracture often associated with intrathoracic injuries
  
 
==Differential Diagnosis==
 
==Differential Diagnosis==

Revision as of 23:24, 31 August 2015

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 fracture often associated with coracoclavicular ligament rupture
  • Medial fracture often associated with intrathoracic injuries

Differential Diagnosis

Thoracic Trauma

Shoulder and Upper Arm Diagnoses

Traumatic/Acute:

Nontraumatic/Chronic:

Refered pain & non-orthopedic causes:

Diagnosis

  • CXR
  • If high suspicion and fracture on CXR, consider CT
    • Routine imaging may miss some fractures (particularly at either end of the bone)

Management

Consult ortho for

  • Open racture or persistent skin tenting
  • Comminution
  • Displacement

See Also

References