Difference between revisions of "Clavicle fracture"

(Text replacement - "==Diagnosis==" to "==Evaluation==")
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''This page is for adult patients; see [[Clavicle fracture (peds)]] for pediatric patients''
 
==Background==
 
==Background==
 
*Middle third: 80%
 
*Middle third: 80%
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==Differential Diagnosis==
 
==Differential Diagnosis==
 
{{Thoracic trauma DDX}}
 
{{Thoracic trauma DDX}}
 
 
{{Shoulder DDX}}
 
{{Shoulder DDX}}
  

Revision as of 05:34, 1 August 2016

This page is for adult patients; see Clavicle fracture (peds) for pediatric patients

Background

  • Middle third: 80%
  • Distal third: 15%
  • Medial third: 5%

Clinical Features

  • Occurs via direct blow to shoulder
  • 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:

Evaluation

  • CXR
    • XR should include both AC joints, to allow better comparison
  • Consider dedicated clavicle or shoulder XR
  • 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 fracture or persistent skin tenting
  • Comminution
  • Displacement

See Also

References