Clavicle fracture: Difference between revisions
m (Rossdonaldson1 moved page Clavicle Fracture to Clavicle fracture) |
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*Routine imaging may miss some fractures (particularly at either end of the bone) | *Routine imaging may miss some fractures (particularly at either end of the bone) | ||
*CT may be required for definitive diagnosis | *CT may be required for definitive diagnosis | ||
==Differential Diagnosis== | |||
{{Thoracic trauma DDX}} | |||
==Management== | ==Management== | ||
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==See Also== | ==See Also== | ||
*[[Clavicle fracture (peds)]] | |||
*[[Fractures (Main)]] | *[[Fractures (Main)]] | ||
Revision as of 08:56, 10 January 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 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
Differential Diagnosis
Thoracic Trauma
- Airway/Pulmonary
- Cardiac/Vascular
- Musculoskeletal
- Other
Management
- Consult ortho for:
- Open fx or persistent skin tenting
- Comminution
- Displacement
- Sling
See Also
Source
- Tintinalli