Clavicle fracture: Difference between revisions
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**Distal third: 15% | **Distal third: 15% | ||
**Medial third: 5% | **Medial third: 5% | ||
==Clinical Features== | ==Clinical Features== | ||
Revision as of 01:33, 11 February 2012
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