Clavicle fracture

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