Clavicle Fracture Flashcards

1
Q

What is the most common bony injury in children, adolescents and newborns?

A

A clavicle fracture

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2
Q

What is the MOI of a clavicle fracture?

A

Mid-high energy impact to area
*middle third is most common
*will be a history of falling on shoulder or being struck over clavicle by heavy object

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3
Q

What are the symptoms of a clavicular fracture?

A
  1. Difficulty raising arm secondary to pain
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4
Q

What will be on the physical exam?

A
  1. Deformity at fracture site (tenting)
  2. Tenderness
  3. Assess neurovascular status
  4. Assess sternoclavicular joint tenderness/dislocation
  5. Assess for AC joint tenderness/injury
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5
Q

What tests should be conducted?

A
  1. AP X-rays of the entire clavicle (not just shoulder films)
  2. CT if X-ray is unclear
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6
Q

What are some complications of a clavicle fracture?

A
  1. Pneumothorax (due to downward displacement of the clavicle)
  2. Coracoclavicular ligament disruption
  3. Hemothorax
  4. Brachial plexus injuries
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7
Q

What is the treatment?

A
  1. Sling for 4-6 weeks
    *gentle motion begins at 3 weeks
    *no contact sports/weight lifting for 3-4 months
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8
Q

What is surgical treatment used for?

A
  1. Open fracture
  2. Neurovascular injury
  3. Severe ipsilateral chest injury
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9
Q

When to refer?

A
  1. If fracture is proximal 1/3
  2. Painful nonunion after 4 months of treatment
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