Fracture Of Clavicle

Question 1

Age

Answer 1

All age

Question 2

Mechanism

Answer 2

FOOSH
trauma

Question 3

Clincal feature

Answer 3

H/o of trauma / FOOSH
pain
Swelling
Subcutaneous lump

Question 4

Classification

Answer 4

Group 1 - middle third ( most common )
Group 2 - lateral third
Group 3 - medial third

Question 5

Imaging

Answer 5

X ray - AP , LATERAL
shows displacement -
If fracture in middle third then outer fragment downwards due to pectoralis major
Inner fragment upwards due to sternocleidomastoid

Question 6

Treatment

Answer 6

Middle third
Lateral third
Medial third

Question 7

Middle third

Answer 7

Undisplaced -
Sling
Stapping and sling
Figure 8 bandage
For 2 to 3 weeks
Displaced - ORIF

Question 8

Lateral third

Answer 8

If ligament intact
Sling 2 to 3 weeks
Followed by active shoulder exercise
If ligament torn
ORIF

Question 9

Medial third

Answer 9

Undisplaced
Sling for 2 to 3 weeks
Displaced
ORIF

Question 10

Complication

Answer 10

Early
Late

Question 11

Early

Answer 11

Injury to brachial plexus ,
Subclavian
Pneumothorax

Question 12

Late

Answer 12

Non union
Malunion
Stiffness