Shoulder Fx of the clavicle

Question 1

Most common MOI for clavicle Fx

Answer 1

from falling on shoulder or being struck over clavicle

Question 2

True/ FAlse
Fx of the clavicle is the most common bony injury

Answer 2

True

Question 3

True/ FAlse
Fx of the clavicle is the most common bony injury

Answer 3

True

Question 4

What are the classifications of Clavicle fx?
What is the most common

Answer 4

(a) Middle third - Most common
(b) Distal third
(c) Proximal third

Question 5

What dx
Clinical Symptoms
-(1) Pain over fracture site
-(2) Pain with arm motion
Physical Exam
-(1) Inspection
–(a) Bony deformity, bump, as well as shoulder droop
-(2) Palpation
–(a) Gentle pressure over fracture will elicit pain
-(3) ROM
–(a) Decreased due to pain. Grinding noted when patient attempts to move arm.
-(4) Muscle Tests
–(a) Decreased due to pain
-(5) Neurovascular Tests
–(a) Assess axillary, musculocutaneous, median, ulnar and radial nerve function
distal to the fracture
–(b) Assess radial pulse and capillary refill
-(6) Special Tests
–(a) Positive Cross-Body test with possible grinding
–(b) Not required if obvious deformity is noted

Answer 5

Clavicle Fx

Question 6

Treatment clavicle fx

Answer 6

(1) Ice
(2) Analgesics (consider narcotic-level pain control)
(3) Orthopedic consult
(4) Mid-shaft fracture with minimal displacement and no neurovascular injury
–(a) Figure-of-8 strap for 6-8 weeks

Question 7

clavicle Fx Referral Decisions/Red Flags
(1) All fractures require referral – MEDEVAC
(2) Painful nonunion after __ months of treatment
(3) Widely displaced lateral or mid-shaft fractures or segmental fractures

Answer 7

2) 4