Podcast Beta
Questions and Answers
What is the primary mechanism of displacement of the proximal fracture fragment in a clavicular fracture?
What is the primary reason for assessing the distal neurovascular status in a patient with a clavicular fracture?
What is the purpose of obtaining a 30° caudal radiograph in a patient with a suspected clavicular fracture?
Which of the following is a relative indication for surgical management of a clavicular fracture?
Signup and view all the answers
What is the primary goal of conservative management of a clavicular fracture?
Signup and view all the answers
What is the typical location of a clavicular fracture?
Signup and view all the answers
Study Notes
Clavicle Fractures
- Clavicle fractures commonly occur at the midpoint between the middle and distal thirds of the bone.
- The distal fracture fragment is displaced inferiorly due to gravity, while the sternomastoid muscle displaces the proximal fragment superiorly.
- Clavicle fractures are more common in young males and are often caused by direct falls onto the shoulder or outstretched hand (FOOSH).
Presentation
- Pain and tenderness are present in the shoulder and clavicular region.
- Visible protrusion along the clavicular line may be seen, and skin tenting or open fracture is possible.
- It is essential to assess the distal neurovascular status, including the brachial plexus, subclavian vessels, axillary nerve, and artery.
Investigations
- Clavicle AP radiograph and 30° caudal are used to assess position and deformity.
Management
- Conservative management: Immobilization using a sling or collar and cuff is usually sufficient.
- Surgical management: Open reduction and internal fixation (screws and plate, intramedullary rods) is indicated for:
- Displaced lateral fractures
- Shortening of the clavicle
- Open fractures
- Soft tissue (neurovascular) compromise
- Bilateral fractures
- Multiple trauma (e.g., flail chest and symptomatic nonunions)
Complications
- Postoperative complications:
- Infection
- Removal of metalwork
- Neurovascular injury
- Malunion (impinged shoulder abduction) or nonunion (~5-10%):
- Higher rate with lateral fractures
- Brachial plexus injury (high energy)
- Pneumothorax (high energy)
Studying That Suits You
Use AI to generate personalized quizzes and flashcards to suit your learning preferences.
Description
This quiz covers the causes, symptoms, and characteristics of clavicular fractures, including the common location of the fracture, displacement of fragments, and visible signs.
