Clavicle Fractures Management Quiz

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What is a red flag for neurovascular compromise in patients with retrosternal structures damage?

Stridor (correct)

Hoarse voice

Severe headache

Muscle weakness

How are anterior shoulder dislocations typically managed in the acute setting?

Surgical repair immediately

Two weeks of arm sling or collar and cuff followed by early return to function (correct)

Three months of strict immobilization

No treatment needed, as it resolves on its own

What imaging modality is ideally used to assess for a traumatic cuff tear in patients with shoulder dislocations?

Bone scan

X-ray

Ultrasound or MRI (correct)

CT scan

What is the surgical management indication for patients with >100% displacement of a clavicle fracture?

Urgent surgical intervention Signup and view all the answers

Which imaging technique can show an acromioclavicular dislocation with more than 100% displacement?

X-ray Signup and view all the answers

What is the main determinant for the treatment approach in patients with retrosternal structures damage?

Severity of displacement of the clavicle Signup and view all the answers

What is the typical duration of immobilisation in an arm sling for clavicle fractures?

4-6 weeks Signup and view all the answers

Which of the following is NOT an absolute indication for surgery in clavicle fractures?

Minimal displacement and shortening Signup and view all the answers

What type of fractures proximal to the surgical neckline are usually treated conservatively in an arm sling or collar and cuff?

Proximal humerus fractures Signup and view all the answers

In proximal humerus fractures, which of the following is a surgical indication?

Fractures which have failed conservative treatment Signup and view all the answers

Which of the following is a relative indication for surgery in clavicle fractures?

Multiple fractures Signup and view all the answers

What is the usual timeframe expected for full healing in clavicle fractures?

6-8 weeks Signup and view all the answers

What are the two red flags in the Orthopaedics ward mentioned in the text?

Fat embolism and compartment syndrome Signup and view all the answers

What type of dislocation poses a risk of injury to vital structures behind the sternum and under the clavicle?

Posterior sternoclavicular dislocation Signup and view all the answers

What is the recommended approach if closed reduction fails for a patient with posterior sternoclavicular joint dislocation?

Open reduction and surgical stabilization Signup and view all the answers

Which anatomical joints form the shoulder girdle?

Sternoclavicular, acromioclavicular, and glenohumeral joints Signup and view all the answers

Which type of dislocation is more common in adults due to falls from heights or contact sports injuries?

Posterior acromioclavicular dislocation Signup and view all the answers

When is a closed reduction manoeuvre attempted for patients with posterior sternoclavicular joint dislocation?

Before proceeding to open reduction and surgical stabilization Signup and view all the answers