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Clavicle fracture orthobullets9/24/2023 !Careful neurological examination should be performed to define potential (but rare) associated brachial plexus injury. Careful airway protection and neurovascular assessment is required. Toddlers may present to ED with only history of avoiding use of the arm, as the trauma may not have been witnessed.įractures of the medial third are usually the result of high impact blunt force to the anterior chest (such as in a motor vehicle accident), and can be associated with neurovascular, pulmonary and cardiac (rare) injuries. The vast majority present with pain, swelling and deformity along the line of the clavicle, and a history of a fall onto an outstretched arm. Injuries are usually the result of a fall on an outstretched hand with the force transmitted up the arm.Ī direct blow to the outer end of the clavicle (such as a fall onto the point of the shoulder during sporting activities or a striking injury) can be associated with distal third injuries and acromioclavicular joint disruption.Ĭlavicle fracture is also the most common perinatal fracture associated with birth trauma. Half of all paediatric clavicle fractures occur under the age of seven years. The clavicle is one of the most common fractured bones in children. How common are they and how do they occur? Associated sternoclavicular dislocationģ. Lateral ⅓ fractures are at higher risk of nonunion than other typesĭefined by shortening/comminution/angulation LocationĪround and lateral to coracoclavicular ligaments
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