Orthonotes
Orthonotes
by the.bonestories
v3.0 Fusion
v3.0 Fusion
trauma topic hub

Clavicle Fractures — Management

Most common: midshaft fractures; assess displacement, shortening, comminution, skin tenting, neurovascular status. Nonoperative for minimally displaced; operative indications include >2 cm shortening, 100% displacement, comminution, open injury, skin compromise, floating shoulder, polytrauma. Fixation options: plate (superior/anteroinferior), intramedullary device; lateral third may need coracoclavicular augmentation. Complications: nonunion, malunion with symptomatic shortening, hardware irritation, pneumothorax (rare).

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Most common: midshaft fractures; assess displacement, shortening, comminution, skin tenting, neurovascular status. Nonoperative for minimally displaced; operative indications include >2 cm shortening, 100% displacement, comminution, open injury, skin compromise, floating shoulder, polytrauma. Fixation options: plate (superior/anteroinferior), intramedullary device; lateral third may need coracoclavicular augmentation. Complications: nonunion, malunion with symptomatic shortening, hardware irritation, pneumothorax (rare).
MCQs

High-yield practice questions

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Question 1

What is the most common location for clavicle fractures?

Question 2

Which of the following is NOT an indication for surgical intervention in clavicle fractures?

Question 3

Which fixation method is preferred for displaced midshaft clavicle fractures?

Question 4

What is the primary concern when a clavicle fracture has significant displacement and skin tenting?

Question 5

What is the recommended management for minimally displaced midshaft clavicle fractures?

Question 6

In the context of clavicle fractures, what does the term 'floating shoulder' refer to?

Question 7

Which complication is least likely to occur following clavicle fracture management?

Question 8

For a displaced distal clavicle fracture, which augmentation might be necessary?

Question 9

What is the first-line investigation for suspected clavicle fractures?

Question 10

Which of the following is a common symptom associated with clavicle fractures?