Clavicle fracture

Revisión del 01:32 11 feb 2012 de Jswartz (discusión | contribs.) (Created page with "==Background== *Occurs via direct blow to shoulder **Middle third: 80% **Distal third: 15% **Medial third: 5% ==Clinical Features== *Swelling, deformity, and tenderness overlyi...")
(difs.) ← Revisión anterior | Revisión actual (difs.) | Revisión siguiente → (difs.)

Background

  • Occurs via direct blow to shoulder
    • Middle third: 80%
    • Distal third: 15%
    • Medial third: 5%


Clinical Features

  • Swelling, deformity, and tenderness overlying the clavicle
  • Arm is supported by the other extremity
  • Distal fx often assoc w/ coracoclavicular ligament rupture
  • Medial fx often assoc w/ intrathoracic injuries

Imaging

  • Routine imaging may miss some fractures (particularly at either end of the bone)
  • CT may be required for definitive diagnosis

Management

  • Consult ortho for:
    • Open fx or persistent skin tenting
    • Comminution
    • Displacement
  • Sling

Source

  • Tintinalli
Obtenido de «https://www.wikem.org/w/index.php?title=Clavicle_fracture&oldid=7908»