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Clavicle Fracture

Clavicle Fracture is a topic covered in the 5-Minute Emergency Consult.

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Basics

Description

  • Clavicular fractures account for 5% of all fractures in all age groups.
  • 80% of clavicular fractures involve the middle 3rd.
  • 15% occur in the distal 3rd.
  • 5% occur in the medial 3rd.
Classification
  • Group I: Middle-3rd fractures
  • Group II: Distal-3rd fractures:
    • Type I: Coracoclavicular ligaments are intact (nondisplaced).
    • Type II: Severing of the coracoclavicular ligaments (conoid)
    • Type III: Articular surface involvement of the acromioclavicular joint
  • Group III: Medial (proximal)-3rd fractures

Etiology

Mechanism:
  • Direct trauma to the clavicle
  • Fall on the lateral shoulder
  • Fall on the outstretched hand

Pediatric Considerations
  • Most common of all pediatric fractures
  • May occur in newborns secondary to birth trauma


Geriatric Considerations
Geriatric patients who sustain a clavicular fracture may have difficulty performing activities of daily living. The patient's social and living situations should be assessed to determine a safe discharge plan that may require additional assistance at home.


Pregnancy Considerations
Clavicular fractures are the result of direct trauma. Patients who are pregnant should be appropriately worked up for other injuries but also should receive fetal monitoring to ensure the health of the fetus. Even minor injuries can result in trauma or harm to the fetus.

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Citation

Rosen, Peter, et al., editors. "Clavicle Fracture." 5-Minute Emergency Consult, 5th ed., Lippincott Williams & Wilkins, 2016. Emergency Central, emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307654/all/Clavicle_Fracture.
Clavicle Fracture. In: Rosen P, Shayne P, Barkin AZ, et al, eds. 5-Minute Emergency Consult. 5th ed. Lippincott Williams & Wilkins; 2016. https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307654/all/Clavicle_Fracture. Accessed April 26, 2019.
Clavicle Fracture. (2016). In Rosen, P., Shayne, P., Barkin, A. Z., Wolfe, R. E., Hayden, S. R., Barkin, R. M., & Schaider, J. J. (Eds.), 5-Minute Emergency Consult. Available from https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307654/all/Clavicle_Fracture
Clavicle Fracture [Internet]. In: Rosen P, Shayne P, Barkin AZ, Wolfe RE, Hayden SR, Barkin RM, Schaider JJ, editors. 5-Minute Emergency Consult. Lippincott Williams & Wilkins; 2016. [cited 2019 April 26]. Available from: https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307654/all/Clavicle_Fracture.
* Article titles in AMA citation format should be in sentence-case
TY - ELEC T1 - Clavicle Fracture ID - 307654 ED - Rosen,Peter, ED - Shayne,Philip, ED - Barkin,Adam Z, ED - Wolfe,Richard E, ED - Hayden,Stephen R, ED - Barkin,Roger M, ED - Schaider,Jeffrey J, BT - 5-Minute Emergency Consult UR - https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307654/all/Clavicle_Fracture PB - Lippincott Williams & Wilkins ET - 5 DB - Emergency Central DP - Unbound Medicine ER -