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Clavicle Fracture, Emergency Medicine

Reviewed 06/2017
 


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.

Class...

Diagnosis

Signs and Symptoms

History

  • Local pain, tenderness, and swelling over the fracture site

  • Crepitus is often present owing to the clavicle's SC position

  • Arm held in adduction against the chest wall ...

Treatment

Pre-Hospital

  • Ice packs to affected area

  • Pain management using either narcotics or NSAIDs

  • Immobilize affected side in a sling.

Initial Stabilization/Therapy

Airway management and resuscitate as in...

Follow-Up

Disposition

Admission Criteria

  • Open fracture

  • Associated injuries that are potentially life threatening

Discharge Criteria

  • Isolated closed clavicle fracture without other injuries

  • Appropriate suppo...

Pearls and Pitfalls

  • Always be wary of associated injuries that can be life threatening including cervical spine injury, aortic injury, and other cardiopulmonary injuries:

  • Always assess for any neurolog...

Additional Reading

  • Banerjee  R, Waterman  B, Padalecki  J, et al. Management of distal clavicle fractures. J Am Acad Orthop Surg.  2011;19:392–401.

  • Heckman  J, Bucholz  R. Rockwood and Green's Fra...

Codes

ICD9

  • 810.00 Closed fracture of clavicle, unspecified part

  • 810.02 Closed fracture of shaft of clavicle

  • 810.10 Open fracture of clavicle, unspecified part

  • 767.2 Fracture of clavicle due to birth traum...

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