Clavicular fracture

Case contributed by Chitani Mbewe
Diagnosis certain

Presentation

Involved in a pedestrian-vehicle accident

Patient Data

Age: 20 years
Gender: Male
x-ray

Fracture of the middle third of the right clavicle diaphysis with marked displacement.

No hemo-pneumothoraces, pulmonary contusions  or airspace opacification.

No pleural effusions.

No hilar or mediastinal lymphadenopathy.

Normal cardiac index and pulmonary vasculature.
 

Case Discussion

Clavicle fractures are common, accounting for 5% of all fractures, especially with high-impact trauma. 50% occur in children under the age of 10 years old.
Nonunion is rare (1-4% of cases); more likely to occur with unstable distal clavicle or poorly immobilized fracture Posttraumatic osteoarthritis is common in type III distal clavicle fractures
 

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