Midshaft clavicular fracture

Case contributed by Weng Joe Chua
Diagnosis certain

Presentation

The patient fell onto the right shoulder at school.

Patient Data

Age: 8 years
Gender: Male

Midshaft clavicular fracture

x-ray

The site of fracture is seen at the mid-third of the clavicle. There is an overriding of the fractured fragments by around 7 mm. No other significant abnormality is seen. Managed conservatively with collar and cuff.

x-ray

Follow-up radiograph 3 weeks later demonstrates callus formation is seen around the fracture indicating that the union is progressing. No other abnormality is seen.

Case Discussion

The majority of clavicle fractures are easily managed with a sling and analgesia.

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