Clavicle Fractures - Midshaft Pathway Posted: 3/10/2021 ID: (C101729)

Midshaft Clavicle Fracture in 31M

0%
PRESENTATION
2
0%
POLLS
20,806
0%
OUTCOMES
2
0%
VIDEOS
4
0%
EVIDENCE
45
0%
Comments
29
CASE DESCRIPTION
AGE 31 / Male
CC Left shoulder pain
HPI A 31-year-old male presents after a motor vehicle collision. He complains of isolated left shoulder pain. He has no other injuries and denies any loss of consciousness. Denies any numbness or tingling to the left upper extremity.
PMH 0.5 pack per day smoker
PE A focused physical examination of the left upper extremity reveals an obvious deformity over the clavicle without open wounds. Skin is tented but intact and blanchable. Pain with movement of the shoulder but no other pain in the arm and forearm. Sensation and motor are intact distally and 2+ pulses are present
Pre-procedure IMAGES:
https://upload.orthobullets.com/cases/101729/f2e48169-d726-435a-86fd-f650140f22d8_clavicle_1.jpg https://upload.orthobullets.com/cases/101729/dedfb42f-0f70-4bb3-bc35-61b5118a91ea_clavicle_2.jpg
POLLS
OB Community
1) In addition to plain film clavicle radiographs, would you obtain any additional imaging to guide treatment?
Other
2) Would you use a classification system to guide management?
Other
3) How would you manage this injury?
Other
4) If you choose Nonoperative management, what immobilization treatment would you choose?
Other
5) If you choose Nonoperative management, what activity would you prescribe initially?
Other
6) If you choose Operative management, what surgery would you perform?
Other
7) If you choose Operative management, how would you position the patient?
Other
8) If you choose Open reduction and internal fixation (ORIF) with plate(s) and screws, what construct would you select?
Other
9) If you choose Open reduction and internal fixation (ORIF) with plate(s) and screws, what plate function would you plan on?
Other
10) If you choose ORIF with plate(s), screws, and Lag-neutralization, how many cortices of purchase would you obtain Medial to fracture?
Other
11) If you choose Operative management and attained the construct shown below, how would you manage post-operative weight-bearing?
Other
CASE OUTCOMES
PROCEDURE 1: ORIF Left Clavicle
Intra-procedure P1
https://upload.orthobullets.com/cases/101729/1cda546b-e78c-46e4-bab8-41b4c5be0152_clavicle_3.jpg https://upload.orthobullets.com/cases/101729/7db1ce24-e617-4b37-bdf4-f9fbf186b9b7_clavicle_4.jpg
VIDEOS & PODCASTS (4)
EVIDENCE (45)
EXPERT COMMENTS