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Review Question - QID 220819

QID 220819 (Type "220819" in App Search)
A 7-week-old male is referred to your office by a pediatric orthopedist for management of an upper extremity plexopathy, following a traumatic birth in which the patient sustained a clavicle fracture following a prolonged, forceps-assisted delivery. Which of the following clinical findings would most likely require consideration for early surgical intervention?