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Review Question - QID 8164

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QID 8164 (Type "8164" in App Search)
Figure 3a is the initial radiograph of a 19-year-old man who sustained a closed clavicle fracture. Figures 3b and 3c show postoperative radiographs. If the patient had been treated nonsurgically, which of the following would most likely occur?
  • A
  • B
  • C

Normal shoulder strength and function

7%

5/75

Local sensory deficits

0%

0/75

Fracture union

11%

8/75

Infection

1%

1/75

Malunion

75%

56/75

  • A
  • B
  • C

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Recent studies comparing surgical treatment with nonsurgical management in displaced clavicle fractures have revealed a decreased rate of malunion and nonunion with surgery. In addition, significant malunions can lead to functional deficits at the shoulder. Thus, with open reduction and internal fixation and anatomic or near-anatomic reduction, there should be a higher likelihood of normal shoulder strength and function. Infection and local sensory deficits would not be expected with nonsurgical management, whereas surgical treatment has a small risk of infection and a high likelihood of sensory deficits from iatrogenic damage to the supraclavicular nerves.

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