Skip to content

Clavicle Fracture

Discussion

A 28-year-old man presents to the emergency department after a fall while biking. He reports landing directly on his left shoulder and immediately felt sharp pain in the area. He noticed difficulty moving his arm and a visible deformity near his collarbone. He denies any numbness or tingling in his arm or hand.

On physical examination, there is obvious swelling and bruising over the left clavicle with a noticeable bump in the midshaft area, consistent with a fracture. The left arm is being held close to the body for support, and there is pain with shoulder movement. X-rays confirm a displaced midshaft clavicle fracture.

The patient is diagnosed with a clavicle fracture. Treatment involves immobilizing the arm with a sling, and he is advised to rest, apply ice, and avoid lifting heavy objects. Follow-up is scheduled with an orthopaedic specialist to monitor healing and determine if surgical intervention is necessary due to the displacement.

Questions
1. How did the patient sustain the clavicle fracture?

a). A car accident

b). A fall while biking

c). Lifting a heavy object

d). Playing basketball

 

 

 

 

2. What was the most obvious clinical sign of the clavicle fracture?

a). Numbness in the arm

b). Swelling and a noticeable bump over the clavicle

c). Loss of pulse in the affected arm

d). Redness along the collarbone

3. What diagnostic test confirmed the clavicle fracture?

a). MRI

b). Ultrasound

c). X-ray

d). CT scan

4. What is the initial treatment for this patient’s clavicle fracture?

a). Physical therapy

b). Arm immobilization with a sling

c). Surgery

d). Corticosteroid injections

Reveal answers

Answers

  1. b). A fall while biking
  2. b). Swelling and a noticeable bump over the clavicle
  3. c). X-ray
  4. b). Arm immobilization with a sling