Edited by Grace Xiong, Brendan Striano, and Harry Lightsey - 7/1/2021
Descriptors
Midshaft vs. distal (in relation to coracoclavicular ligaments)
Exam Pearls
Upper extremity neurovascular exam
Skin threatening: skin tented over bone that is immobile, nonblanchable, or potentially dusky
Workup
Radiographs: Upright clavicle or upright acromioclavicular views (to see bilateral full-length clavicles)
Other imaging: UE CT angiogram if concern for vascular compromise
Labs: only if being admitted for fixation
Other: None
Management
Need for acute intervention: No reduction, immobilization with sling only
Weight-bearing and range of motion: WBAT, ROMAT, out of sling for pendulums
Type of immobilization: Sling for comfort
Admission or discharge status: Discharge with 1-2 week follow up in trauma clinic for repeat XR
Anticoagulation: None
Antibiotics: None
Surgical Indications
Absolute: Open fracture, threatened skin, ipsilateral scapular neck fracture (floating shoulder)
Relative: >100% displaced and >2cm shortening