Physical Address
304 North Cardinal St.
Dorchester Center, MA 02124
In pieces: Clavicle fracture
Case presentation
A 12-year-old male presents after a direct fall onto his right arm and shoulder while playing soccer. He is comfortable and prefers to hold the arm close to his body and is supporting the injured arm with his opposite hand. There is an obvious bulge at the midshaft of the clavicle with no abrasion or breaks in the skin seen. There is no tenting of the skin.
Imaging considerations
Plain radiography is the imaging modality of choice in children with suspected clavicle fractures. These fractures can readily be seen on a shoulder series or a chest x-ray. A shoulder series is sufficient if there is no concern for associate pulmonary injury. If there is concern for accompanying thoracic injury, then plain chest radiography should be obtained.
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