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Trauma
intermediate
X-Type

Clavicle Fractures

Shoulder Girdle Trauma

A 28-year-old cyclist presents after a fall onto his left shoulder. Examination reveals a deformity at the midshaft of the clavicle with tenting of the skin but no break in skin integrity. Radiographs show a displaced midshaft clavicle fracture with greater than 2cm shortening and 100% displacement. He is a competitive cyclist and wishes to return to racing as soon as possible. Regarding clavicle fractures:

Mark each as TRUE or FALSE

A

Midshaft (Group I) fractures account for 80% of clavicle fractures due to the thin cross-section and...

B

Risk factors for nonunion include greater than 2cm shortening, complete displacement (no bony contac...

C

Lateral third fractures are most common; the medial fragment is displaced inferiorly by arm weight; ...

D

Surgical options include superior plating (most common, good mechanical strength but prominent hardw...

E

Lateral third (Group II) fractures are classified by Neer based on coracoclavicular ligament integri...

Answer the questions to see explanations

Click T (True) or F (False) for each option