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OrthoVellum

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Hand & Upper Limb
intermediate
X-Type

Distal Clavicle Fracture

Shoulder Trauma

A 45-year-old man falls directly onto his right shoulder while mountain biking. He presents with pain and inability to raise his arm. Examination shows tenderness over the distal clavicle, tenting of the skin superiorly, and a palpable step-off. There is no neurovascular compromise. Radiographs show a displaced fracture of the distal clavicle with the medial fragment displaced superiorly. The coracoclavicular distance on the injured side is double that of the uninjured side. Regarding distal clavicle fractures:

Mark each as TRUE or FALSE

A

Distal clavicle fractures account for 15-25% of all clavicle fractures; the Neer classification divi...

B

In Type II fractures, the medial clavicle fragment displaces superiorly due to trapezius pull while ...

C

Distal clavicle fractures are the most common clavicle fracture; Type I has the highest nonunion rat...

D

Surgical indications include: Type II fractures (especially in young, active patients), significant ...

E

Type I and III fractures can usually be treated conservatively with good outcomes; Type I is stable ...

Answer the questions to see explanations

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