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For your convenience, find the Trauma List Archive Below

Clavicular fracture

Felix Albers felixalbers at terra.com.br
Thu Oct 19 18:29:54 BST 2006 

Hi folks,

Yesterday I had a patient, 15 years old, with a right distal clavicular fracture, after falling from his skateboard. Rather trivial actually. But he also had on the ipsilateral arm a slightly diminished radial pulse, a slower capillary filling and lower temperature on the hand. He was admitted, his fracture was immobilized with an "eight-bandage" (how is this called in english...) and the next morning any signs of suspected vascular injury were gone.

Is there a suspicion of subclavian injury? How would you evaluate this injury? Would you indicate primary clavicular osteosynthesis based on the vascular finding?

Cheers,

Felix.

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