4.6 of 14 Ratings
A 17-year-old boy comes to the emergency department following an injury during football practice. He fell and landed on the lateral aspect of his right shoulder. He is holding his right arm supported by his left arm, with his right arm adducted against his side. He is tender to palpation directly over the middle third of his clavicle. Radiographs reveal a non-displaced fracture of the middle third of the clavicle. Which of the following is the most appropriate treatment at this time?
Open reduction and internal fixation with a compression plate
Open reduction and internal fixation with an intramedullary nail
Open reduction and internal fixation with lag screws
Select Answer to see Preferred Response
A 54-year-old male comes into the emergency department after a fall from a ladder. He states that his foot slipped while climbing up the ladder to clean his gutters. He fell onto his outstretched right arm and sustained the injury shown in Figure A. The patient did not sustain any other injuries from his fall and there are no abrasions or skin lacerations noted. There is no skin tenting noted over the injury site. What neurovascular structures are most at risk with this injury and should be evaluated?
Supraclavicular nerve and radial artery
Median nerve and brachial artery
Supraclavicular nerve and subclavian artery
Brachial plexus and subclavian artery
Radial nerve and subclavian artery