Review Question - QID 213818

A 12-year-old boy presents to the emergency department after being tackled while playing football. He complains of left shoulder pain and is intermittently crying. The patient is otherwise healthy and takes no medications. His temperature is 99.2°F (37.3°C), blood pressure is 100/75 mmHg, pulse is 92/min, respirations are 16/min, and oxygen saturation is 100% on room air. Physical exam is notable for normal range of motion of the affected shoulder with no tenderness to palpation of the shoulder and minor tenderness to palpation over the clavicle with some swelling. A radiograph of the patient’s left clavicle is performed as seen in Figure A. Ultrasound is performed of the left radial artery after failure to palpate a pulse, and minimal/absent flow is seen. There is no surrounding hematoma nor disruption of the cortex of the bone in that region. Which of the following is the most appropriate management of this patient?