MCQ Orthopedics Answer 28

The Correct Answer is B

In treating the midshaft clavicular fracture, the goal is reduction of motion at the fracture site. This rarely requires operative intervention and can be managed without orthopedic referral. The fracture site is best stabilized by restricting shoulder motion to less than 45° abduction. Either an arm sling or a figure-of-8 clavicular splint holding the shoulder back at the "position of attention" may be used. The figure-of-8 splint offers the advantage of leaving the elbow and hand free for activity. Ice and analgesics are used as needed during the acute stage of injury. Early use of heat may increase the inflammatory response. The patient may use the arm as pain permits, but should not abduct the arm more than 45° for several weeks. The risk of adhesive capsulitis is negligible in children. Repeat radiographs at each follow-up office visit are not necessary, but a final radiograph could be ordered when clinical union has occurred to assess callus formation.

Ref: Eiff MP: Management of clavicle fractures. Am Fam Physician 1997; 55(1): 121-128

Category: Orthopedics MCQs