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Patient Identity
Name
: RF
Age
: 29 years old
Sex
: Male
Date of admission : May 15th 2014
RM
: 663655
History Taking
Chief complaint: Pain at the right shoulder
General State
Well nourished / Compos mentis
Local State
Right shoulder region
I
Clinical Pictures
Laboratory Finding
May 15th 2014
WBC : 11x103/mm3
RBC : 5,66 x106/mm6
HGB : 14,5 g/dl
HCT : 43, 9%
PLT
: 190 x103/mm3
: 700
BT
: 300
Radiological Finding
Resume
A
Diagnosis
Closed Comminuted Fracture 1/3 Middle Right
Clavicle
Therapy
IVFD
Analgetic
Apply
mitella
Plan: Open Reduction and
Internal Fixation (ORIF)
Discussion
Introduction
Fracture
is a break in continuity
of a bone.
Fracture of the clavicle is one of
the commonest fractures in
childhood and early adult life,
and is usually caused by a fall
onto the shoulder or the
outstretched hand.
Duckworth P, Blundell CM. Fractures and healing. In: Duckworth P, Blundell CM. Lecture Notes:
Orthopaedics and fractures. 4th edition. Hoboken: Wiley-Blackwell; 2010.
Epidemiology
80
5
1
Koval KJ, Zuckerman JD, eds. Clavicle fractures. In: Koval KJ, Zuckerman JD. Handbook of fractures.
Third Edition. Philadelphia: Lippincott Williams & Wilkins; 2006
Mechanism of Trauma
Direct trauma
Indirect
trauma
Lazarus MD, Seon C. Fractures of the clavicle. In: Bucholz RW, Heckman JD, Court-Brown CM.
Rockwood and greens fracture in adults. Sixth edition. Philadelphia: Lippincott Williams &
Wilkins; 2006
Anatomy
Classification
Allmans Classification
Group I: fracture of the middle
third
Group II: fracture of the distal third
Group III: fracture of the proximal
third
Koval KJ, Zuckerman JD, eds. Clavicle fractures. In: Koval KJ, Zuckerman JD. Handbook of
fractures. Third Edition. Philadelphia: Lippincott Williams & Wilkins; 2006.
Lazarus MD, Seon C. Fractures of the clavicle. In: Bucholz RW, Heckman JD, Court-Brown CM.
Rockwood and greens fracture in adults. Sixth edition. Philadelphia: Lippincott Williams & Wilkins;
2006
Diagnosis
History Taking
Lazarus MD, Seon C. Fractures of the clavicle. In: Bucholz RW, Heckman JD, Court-Brown CM.
Rockwood and greens fracture in adults. Sixth edition. Philadelphia: Lippincott Williams & Wilkins;
2006.
Management
Duckworth P, Blundell CM. Fractures and healing. In: Duckworth P, Blundell CM. Lecture Notes:
Orthopaedics and fractures. 4th edition. Hoboken: Wiley-Blackwell; 2010.
Complication
Neurovascular
compromise
Malunion
Nonunion
Posttraumatic
arthritis
Infection
Hypertrophic
scar
Refracture
Koval KJ, Zuckerman JD, eds. Clavicle fractures. In: Koval KJ, Zuckerman JD. Handbook of fractures. Third
Edition. Philadelphia: Lippincott Williams & Wilkins; 2006.
Lazarus MD, Seon C. Fractures of the clavicle. In: Bucholz RW, Heckman JD, Court-Brown CM. Rockwood and
greens fracture in adults. Sixth edition. Philadelphia: Lippincott Williams & Wilkins; 2006.
Prognosis
Clavicular
Duckworth P, Blundell CM. The shoulder and upper arm. In: Duckworth P, Blundell CM. Lecture
Notes: Orthopaedics and fractures. 4th edition. Hoboken: Wiley-Blackwell; 2010.
Thank You