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Clavicle fracture — MRCEM SBA MCQ

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ModerateShoulder InjuriesClavicle fractureMRCEM SBA

A 30-year-old cyclist falls onto an outstretched hand. He has mid-clavicular pain, tenting of the skin, and paraesthesia in the hand. What is the most appropriate management?

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Correct answer: D — Urgent orthopaedic assessment

Skin tenting and neurological symptoms after clavicle fracture suggest a threatened open injury or neurovascular involvement. Urgent orthopaedic assessment is needed. Uncomplicated minimally displaced fractures can be managed conservatively, but this presentation is not uncomplicated.

Reference: NICE CKS; Brukner & Khan