Closeup woman with hands holding her shoulder pain. Office syndrome and Health care concept.
A 14-year-old male patient presents with right shoulder pain after being tackled at football practice. Images show a midshaft clavicle fracture with 1 cm of shortening and 80% displacement. The injury is closed and the patient has no change in his neurovascular examination. Which of the following would be definitive treatment for this patient’s injury?
Open reduction and internal fixation with an anteroinferior plate
Based on the patient’s age, examination, and degree of displacement, surgery is not indicated.
Open reduction and internal fixation with a superior nonlocking plate
Based on the patient’s age, examination, and degree of displacement, surgery is not indicated.
Nonoperative management with a sling or figure-of-eight harness
Nonoperative management is indicated based on the patient’s age, degree of displacement, and examination.
Open reduction and internal fixation with a superior locking plate
Based on the patient’s age, examination, and degree of displacement, surgery is not indicated.
