Symptoms of stridor, shortness of breath, or dysphagia, indicate aerodigestive tract injury and require immediate reduction. Also immediately reduce if evidence of vascular occlusion.
May discharged without attempted reduction (no impact on function)
Clavicular splinting, ice, analgesics
Ortho referral within several days
May be associated with life-threatening injuries:
Pneumothorax, compression/laceration of surrounding great vessels, trachea, or esophagus
Consult ortho for closed reduction (ideally performed in the OR or under procedural sedation)
Reduction must be performed with Cardiothoracic Surgery on-call or nearby due to potential for great vessel injury during reduction / manipulation
Create a sterile field with appropriate skin prep.
A metal towel clip is inserted percutaneously and is used to grasp the medial clavicle, pulling anteriorly until reduction is complete
May be observed afterwards due to severity of trauma and risk for vascular injury
Pneumothorax, compression/laceration of surrounding great vessels, trachea, or esophagus
Reduction must be performed with Cardiothoracic Surgery on-call or nearby due to potential for great vessel injury during reduction / manipulation
Create a sterile field with appropriate skin prep.
A metal towel clip is inserted percutaneously and is used to grasp the medial clavicle, pulling anteriorly until reduction is complete
May be observed afterwards due to severity of trauma and risk for vascular injury
Sternoclavicular dislocation
Airway/Pulmonary
Scapular fracture
Bronchial injury
Navicular fracture
Diaphragmatic trauma
Acromioclavicular joint injury
Hemothorax