S42.015

Clinical Causes: High-impact trauma, such as a car accident or fall onto the shoulder or chest Sports injuries involving direct blows or falls Falls from a significant height Blunt force injuries during physical activities or accidents Crush injuries to the chest area

Key Symptoms: Severe pain at the injury site, especially when moving the shoulder Swelling and tenderness around the clavicle Deformity or a visible bump near the sternal end of the clavicle Limited range of motion in the shoulder and arm Pain that worsens with movement or pressure Possible numbness or tingling if nerves are affected

Diagnosis Path: Doctors typically perform a physical examination to assess tenderness, deformity, and movement limitations. Imaging studies are essential to confirm the fracture and its displacement. These may include: - X-rays to visualize the fracture and displacement - CT scans if detailed imaging is needed to evaluate complex fractures The diagnosis helps determine the severity of displacement and appropriate treatment options.

Treatment Protocols: Management depends on the severity and displacement of the fracture. - **Conservative treatment:** Most displaced sternal end clavicle fractures can be managed with non-surgical methods, including: - Immobilization using a sling or shoulder brace to limit movement - Pain medication to alleviate discomfort - Physical therapy to restore range of motion once healing progresses - **Surgical intervention:** If the fracture is significantly displaced or if there are complications, surgery may be necessary to realign the bones and stabilize them using plates, screws, or pins. Postoperative care involves pain management, immobilization, and guided physical therapy. Healing times vary but generally require several weeks to months, depending on age, health, and fracture severity. Follow-up assessments are crucial to monitor healing and function restoration.