Active 70 with clavicle fracture | Figure 1

DrMo-UC

Family Medicine

Active 70 with clavicle fracture

Ortho suggested surgical repair. How would you manage? What other information is necessary?


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Explant taken out followed by a distal femoral repair


When reporting Knee joints, after trauma - especially history of a "pivot shift" type injury, always look at the lateral femoral condyle notch on the lateral view. This is a normal anatomy, but if the notch is elongated or >2mm deep, and especially if one sees evidence of a joint effusion extending into the suprapatellar extension of the joint capsule, one must consider an Anterior Cruciate Ligament injury. There is a high incidence of association.
In hyperextension the ACL tears and the Lateral femoral condyle impinges on the posterior marin of the tibial condyle, which causes a subtle compression fracture of the Femoral notch.


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