RT Book, Section
A1 Hankin, Mark H.
A1 Morse, Dennis E.
A1 Bennett-Clarke, Carol A.
SR Print(0)
ID 1145873198
T1 Upper Limb
T2 Clinical Anatomy: A Case Study Approach
YR 2017
FD 2017
PB McGraw-Hill Education
PP New York, NY
SN 9780071628426
LK accessphysiotherapy.mhmedical.com/content.aspx?aid=1145873198
RD 2024/04/23
AB Patient  PresentationA  15-year-old  male  comes  to  the  emergency  department  complaining  of  severe  pain  over  his  right  collarbone.  He  uses  his  left  hand  to  hold  his  right  arm  close  to  and  across  the  front  of  his  body.Relevant  Clinical  FindingsHistoryWhile  playing  baseball,  the  patient  reports  colliding  with  the  pitcher  when  running  to  first  base.  The  impact  knocked  him  off  his  feet  and  he  fell  on  his  right  shoulder.  His  mother,  and  others  nearby,  reported  hearing  a  loud  snap.  When  he  stood  up,  he  was  slouched  and  complained  of  extreme  pain  over  his  right  clavicle.Physical  ExaminationThe  following  findings  were  noted  on  physical  examination:Prominence,  ecchymosis,  and  tenderness  over  the  right  midclavicular  regionDiffuse  swelling  over  the  right  clavicle,  shoulder,  and  armRight  upper  limb  depressed  (i.e.,  lower  than  left)Mild  numbness  over  right  upper  limbRight  radial  pulse  weaker  than  leftLung  sounds  normalImaging  StudiesRadiography  of  right  shoulder  revealed  a  midclavicular  fracture  (Fig.  9.1.1).Clinical  Problems  to  ConsiderAnterior  shoulder  dislocationClavicle  fractureShoulder  separation