This edition of PEMCurrents takes a crack at clavicle fractures. The old dictum about broken collarbones states that if both ends of the bone are in the same room it’ll heal fine. For the most part this is true – at least in prepubescent patients. New literature in adults has suggested that outcomes are better for athletes when patients with displaced fractures are repaired in the OR. Ultimately, in the Pediatric Emergency Department our job is diagnose and manage simple fractures appropriately and recognize open fractures and those with neurovascular compromise. We should also be educated about the newest evidence in order to refer patients appropriately to Orthopedics.
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