Ortho Hors D'oeuvres (Prompt):

Patient is a 19 year-old right-handed female presenting with right shoulder pain. She was playing lacrosse when she fell directly down onto her right shoulder. On physical examination, she has tenderness to palpation at the medial clavicle with associated mild swelling. She has no bony tenderness to the distal clavicle or glenohumeral joint. Her range of motion of the shoulder is limited secondary to pain, but her neurovascular examination is normal distally.

Radiographs are below:


1) What are the findings on the initial radiographs?

2) What are the next steps in evaluation?

3) What is the appropriate definitive management?


Featured Posts
Recent Posts
Search By Tags

Important: If you think you have a medical emergency, call 911 or go to the nearest hospital. The views expressed on this site are my own. Do not attempt emergency care through this site. The intended audience for this site is other emergency medicine physicians in an educational setting, and the information contained on this website provides general information for educational purposes only; it is not a substitute for medical or professional care. This site is not designed to and does not provide medical advice, professional diagnosis, opinion, treatment or services to you or to any other individual, and you should not use the information in place of a visit, call consultation or the advice of your physician or other healthcare provider. I am not liable or responsible for any advice, course of treatment, diagnosis or any other information, services or product you obtain through this site. The views expressed on this site should not be considered complete or exhaustive, nor should you exclusively rely on such information to recommend a course of treatment for you or any other individual.