Paediatric Clavicle Fracture

Clavicle fracture is a common presentation and some patients can be managed at home without fracture clinic follow up.

Inclusion Criteria

  • Isolated mid-shaft clavicle fracture
  • Parents/Carers comfortable to manage at home

Exclusion Criteria

  • Age >12 years or <1 year
  • High level sporting activity using upper limbs (i.e. throwing sports)
  • Suspicion of Non-Accidental Injury (ref to paediatric Reg/Con)
  • Open, skin tenting or neuro-vascular  (ref to Orthopedics)
  • Fracture to medial or lateral 1/4’s of clavical (ref # Clinic)
  • Comminuted fracture (ref # Clinic)
  • Chronic bone disease (ref # Clinic)
  • Parent/Carer not comfortable to manage at home (ref # Clinic)

Actions

  • Broad Arm Sling
  • Advice + Information sheet
  • Discharge (if NO exclusions)
  • Refer as appropriate (if excluded)