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Old 05-22-2012
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Rheumatology/Orthopedics Treatment of fracture clavicle

Hi all: In UW it says that clavicular fracture always need to check whether there is neurovascular injury or not, however, in kaplan it says that we do figure of 8.

Which is right?

Thank you!
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Old 05-22-2012
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figure of 8 is no longer recommended anymore, just check if the pt has any neurovascular problems, and if not all u need is a sling

Injury to the brachial plexus by a fragment of bone after fracture of the clavicle is the most common type of injury
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Old 05-22-2012
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but textbooks still say " figure of 8", in case of exams, we shall still answer figure of 8?




Quote:
Originally Posted by bisho View Post
figure of 8 is no longer recommended anymore, just check if the pt has any neurovascular problems, and if not all u need is a sling

Injury to the brachial plexus by a fragment of bone after fracture of the clavicle is the most common type of injury
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Old 05-22-2012
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yea i agree with u but if u check mtb & even medscape (last update)
and i dont think usmle will put the 2 choices together, but in case if u did'nt find figure of 8 u can choose sling

Nonoperative treatment of clavicle fractures consists of sling support for 6 weeks the article Updated: Mar 7, 2012
http://emedicine.medscape.com/article/1260953-treatment
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Old 05-22-2012
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Really depends on the type of damage seen. Clearly you have to do an xray to see where its broken. Then you can choose between figure of 8 bandage or examine for neurovascular injury.

Just go by what the vignette says and also the fact whether the pt with a clavicular fracture is a peds or adolescent/adult patient.
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Old 05-22-2012
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Quote:
Originally Posted by chienpolska View Post
but textbooks still say " figure of 8", in case of exams, we shall still answer figure of 8?
text book is getting updated this year
in the live lectures they hv changed it to a sling already.

no more figure of 8
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Old 05-23-2012
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Quote:
Originally Posted by chienpolska View Post
Hi all: In UW it says that clavicular fracture always need to check whether there is neurovascular injury or not, however, in kaplan it says that we do figure of 8.

Which is right?

Thank you!
Sling is the right answer
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