Clavicle Fractures Differential Diagnoses

Updated: Jun 12, 2017
  • Author: Benjamin P Kleinhenz, MD; Chief Editor: Craig C Young, MD  more...
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DDx

Diagnostic Considerations

Complications after group III (medial third of the clavicle) fractures resemble those associated with posterior sternoclavicular dislocations, including pneumothorax and compression or laceration of the great vessels, trachea, or esophagus.

The medial epiphysis ossifies later than the rest of the clavicle, beginning at age 12-19 years, and may not completely fuse until age 22-25 years. Physial injuries around this area may be mistaken for fractures, and care should be taken in evaluating injuries.

Neurovascular injuries, especially those to the ulnar nerve, are also included in the differential diagnosis of clavicle fractures.

Differential Diagnoses