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The JBJS Quiz of the Month is a collection of 10 relevant questions from each orthopaedic subspecialty. The questions are drawn from JBJS Clinical Classroom, which houses over 4,500 questions and 3,100 learning resources. Take the Quiz to see how you score against your peers!

NOTE: This quiz does not earn users CME credits. The questions must be answered within Clinical Classroom to earn CME credits.

A 14-year-old male patient presents with right shoulder pain after being tackled at football practice. Images show a midshaft clavicle fracture with 1 cm of shortening and 80% displacement. The injury is closed and the patient has no change in his neurovascular examination. Which of the following would be definitive treatment for this patient’s injury?
  • Open reduction and internal fixation with an anteroinferior plate
    • Based on the patient’s age, examination, and degree of displacement, surgery is not indicated.

  • Open reduction and internal fixation with a superior nonlocking plate
    • Based on the patient’s age, examination, and degree of displacement, surgery is not indicated.

  • Nonoperative management with a sling or figure-of-eight harness
    • Nonoperative management is indicated based on the patient’s age, degree of displacement, and examination.

  • Open reduction and internal fixation with a superior locking plate
    • Based on the patient’s age, examination, and degree of displacement, surgery is not indicated.

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