| 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.