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Question

Malcolm injured himself after trying to break his fall with outstretched arms. The emergency room physician took one look at his shoulder and saw that Malcolm had a broken clavicle (and no other injury). Describe the position of Malcolm’s shoulder. What part of the clavicle was most likely broken? Malcolm was worried about injury to the main blood vessels to his arm (the subclavian vessels), but he was told such injury was unlikely. Why could the doctor predict this?

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The most common site of the clavicle fracture is the edge of the intermediate and external third of the bone. Due to the weight of the arm, the trapezius muscle can't hold the outer broken part of the bone, so it is lowered and pointed forward, and the shoulder drops.

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