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Images in paediatrics
Fracture of the clavicle or skeletal disorder?
  1. Céline Klein,
  2. Richard Gouron
  1. Department of Pediatric Orthopaedic Surgery, Amiens University Hospital, Jules Verne University of Picardy, Amiens, France
  1. Correspondence to Dr Céline Klein, Service d’Orthopédie Pédiatrique, CHU Amiens, Groupe Hospitalier Sud, Amiens 80054, France; celinekleinfr{at}yahoo.fr

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A 6-year-old girl with an unremarkable medical history was admitted to the paediatric emergency room for right shoulder trauma following a fall. Clinical examination revealed a foreshortened shoulder girdle. Palpation of the clavicle was painful. No other clinical features were remarkable. Radiograph of the clavicle showed a middle-third defect with an important interfragmentary gap. The emergency physician’s initial diagnosis was a shaft fracture of the clavicle, and therefore the …

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