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‘A painful try’
  1. Sophie Doyle1,
  2. Giles Haythornthwaite2,
  3. Simon Thomas3
  1. 1 Children's Emergency Department, University Hospitals Bristol NHS Foundation Trust, Bristol, UK
  2. 2 Children's Emergency Department, Bristol Royal Hospital for Children, Bristol, UK
  3. 3 Paediatric Orthopaedic and Trauma Surgery, University Hospitals Bristol NHS Foundation Trust, Bristol, UK
  1. Correspondence to Dr Sophie Doyle, Children's Emergency Department, University Hospitals Bristol NHS Foundation Trust, Bristol, UK; sophieHdoyle{at}googlemail.com

https://doi.org/10.1136/emermed-2019-209141

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    A 12-year-old boy presented to the Children’s Emergency Department having sustained a left clavicular injury while playing rugby. Another player had fallen on him while he was scoring a try.

    On examination, there was a tender and painful protuberance over the left sternoclavicular joint (SCJ) but no tenderness or swelling over the acromioclavicular joint or distal clavicle. Left arm movement was limited due to pain. The limb was neurovascularly intact and cardiovascular examination was normal.

    A clavicular fracture was suspected and a radiograph requested (figure 1).

    Figure 1

    Anteroposterior radiograph of left …

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    Footnotes

    • Contributors SD wrote the article under the supervision of GH, and with amendments suggested by ST.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient and public involvement Patients and/or the public were not involved in the design, or conduct, or reporting or dissemination plans of this research.

    • Patient consent for publication Parental/guardian consent obtained.

    • Provenance and peer review Not commissioned; internally peer reviewed.