Diagnosis: The x-ray reveals a mid-clavicular fracture (arrow). Pain control and follow up are appropriate for this patient. Abuse should be suspected because this is a severe fracture for a 9-month-old infant.
Acknowledgement: Case presented by Nahum Kovalski, BSc, MDCM, Terem Emergency Medical Centers, Jerusalem, Israel.

Clinical Challenge: November, 2012

Nahum Kovalski, BSc, MDCM

Clinical Researcher at TEREM Emergency Services
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