FIGURE 43.6 Approach to the patient with an injured shoulder If the child seems anxious, examine the uninjured side first Carefully palpate the entire shoulder from sternoclavicular joint to the shaft of the humerus Swelling and tenderness at the sternoclavicular joint suggests a fracture or dislocation at this site The clavicle is covered only by a thin platysma muscle, and a fracture is easily seen and palpated Just lateral to the clavicle is the AC joint Elevation of the clavicle above the acromion or tenderness of the articulation suggests AC joint injury or lateral clavicle fracture Just in front of the greater tuberosity of the humerus is the tendon of the long head of the biceps