Skin Tenting Due to Displaced Mid-shaft Clavicle Fracture in an Adolescent.

Sport-related clavicle fractures are a relatively common injury in the pediatric population. However, neurovascular complications at initial presentation are rare in adolescents. We report the case of a 14-year-old female skier who presented with a left shoulder injury and visible skin tenting. Plain radiographs demonstrated a comminuted and displaced mid-shaft clavicle fracture. Due to concern for impending necrosis and potential conversion to an open fracture, she was promptly referred to a nearby facility with surgical capabilities. She underwent surgical fixation shortly after arrival, with a favorable postoperative course and full recovery. This case highlights the importance of early recognition of potential neurovascular compromise in mid-shaft clavicle fractures and underscores the need for timely referral and definitive management.