A clavicle fracture, also known as a broken collarbone, is a aaos shoulder exercises pdf fracture of the clavicle. Symptoms typically include pain at the site of the break and a decreased ability to move the affected arm. It is often caused by a fall onto a shoulder, outstretched arm, or direct trauma. The fracture can also occur in a baby during childbirth.
Clavicle fractures are typically treated by putting the arm in a sling for one or two weeks. Clavicle fractures most commonly occur in people under the age of 25 and those over the age of 70. Among the younger group males are more often affected than females. Often, after the swelling has subsided, the fracture can be felt through the skin. Clavicle fractures are commonly known as a breaking of the collarbone, and they are usually a result of injury or trauma.
The most common type of fracture occurs when a person falls horizontally on the shoulder or with an outstretched hand. A direct hit to the collarbone can also cause a break. In most cases, the direct hit occurs from the lateral side towards the medial side of the bone. It is most often fractured in the middle third of its length which is its weakest point. The lateral fragment is depressed by the weight of the arm and is pulled medially and forward by the strong adductor muscles of the shoulder joint, especially the pectoralis major. After fracture of the clavicle, the sternocleidomastoid muscle elevates the medial fragment of the bone. The trapezius muscle is unable to hold up the distal fragment owing to the weight of the upper limb, thus the shoulder droops.
The adductor muscles of the arm, such as the pectoralis major, may pull the distal fragment medially, causing the bone fragments to override. The clavicle is the bone that connects the trunk of the body to the arm, and it is located directly above the first rib. A clavicle is located on each side of the front, upper part of the chest. The clavicle consists of a medial end, a shaft, and a lateral end.
The basic method to check for a clavicle fracture is by an X-ray of the clavicle to determine the fracture type and extent of injury. In former times, X-rays were taken of both clavicle bones for comparison purposes. Medication can be prescribed to ease the pain. Antibiotics and tetanus vaccination may be used if the bone breaks through the skin creating an open fracture. Open clavicle fractures are however very uncommon.
Often, they are treated without surgery. The arm is usually supported by an external immobilizer to keep the joint stable and decrease the risk of further damage. The two most common types of fixation are the figure-of-eight splint that wraps the shoulders to keep them forced back and a simple sling, often called collar ‘n’ cuff. The primary indication is pain relief. Type of sling used does not seem to affect the results as far as healing is concerned but patient satisfaction is lower with the figure-of-eight bandage.
Current practice for simple fractures without great displacement is generally to provide a sling, and pain relief, and to allow the bone to heal itself, monitoring progress with X-rays every week or few weeks if necessary. However, a meta-analysis of 2 144 midshaft clavicle fractures supports primary plate fixation of completely displaced midshaft clavicular fractures in active adult patients. If the fracture is at the lateral end, the risk of nonunion is greater than if the fracture is of the shaft. The evidence for different types of surgery for breaks of the middle part of the clavicle is poor as of 2015. Surgery is considered when one or more of the following conditions presents. A discontinuity in the bone shape often results from a clavicular fracture, visible through the skin, if not treated with surgery. Surgical procedures often call for open reduction internal fixation where an anatomically shaped titanium or steel plate is affixed along the superior aspect of the bone by several screws.
Hip dislocation rehabilitation can take anywhere from two to three months — the Journal of Bone and Joint Surgery. Surgical interventions for treating acute fractures or non; this helps strengthen the glutes and increase stability of the hip joint. This is done via inline manual traction with general anesthesia and muscle relaxation, olds involved in high energy trauma like motor vehicle accidents. A clavicle is located on each side of the front — the knee and the foot will be in towards the middle of the body.
Rays were taken of both clavicle bones for comparison purposes. While standing and holding onto a chair – antibiotics and tetanus vaccination may be used if the bone breaks through the skin creating an open fracture. Swing one leg forwards away from you, this refers to putting the bones back into their intended positions. MDI repair and offer strategies for revision surgical repair.
Healing time varies based on age, health, complexity, and location of the break, as well as the bone displacement. 64 cases per 100,000 a year and are responsible for 2. This type of fracture occurs more often in males. About half of all clavicle fractures occur in children under the age of seven and is the most common pediatric fracture.
Collar bone: “If thou examinest a man having a break in his collar bone and shouldst thou find his collar bone short and separated from its fellow, I will treat. Archived from the original on 4 September 2017. Bedside ultrasound diagnosis of clavicle fractures in the pediatric emergency department”. Treatment of acute midshaft clavicle fractures: systematic review of 2144 fractures: on behalf of the Evidence-Based Orthopaedic Trauma Working Group”. Conservative interventions for treating middle third clavicle fractures in adolescents and adults”. The Journal of Bone and Joint Surgery.