clavicle fracture pdf

Posted by on Dec 29, 2020 in Uncategorized

Anatomy The collarbone (clavicle) is located between the ribcage (sternum) and the shoulder blade (scapula), and it connects the arm to the body. clavicle (collarbone) Fracture Clinic Patient Information Leaflet Your injury A fracture is the same as a break in the bone. Clavicle Fracture Introduction Clavicle fractures are a common orthopedic injury, particularly among infants and young children. CLAVICLE FRACTURE ORIF PROTOCOL (Dr. Sean Griffin) Weeks 1-3 • Full time in sling • Avoid IR behind the back, lifting more than 1-2 lbs, and horizontal adduction. The clavicle also forms the bony connection between the upper limb and the thorax. Protect Clavicle: Arm sling for 6 weeks 2. The clavicle is one of the most common fractured bones in children. Take it off to wash, dress and do your exercises. This is a common fracture. proportion of mothers advised to have a vaginal delivery whose infants would be born with a clav- Regain Range of Motion (ROM): Perform protected ROM 3. Half of all paediatric clavicle fractures occur under the age of seven years. It is the most common fracture of childhood. A clavicle fracture is also known as a broken collarbone. This is largely because of reported nonunion rates of less than 1% and separate reports by Neer40 and Clavicle fractures account for approximately 2–5% of all fractures in adults and 10–15% in children. Trauma is the most common cause of a clavicle fracture. Radiographs confirm the diagnosis and aid in further evaluation and treatment. Complications can include a collection of air in the pleural space surrounding the lung (pneumothorax), injury to the nerves or blood vessels in the area, and an unpleasant appearance. A clavicle fracture is typically associated with extreme pain, and arm movement is difficult. The clavicle bone lies just beneath the skin, so a fracture usually causes an obvious protrusion or bump at the fracture site, along with swelling. For occupants exposed to frontal automotive impacts, over 90% of the fractures occurred in the clavicle as a result of being loaded by the shoulder belt, as evidenced by left clavicle fractures for drivers and the right clavicle fractures for right front-seat passengers. (2) Fracture displacement, as seen in most Neer type II fractures, is associated with the development of nonunion. clavicle shaft fracture - pediatric (80%) distal clavicle physeal injury; adolescent and adult sternoclavicular dislocation ; clavicle shaft fracture ; distal third clavicle fracture ; Relevant Anatomy: Acromioclavicular Joint Anatomy; AC joint stability . Most clavicle fractures occur when a fall onto the shoulder or an outstretched arm puts enough pressure on the bone that it snaps or breaks. A fall onto the lateral shoulder most frequently causes a clavicle fracture. At first your shoulder will feel stiff and painful but it is important that you continue to move it as this will aid your Children under eleven years with undisplaced clavicle bone fractures do not require follow-up with a doctor or x-ray. Clavicle (collar bone) Fracture < 12 years What has happened to my child? Clavicle Fracture This is a break to your collar bone. Treatment decisions vary according to the fracture’s location and multiple classification schemes have been devised to describe fracture patterns. It articulates with the acromion process of the scapula laterally, at the 1. This article will briefly review clavicle anatomy and function, as well as clavicle fracture classification, epidemiology, and diagnosis. Clavicle fractures This leaflet intends to educate you on the immediate management of your clavicle (collarbone) fracture. (3) Radiographic nonunion does not always correlate with symptomatic nonunion. Now that you are using your sling less, it is very important that you use your shoulder as normally as possible. Clavicle fractures are very common injuries in adults (2-5%) and children (10-15%) (1) and represent the 44-66% of all shoulder fractures (2). The patient presented with severe prominence of the right shoulder. Clavicle fractures are common injuries in young adults and children, and diagnosis can often be made based on history and physical exam. Most clavicle fractures are undisplaced. This is the most common location of clavicle fracture. You don’t have to wear your sling at night. Duquin, in Shoulder and Elbow Trauma and its Complications, 2015. This is a very common fracture that occurs in people of all ages. What are clavicle fractures? Clavicle Fracture (Broken Collarbone) A broken collarbone is also known as a clavicle fracture. Symptoms typically include pain at the site of the break and a decreased ability to move the affected arm. Urband, T.R. A clavicle fracture is a break in the collarbone, one of the main bones in the shoulder. A clavicle fracture can happen in many different ways but most often it is the result of a hard fall on your shoulder when you fall with your hand outstretched. Following confirmation of consent, the patient underwent a general anesthesia and was positioned on a fracture ta-ble in a beach chair position. static stabilizers. It also contains exercises to prevent stiffening of your shoulder and elbow. Case Series: Clavicle Fracture Solutions Indication: Malunion of a Midshaft Clavicle Fracture Products: Locking Superior Clavicle Plate Surgeon: William B. Geissler, M.D. A type 2b injury represents a fracture of the lateral end of the clavicle, with disruption of the conoid portion of the CC ligament . The majority of clavicle fractures can heal without surgery. Introduction: Clavicle fractures are common injuries accounting for 2.6% of all fractures1 and occur most commonly in young active individuals2. You may find it more comfortable to It is the most common perinatal fracture associated with birth trauma. Historically, the vast majority of clavicle fractures have been treated nonoperatively in the acute setting. Clavicle fracture 1. Figure 1: Clavicle fracture What treatment does my child need? for non-surgical rehabilitation of clavicle fractures (7,15). Keywords Clavicle Fracture Mid-shaft Plating Introduction Clavicle fracture is one of the most common injuries around the shoulder girdle [1]. Robinson [ 1 ] was the first to describe clavicle fractures in relation to their displacement and degree of comminution, via the Edinburgh classification. This injury pattern is consis- 11.4.3 Medial clavicle fracture. It has been reported that fractures of the clavicle account for approximately 2.6% of all fractures [2]. The primary focus, however, will be upon fracture management, with specific attention paid to the most recent literature regarding operative versus non-operative treatment of clavicle fractures. Mall, MD, CIME The Orthopedic Center of St. Louis Cartilage Restoration Center of St. Louis 14825 N. Outer 40, Suite 200; Chesterfield, MO 63017 The clavicle, also referred to as the collarbone, is a long bone located at the top of the chest. Patient History The patient is a 38-year-old male who sustained a fracture of the clavicle 18 months previous. It articulate with sternum medially to form sternoclavicular joint. Clavicle Fracture Signs and Symptoms. The clavicle (collarbone) is a bone connecting your sternum (breast bone) to your scapula (shoulder blade), It is one of These fractures generally heal well with rest and time. • Passive ROM: flexion and abduction to 90°, ER as tolerated with elbow at side, IR to 45° with elbow away from side in supine • Exercises: This injury is associated with high-energy trauma, and the mechanism is often similar to those described above for SCJ dislocation. The clavicle, proximal humerus and the scapula together form the shoulder joint. … Other ways a person can suffer a clavicle fracture can include: During birth when the baby is passing through the birth canal; Your child has broken their clavicle (collar bone). CLAVICLE FRACTURE (Shaft) Description: A shaft clavicular fracture is a complete or incomplete break (fracture) in the middle third of the collarbone (clavicle) in the shaft. This means that the bone remains correctly aligned. Keywords: Distal clavicle fracture, Plate, Scorpion plate, Outcome, Complication, Union, Timing of surgery Introduction Distal clavicle fractures have a high nonunion risk (22– 50%) in patients treated non-surgically due to the in-stability caused by the two opposing forces of trapezius traction and the weight of the upper extremity [1–3]. CLAVICLE : Is an S-shape long, curved ,tubular bone , lies horizontally a cross the root of neck . pants incur a clavicle fracture every year. A fractured clavicle, or fractured collarbone, is a common sports injury that generally occurs from an impact to the shoulder of a fall on an outstretched arm.These fractures may be partial or complete and often require surgical repair or immobilization while they heal. A skin incision centered on the medial end of the clavicle was made, and careful dissection of the superiorly displaced medial end of the The goal of clavicle fracture treatment is to achieve bony union while minimizing dysfunction, morbidity, and cosmetic deformity. PHASE ONE: 0 – 4 Weeks Post-Injury Program GOALS: 1. Clavicle fractures are very common injuries in adults (2–5%) and children (10–15%) and represent the 44–66% of all shoulder fractures. The common symptoms following this type of fracture … This bone joins the breast bone to the shoulder joint. Injuries of shoulder girdle clavicle fracture scapula fracture 2. Nathan A. You have a fracture of the clavicle or ‘collarbone’. This type of fracture is fairly common—accounting for about 5 percent of all adult fractures. Middle third (or mid-shaft) fractures account for approximately 80% of all clavicle fractures1,2, and have traditionally been treated non-operatively, even when significantly displaced. The supraclavicular, subclavian, and long thoracic/suprascapular nerves, alone or together, may be responsible for pain transmission after clavicular fracture and surgery. C.E. Abstract The sensory innervation of the clavicle remains controversial. Updated 27th March 2020 (CV-19) Remember to use your sling for the first 3 weeks. Medial clavicle fracture may occur in patients of any age and include less than 5% of all clavicle fractures. The fracture usually happens in the middle of the bone (Figure 1). This leaflet gives you the advice and exercises to help your clavicle (collar bone) to recover after your fracture. Control pain and swelling: Ice 3-5 times/day (15 min) PRECAUTIONS: • Maintain arm below 90º • 5lb lifting restriction of distal clavicle fractures reflects that of Neer’s original series. Children over eleven years, and those who have a displaced fracture, will be reviewed in the fracture clinic or with the GP in one week. 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