For many decades, the results of nonsurgical treatment found that the majority of clavicle fractures healed more reliably with less of a complication rate when compared to clavicle fractures treated with surgery. Clavicle fractures are among the most common fractures, particularly among children. However, the management of these injuries can present a challenge, particularly when trying to minimize long-term dysfunction, pain, or deformity. SURGERY Last modified by: meyer Created Date: 11/19/2009 1:47:52 PM Document presentation format: On-screen Show (4:3) – A free PowerPoint PPT presentation (displayed as a Flash slide show) on PowerShow.com - id: 565230-MmNmM Looks like you’ve clipped this slide to already. Fractures of the distal clavicle account for approximately 10% to 30% of all clavicle fractures. 1. Injuries of shoulder girdle It is 2 – 10% of all fractures . Title: No Slide Title Author: DEPARTMENT O. More recently, however, several studies have questioned if more clavicle fractures should be treated surgically. Epidemiology incidence. Treatment con-sists of drainage of the hemothorax and conservative treatment or operative fixation of the fracture. Mechanism of injury : Direct traumatic impact or fall on the shoulder 87% . CLAVICLE ANATOMY 4. Clipping is a handy way to collect important slides you want to go back to later. Displaced proximal fractures require close examination for neurovascular compromise, and generally require reduction. Clavicle (collar bone) fractures are the most common injury sustained by newborns during birth. The patient presented with severe prominence of the right shoulder. Brachial Plexus Injury About 1% of brachial plexus injuries occur following a Clavicula dr Erwien Isparnadi Sp.OT. (While the bump will diminish over time, a small bump may remain after the fracture heals.) Usually, the breaks heals in around 6-8 weeks but it is fairly common that it can take up to 3 months. One-third of tubular plates have a high rate of fatigue failure when used for clavicle fractures and should be avoided. Fractures involving the middle third of the clavicle or sternoclavicular dislocations may injure or compress the subclavian artery, the esophagus, or the trachea. Swelling, ecchymosis, and tenderness may be noted over the clavicle 4. A clavicle fracture, also known as a broken collarbone, is a bone fracture of the clavicle. The studies have suggested that people who had … After a fracture, the lateral end of the clavicle is displaced inferiorly by the weight of the arm and displaced medially by the pectoralis major. Fall on outstretched hand 06% . Difficulty br… The shoulder may appear shortened relative to the opposite side and may droop 3. Fractures are classified according to their location in the middle, lateral, or medial third. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. (Bostman O, Manninen M, Pihlajamaki H. Complications of Plate Fixation in Fresh Displaced Midclavicular Fractures. Trauma is the most common cause of a clavicle fracture. muscles also attach to the clavicle (Figure 2 and 3). However, fractures in adults or teenagers who have stopped growing take 10 to 12 weeks to heal and may take longer. Clavicle fractures are a common orthopedic injury, particularly among infants and young children. 1. 2-5% of all adult fractures and 10-15% of all childhood fractures involve the clavicle. We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. From fall on the side . A clavicle fracture is a common injury seen after a fall on an outstretched arm or direct impact. The proximal clavicle fracture tends not to displace related to good ligamentous support. FRACTURES OF THE CLAVICLE Le Kim Trong MD., Le Nghi Thanh Nhan MD. clavicle fracture We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. A fall onto the lateral shoulder most frequently causes a clavicle fracture. Abrasion over the clavicle may be noted, suggesting that the fracture was from a direct mechanism 5. Etiology Clavicle fractures usually result from a fall on the lateral shoulder or, less often, a direct blow. Fracture & Dislocation of. A large majority of all clavicle fractures will occur in the middle third of the shaft. Clavicle fractures account for approximately 2–5% of all fractures in adults and 10–15% in children. Fractures of the clavicle can be classified by its anatomical location (Table 1): Table 1: The diagnosis of clavicle fractures is usually straightforward. Looks like you’ve clipped this slide to already. Clipping is a handy way to collect important slides you want to go back to later. Traditionally, these fractures have been treated nonsurgically. The most common mechanism is an indirect one in which the athlete falls onto the lateral shoulder, causing a … What are the signs and symptoms of clavicle fracture? The clavicle, also referred to as the collarbone, is a long bone located at the top of the chest. Crepitus from the fracture ends rubbing against each other may be noted with gentle manipulation 6. Clinicians working in emergency departments and general clinics should be familiar with the common presentations and complications of this injury, as well as basic management. Clavicle fractures occur commonly, often as a result of indirect or direct trauma to the shoulder region. Clavicle fractures are very common injuries in adults (2–5%) and children (10–15%) and represent the 44–66% of all shoulder fractures. Only 2 patients had symptoms usually associated with fractured clavicles. Traditionally, treatment was based on the premise that malunion (or even non-union) of clavicle fractures was well tolerated and imposed little morbidity. 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. Nerve palsies and vascular injuries are rare with isolated fractures but may be present in the presence of … No public clipboards found for this slide. The clavicle thus provides significant stability and power to the arm and shoulder [2]. See our User Agreement and Privacy Policy. The patient may cradle the injured extremity with the uninjured arm 2. Clavicle fracture Taiz University ,faculty of medicine and health sciences By Dr : Wedad abdusalam. 3% of clavicle fractures, and the coexistence of scapular or upper ribs fractures should increase the suspicion of their existence (Weening et al., 2005). One fracture was discovered on the first hospital examination, 10 on discharge, and 7 at follow-up. 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. scapula fracture. If you continue browsing the site, you agree to the use of cookies on this website. Pain at the clavicle or top of the shoulder, especially with shoulder movement; Trouble moving your shoulder or arm; Swelling or bruising; Weakness, numbness, or tingling in your shoulder and arm; Lump or bulge in the fractured area; Deformed clavicle, or clavicle that looks out of place The arm should be supported in a sling for around 6 weeks to There is a bimodal age distribution, with Diagnosis is confirmed with standard shoulder radiographs and a 15° cephalic tilt view (zanca view) Treatment is immobilization or surgery, depending on the displacement and stability of the distal clavicle, as determined by whether coracoclavicular (CC) ligaments (trapezoid and conoid) … Clinical signs and symptoms of clavicle fracture include the following: 1. Diagnosis is by plain x-ray. Patient History The patient is a 38-year-old male who sustained a fracture of the clavicle 18 months previous. 1. A clavicle fracture is also known as a broken collarbone. Clavicle fractures take the same time to heal with or without surgery. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. Now customize the name of a clipboard to store your clips. Summary. To help patients make informed decisions regarding treatment options and return-to-play decisions, it is essential for the clinician to understand the risks and benefits of these treatment options. Direct impact to clavicle 07% . See our Privacy Policy and User Agreement for details. (See also Overview of Fractures.) Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. Non-surgical Treatment of Clavicle Fractures: If your clavicle fracture is 'good position', no surgery is required. The most reliable clinical sign for inhospital diagnosis was difficulty in feeling the margins of the affected clavicle when compared with the normal clavicle. A clavicle fracture is typically associated with extreme pain, and arm movement is difficult. 5. Case Series: Clavicle Fracture Solutions Indication: Malunion of a Midshaft Clavicle Fracture Products: Locking Superior Clavicle Plate Surgeon: William B. Geissler, M.D. You can change your ad preferences anytime. No public clipboards found for this slide. The majority of clavicle fractures can heal without surgery. The medial end is pulled superiorly by the sternocleidomastoid muscle. The clavicle is the only bony connection between the upper arm—shoulder and the thorax. Clavicle fractures may be caused by direct or indirect trauma. Vigorous muscle contraction , seizures [rare] . clavicle shaft fractures are common traumatic injuries seen in young adults that occur in the middle third of the clavicle treatment is controversial but may be nonoperative or operative based on the degree of displacement and patient factors. Distal clavicle fractures are traumatic injuries usually caused by direct trauma to the shoulder from a fall in adults. Nondisplaced proximal fractures are treated with sling for comfort, analgesia, and range of movement exercises when pain allows. MECHANISM OF INJURY By a direct blow, the clavicle can be fractured in contact sport, by motor vehicle accident, or by newborn birth… See our Privacy Policy and User Agreement for details. It is the most frequently bro- ken bone in the human body.The clavi- cle is divided into thirds. Symptoms typically include pain at the site of the break and a decreased ability to move the affected arm. Factors that may increase the risk for a clavicle fracture include the newborn being large in size, the newborn’s shoulder getting stuck during delivery, or the use of tools to assist with the delivery. If you continue browsing the site, you agree to the use of cookies on this website. Clavicle fractures in children (younger than 8 years old) may heal in four or five weeks, and clavicle fractures in adolescents may take six to eight weeks. You can change your ad preferences anytime. Now customize the name of a clipboard to store your clips. Most types are treated with a sling. If you continue browsing the site, you agree to the use of cookies on this website. This article will briefly review clavicle anatomy and function, as well as clavicle fracture classification, epidemiology, an… Clavicle fracture 2. Clavicular Fractures David V. Lopez Robert L. Kalb The clavicle is one of the most frequently injured bones. It is the most common fracture of childhood. Fractures of the middle third are the most common, accounting for 80% of cases. Scapular fracture Supracondylar Humerus Fracture Distal humerus fracture Proximal humerus fracture Shoulder ... – A free PowerPoint PPT presentation (displayed as a Flash slide show) on PowerShow.com - id: 57ddc1-ZWFiN Fractures of the clavicle: common fracture in all ages especially in children . If you continue browsing the site, you agree to the use of cookies on this website. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. See our User Agreement and Privacy Policy. 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