Clavicle fractures are the most common fractures, especially in children. The diagnosis is made by X-ray. Most species are treated with a sling.
Clavicle fractures are the most common fractures, especially in children. The diagnosis is made by X-ray. Most species are treated with a sling. Etiology clavicle fractures are usually caused by a fall on the lateral shoulder or, less frequently, by a direct blow. Traditionally classification is based on the treatment of the following classification. Fractures of the class A relate to the middle third of the bone and make a proportion of about 80% of the clavicle fractures from. The proximal fragment is often displaced upward as it is pulled through the M. sterocleidomastoid. Clavicle vessels are rarely damaged. Fractures of the class B relate to the distal third of the bone and make a proportion of about 15% of the clavicle fractures from. They are usually the result of direct force. There are three subtypes: Type I: extra-articular and not offset, generally has a functionally intact ligament coracoclavicular back (a strong and structurally important ligament) Type II: extra-articular and added, typically has a crack desLigamentum coracoclavicular out moved to the proximal fragment generally upward because it is drawn from the sternocleidomastoid M. type III: this relates to the intra-articular surface of the acromioclavicular joint, reducing the risk of osteoarthritis increases (classification) fractures of the class C relate to the proximal third of the bone and account for approximately 5% of the clavicle fractures. These fractures result in the rule of great power and are thus possibly accompanied by intrathoracic injury or damage to the sternoclavicular joint. Clavicle fractures Class B symptoms and complaints The area over the fracture is painful, and patients may feel a movement of the fracture fragments and instability. Some patients complain of pain in the shoulder. An arm abduction is painful. Fractures of the Class A and extra-articular fractures of the Class B causing visible and palpable deformation in the rule. Far displaced fractures can significantly stretch the skin. Diagnostic X-rays The clinical diagnosis is often, but anteroposterior overview exposures are made usually, and sometimes an apical Lordoseansicht or an x-ray part at an angle of 45 ° up to it. However, some fracture Ender Class C and Class B intraarticular require different imaging tests (eg., CT). Therapy loop is when the ligament coracoclavicular torn, usually surgical repair Many fractures are minimally displaced and can be treated with a sling for comfort for 4 to 6 weeks. Roller grinding are no longer recommended as a simple loop is just as effective and often more convenient. In general, a reduction is not necessary even in highly angulated fractures. However, when the skin significantly stretched is necessary (usually with fractures of the class A), an immediate consultation with a specialist in orthopedics. Typically, such fractures are still treated successfully with a sling, but if no immediate treatment is carried out, the bone can pierce the skin, resulting in a compound fracture. In fractures of the class B type II the torn ligament require coracoclavicular usually operative repair of an orthopedic surgeon. When patients such. B. have a distal clavicular fracture with displacement of the proximal fragment up, they should be referred to an orthopedic surgeon to assess an operative repair of the ligament coracoclavicular. In fractures of the class B type III an early mobilization can help to reduce the risk of osteoarthritis. Tips and risks About Instruct patients with a distal clavicular fracture and displacement of the proximal fragment up to an orthopedic surgeon to assess an operative repair of the ligament coracoclavicular Displaced fractures of the class C require reduction by an orthopedic surgeon. Important Points Most clavicle fractures are recognized based on clinical criteria. Treat the Most clavicle fractures with a sling. An orthopedic surgeon is necessary to reposition displaced fractures of the class C and to repair fractures of the class B type II generally.