clavicle fracture ppt

The diagnosis of clavicle fractures is usually straightforward. Fall on outstretched hand 06% . 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. Swelling, ecchymosis, and tenderness may be noted over the clavicle 4. However, the management of these injuries can present a challenge, particularly when trying to minimize long-term dysfunction, pain, or deformity. Distal clavicle fractures are traumatic injuries usually caused by direct trauma to the shoulder from a fall in adults. Injuries of shoulder girdle A fall onto the lateral shoulder most frequently causes a clavicle fracture. Clipping is a handy way to collect important slides you want to go back to later. The majority of clavicle fractures can heal without surgery. A clavicle fracture, also known as a broken collarbone, is a bone fracture of the clavicle. The arm should be supported in a sling for around 6 weeks to 1. It is 2 – 10% of all fractures . The clavicle, also referred to as the collarbone, is a long bone located at the top of the chest. Nondisplaced proximal fractures are treated with sling for comfort, analgesia, and range of movement exercises when pain allows. Patient History The patient is a 38-year-old male who sustained a fracture of the clavicle 18 months previous. Fractures involving the middle third of the clavicle or sternoclavicular dislocations may injure or compress the subclavian artery, the esophagus, or the trachea. The patient presented with severe prominence of the right shoulder. Now customize the name of a clipboard to store your clips. 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 A clavicle fracture is typically associated with extreme pain, and arm movement is difficult. The most reliable clinical sign for inhospital diagnosis was difficulty in feeling the margins of the affected clavicle when compared with the normal clavicle. Clavicular Fractures David V. Lopez Robert L. Kalb The clavicle is one of the most frequently injured bones. Case Series: Clavicle Fracture Solutions Indication: Malunion of a Midshaft Clavicle Fracture Products: Locking Superior Clavicle Plate Surgeon: William B. Geissler, M.D. The most common mechanism is an indirect one in which the athlete falls onto the lateral shoulder, causing a … From fall on the side . However, fractures in adults or teenagers who have stopped growing take 10 to 12 weeks to heal and may take longer. Clavicle fractures are among the most common fractures, particularly among children. Direct impact to clavicle 07% . Clavicle fracture 2. We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. 5. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. Clavicula dr Erwien Isparnadi Sp.OT. If you continue browsing the site, you agree to the use of cookies on this website. 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. (Bostman O, Manninen M, Pihlajamaki H. Complications of Plate Fixation in Fresh Displaced Midclavicular Fractures. No public clipboards found for this slide. Epidemiology incidence. If you continue browsing the site, you agree to the use of cookies on this website. Abrasion over the clavicle may be noted, suggesting that the fracture was from a direct mechanism 5. It is the most common fracture of childhood. 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. A clavicle fracture is also known as a broken collarbone. More recently, however, several studies have questioned if more clavicle fractures should be treated surgically. 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 This article will briefly review clavicle anatomy and function, as well as clavicle fracture classification, epidemiology, an… 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) … If you continue browsing the site, you agree to the use of cookies on this website. MECHANISM OF INJURY By a direct blow, the clavicle can be fractured in contact sport, by motor vehicle accident, or by newborn birth… The studies have suggested that people who had … Treatment con-sists of drainage of the hemothorax and conservative treatment or operative fixation of the fracture. 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. You can change your ad preferences anytime. 3% of clavicle fractures, and the coexistence of scapular or upper ribs fractures should increase the suspicion of their existence (Weening et al., 2005). Looks like you’ve clipped this slide to already. One-third of tubular plates have a high rate of fatigue failure when used for clavicle fractures and should be avoided. It is the most frequently bro- ken bone in the human body.The clavi- cle is divided into thirds. Fractures are classified according to their location in the middle, lateral, or medial third. See our Privacy Policy and User Agreement for details. The proximal clavicle fracture tends not to displace related to good ligamentous support. Clavicle fractures are very common injuries in adults (2–5%) and children (10–15%) and represent the 44–66% of all shoulder fractures. Most types are treated with a sling. Fractures of the distal clavicle account for approximately 10% to 30% of all clavicle fractures. Nerve palsies and vascular injuries are rare with isolated fractures but may be present in the presence of … Usually, the breaks heals in around 6-8 weeks but it is fairly common that it can take up to 3 months. 1 Management of distal clavicle fractures is often challenging because of the difficulty in distinguishing subtle variations in the fracture pattern that may indicate fracture instability. Crepitus from the fracture ends rubbing against each other may be noted with gentle manipulation 6. clavicle fracture Looks like you’ve clipped this slide to already. See our User Agreement and Privacy Policy. Fracture & Dislocation of. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. 1. The medial end is pulled superiorly by the sternocleidomastoid muscle. Non-surgical Treatment of Clavicle Fractures: If your clavicle fracture is 'good position', no surgery is required. Vigorous muscle contraction , seizures [rare] . muscles also attach to the clavicle (Figure 2 and 3). Clavicle fractures are common and the diagnosis is often apparent based on history and physical exam alone The majority of clavicle fractures can be managed non-operatively but operative indications depend on the fracture’s location, stability, and amount of displacement for midshaft fractures The shoulder may appear shortened relative to the opposite side and may droop 3. The clavicle thus provides significant stability and power to the arm and shoulder [2]. Most clavicle fractures will heal completely by four months in an adult. Trauma is the most common cause of a clavicle fracture. Traditionally, these fractures have been treated nonsurgically. (While the bump will diminish over time, a small bump may remain after the fracture heals.) 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. The patient may cradle the injured extremity with the uninjured arm 2. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. FRACTURES OF THE CLAVICLE Le Kim Trong MD., Le Nghi Thanh Nhan MD. We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. Fractures of the clavicle can be classified by its anatomical location (Table 1): Table 1: Summary. Traditionally, treatment was based on the premise that malunion (or even non-union) of clavicle fractures was well tolerated and imposed little morbidity. Displaced proximal fractures require close examination for neurovascular compromise, and generally require reduction. Title: No Slide Title Author: DEPARTMENT O. Etiology Clavicle fractures usually result from a fall on the lateral shoulder or, less often, a direct blow. Clavicle (collar bone) fractures are the most common injury sustained by newborns during birth. Clavicle fracture Taiz University ,faculty of medicine and health sciences By Dr : Wedad abdusalam. Mechanism of injury : Direct traumatic impact or fall on the shoulder 87% . 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 may be caused by direct or indirect trauma. 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. 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. Clipping is a handy way to collect important slides you want to go back to later. There is a bimodal age distribution, with A clavicle fracture is a common injury seen after a fall on an outstretched arm or direct impact. Difficulty br… Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. Clavicle fractures account for approximately 2–5% of all fractures in adults and 10–15% in children. Clavicle fractures are a common orthopedic injury, particularly among infants and young children. What are the signs and symptoms of clavicle fracture? Diagnosis is by plain x-ray. See our User Agreement and Privacy Policy. You can change your ad preferences anytime. The clavicle is the only bony connection between the upper arm—shoulder and the thorax. Now customize the name of a clipboard to store your clips. scapula fracture. 1. 2-5% of all adult fractures and 10-15% of all childhood fractures involve the clavicle. Brachial Plexus Injury About 1% of brachial plexus injuries occur following a CLAVICLE ANATOMY 4. No public clipboards found for this slide. (See also Overview of Fractures.) Clavicle fractures occur commonly, often as a result of indirect or direct trauma to the shoulder region. 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. A large majority of all clavicle fractures will occur in the middle third of the shaft. One fracture was discovered on the first hospital examination, 10 on discharge, and 7 at follow-up. Fractures of the clavicle: common fracture in all ages especially in children . Fractures of the middle third are the most common, accounting for 80% of cases. Clavicle fractures take the same time to heal with or without surgery. See our Privacy Policy and User Agreement for details. Symptoms typically include pain at the site of the break and a decreased ability to move the affected arm. Clinical signs and symptoms of clavicle fracture include the following: 1. If you continue browsing the site, you agree to the use of cookies on this website. Only 2 patients had symptoms usually associated with fractured clavicles. 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

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