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clavicle fracture ppt

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