clavicle fracture ppt

Posted by in smash-blog | December 29, 2020

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