Fracture of the clavicle: diagnosis, symptoms, treatment
What is this bone?
The clavicle is not a very large, slightly curved tubular bone that plays the role of a link between the sternum and scapula. It is located above the upper edge of the person. The collarbone strengthens the shoulder girdle, at the same time being a support for the scapula and protection of the nerves and large vessels of the underarm area.
How does she break?
Clavicle fracture is the most popular injury resulting from striking it itself or falling (for example, on an elbow, straight arm or shoulder). Very often, children and adolescents suffer from this. This bone can break absolutely anywhere, but most often its central part suffers. Often a fracture of the clavicle is accompanied by ruptures of its ligaments, dislocations, as well as a broken scapula. There are several types of damage to the clavicle. There may be a fracture:
- sternal section;
- acromial end.
Moreover, the fractures themselves are divided into:
- fractures in the form of oblique or perpendicular lines.
Symptoms of a clavicle fracture
Signs of this injury are not wise. Asking for help to reduce pain, he tries to hold the forearm of the injured limb with the surviving hand, pressing it against the body (thereby immobilizing it), and usually complains about:
- sharp and severe pain at the fracture site;
- increasing pain while moving the arm;
- limited mobility of the shoulder girdle.
The symptoms that characterize the fracture of the clavicle will be:
- the victim will not be able to move his hand up and down;
- the shoulder of the patient will be noticeably shifted forward and down;
- during some movements (for example, if you try to raise your hand up) a characteristic crunch will be heard in the injured place;
- hematoma with possible bruising.
Clavicle fracture treatment
- First aid is to immobilize the injured arm with a bandage. After that, the patient should be taken to the emergency room, where he will undergo anesthesia of local action and reposition the clavicle by moving the shoulder upwards. This will “insert” its fragments back into its “grooves”.
- Next, the doctor places a special cotton roll in the armpit and immobilizes the shoulder with the help of special dressings and other devices in order to avoid re-displacement of the fragments of the affected bone.
- A fracture of the clavicle is treated in two ways, depending on its type and severity: a conservative method or surgery.
- In the first case, the case is bypassed with special dressings (for example, with an eight-shaped Sherashenise dressing, Delbe rings, etc.). They immobilize the injured limb for up to seven weeks - it all depends on the severity of the injury. After the pain disappears, physiotherapy exercises and physiotherapy are prescribed.
- In more serious cases, it is not complete without surgical intervention: the doctor connects bone fragments with the help of special fixatives ensuring their complete immobility. The rehabilitation, as in the first case, is performed by physiotherapeutic and gymnastic methods.
- Upon completion of the full course of treatment, adults become able-bodied after two or three months, and children are able to recover within a month.