Clavicle Fracture

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What is Clavicle Fracture[edit]

Clavicular fracture is a fracture of one of the body most commonly occurs, accounting for 4% of the body fracture, occurs mainly in the clavicle l / 3 (accounting for 76% to 82%), distal 1/3 clavicle fractures accounted clavicle fracture 12% to 21 %, nearly 1/3 fractures collarbone clavicle fracture 3% to 6%. Here fractures often occur in the elderly.

Symptoms of Clavicle Fracture[edit]

Clinical manifestations

Fracture patients showed the head to the affected side, to health Satisfy your elbow. Lock fracture deformity tenderness, ecchymosis.

What Causes Clavicle Fracture[edit]

Cause of disease

Upper limb abduction fell to the ground shoulder to the the common injuries mechanism of clavicle fracture. The high-energy direct violence, such as a car accident injury adult clavicle fracture etiology.

Tests and Diagnosis for Clavicle Fracture[edit]

Diagnostic criteria

The clavicle fracture divided into three categories according to the site.

1.I type

Accounted for 80% of clavicle fractures collarbone in 1/3 fracture. Collarbone here from tubular gradient is flat. Premises bone is relatively weak. Prone to fracture. 97% of type I fracture moderate shift, non-surgical treatment can be used, a full shift and shortening in 3% of patients, accounting for 90% of type Ⅰ nonunion, surgical treatment.

2. Ⅱ type

1/3 for the lateral clavicle fractures clavicle fracture 12% to 2l. According to the degree of fractures and coracoclavicular ligament injury, type II fractures in five subtypes: ① I type occurs outside of the coracoclavicular ligament, accounting for most of the outside l / 3 fracture to maintain its coracoclavicular ligament is still connected with the clavicle set of this type of multi-nondisplaced; ② II type occurs inside the D coracoclavicular ligament near the fracture segment lost traction fixed and easy upward dislocation, upper extremity weight and muscle stretch far fracture segment depression; ③ Ⅲ type outside side end including fractures of the articular surface of the acromioclavicular this type of fracture is almost the Almighty healing but cause acromioclavicular joint degenerative arthritis; ④ Ⅳ type see small children coracoclavicular ligament periosteum and fracture proximal shift; ⑤ V, is comminuted fracture coracoclavicular ligament attached the fracture with distance separation of the fracture.

3. Ⅲ type

Clavicle medial 1/3 of this type of fracture dislocation. Medial 1/3 fractures accounted for only 3% to 6% of the clavicle fracture. Department fracture involving the the clavicle medial growth plate.

Treatments of Clavicle Fracture[edit]

Clavicular fracture the vast majority of available non-surgical treatment. However, significant displacement of the clavicle fracture, manual reduction alone is difficult to achieve a good reduction of the fracture, need to consider surgery. Indications for surgical treatment reference: Merge nerve, vascular injury; open clavicle fracture; 1/3 of the clavicle severe fracture displacement; the collarbone fracture with ipsilateral scapular neck fracture, a floating shoulder required surgery fixed clavicle stabilize the scapular neck fractures; comminuted fracture of the clavicle bone sandwiched between bone healing of soft tissue, or the potential risk of bursting skin can not be closed reduction; multiple injuries, limb Early functional exercise; small number of patients unwilling to accept the deformity healing of shape, requiring open reduction and internal fixation of; patients with nervous system or the nerve vascular lesions, such as Parkinson's disease and other non-surgical braking can not long endure.