Clavicle Fracture

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What is Clavicle Fracture

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

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

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

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

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.