| ID | 250 |
|---|---|
| Name | FRACTURE CLAVICLE |
| Cause | |
| Signs Symptoms | |
| Diagnosis | |
| Investigations | |
| Management | |
| Introduction | Most fractures of the clavicle are caused by a fall into the shoulder; occasionally a fall on the outstretched hand is responsible. The commonest site is at the junction of the middle and outermost thirds, less often near the outer end of the clavicle. If displacement occurs, the lateral fragment is displaced downwards and medially. Nature & mode of fracture: - Fracture of the lateral 1/3 due to direct violence. - Fracture of the middle 1/3 due to indirect violence. |
| History | |
| Etiology | |
| Clinical Features | Clinical features: 1. Pain 2. Inability to lift weight. 3. Pain due to movement of the upper limb. 4. Deformity (Fullness) of the supraclavicular fossa. 5. Crepitus may felt. |
| Preventions | |
| Treatment | Treatment: 1. Analgesics may be given-for pain. 2. Support for the arm in a smiple sling -for 2 weeks. 3. Usually a week or so after injury active shoulder excercises should be started to restore full mobility. If there is permanent thickening of some part in adult operative smoothing of bony prominences can be done for cosmetic purpose. Open reduction and internal fixation may be needed if surrounding vital structures are injured and non-union of fracture develops. |
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| Observation | |
| Pathology |
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