![]() Immediately consult an orthopedic surgery specialist for open fractures, which should be treated with urgent surgical intervention.įor closed injuries, decisions on surgical versus conservative management will be based on clinical factors, such as the fracture location and any displacement or shortening, combined with patient factors and preference. 1 Complications can include a collection of air in the pleural space surrounding the lung ( pneumothorax ), injury to the nerves or blood. 1 Symptoms typically include pain at the site of the break and a decreased ability to move the affected arm. Difficulty moving or lifting the arm, with a possible grinding feeling when you do. A clavicle fracture, also known as a broken collarbone, is a bone fracture of the clavicle. Shoulder slumping down or forward because the bone no longer supports it. Sharp pain, which gets worse when you move that area. The present study aimed to evaluate the clinical outcomes of osteosynthesis using a Scorpion plate and to assess the influence of surgery timing on the surgical outcomes for acute unstable distal. However, the appropriate timing of surgery for acute distal clavicle fractures remains unclear. You may also need to include chest and scapula x-rays. If you break your collarbone, you may experience: Snapping or grinding noise when the bone breaks. Background Plate fixation is an established method for treating unstable distal clavicle fractures. Order clavicle x-rays for all patients with suspected clavicle fracture. Determine point tenderness on palpation gross deformity may be present if the fracture is displaced and/or angulated. These fractures can then take up to three months to completely heal. If it is undisplaced and there is no obvious lump, the fracture can be treated without surgery and resting the arm in a sling for 4-5 weeks. ![]() 1 This fracture is unique because of its high potential for nonunion, potential effects on scapulothoracic motion, and cosmetic deformity. The management of the distal clavicle fracture really depends on whether it is displaced or undisplaced. Assess any soft tissue swelling and ecchymosis in the area of the clavicle. Distal clavicle fractures, also known as lateral clavicle fractures, account for approximately 25 of all clavicle fractures, the second most common subset after midshaft fractures. Once a trauma survey has been completed, perform a focused exam of the clavicle and shoulder girdle. In this group, clavicle fractures are more common in women than in men. Older age (≥65 years) is a risk factor for low-energy mechanism clavicle fractures (e.g., a fall onto an outstretched hand from ground level). The pain is worsened by shoulder range of motion or trying to use the injured extremity. Your injury may be referred to as a fracture, break or crack. Clavicle fracture typically presents in young age groups (<30 years), particularly active males, with moderate to severe pain at the fracture site following a direct fall on the shoulder (e.g., while playing sports), a road traffic accident, or other high-energy injury.
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