MRI or CT are usually not required in the acute phase for the diagnosis but may be performed in cases involving great trauma to investigate associated injuries to underlying blood vessels or ribs or to the acromioclavicular joint. X-rays should be taken in different planes to demonstrate the fracture and the presence of intermediaryįragments. Vascular complications (wrist pulse) and neurological complications (reflexes and sensation and power of the hand). Clinical FindingsĪ clavicle fracture is usually easy to diagnose since the patient refers to a ‘crack’ and can point to the fracture site where there is bruising, deformation and tenderness on palpation. It is common in rugby, ice hockey, riding and cycling. There is acute onset of localised swelling and pain over the anterior part of the shoulder, with typical deformation, after direct or indirect trauma, often in a young athlete. It is attached to the coracoid by the coracoclavicular ligaments, the conoid medially and the trapezoid laterally. The clavicle articulates with the manubrium of the sternum through the SC joint and with the acromion at the AC joint. In addition, it forms a strut that holds the GH joint in the parasagittal plane, increasing the range of motion of the shoulder as well as the power of the arm in motions above the horizontal. It also provides protection for the major vessels at the base of the neck and for the nerves and vessels supplying the upper limb. First, it acts as a rigid base for muscular attachments of the shoulder, neck, and chest. The clavicle serves a variety of functions. The clavicle consists of cancellous bone surrounded by an outer layer of compact bone, and it is unique in that it does not have a medullary cavity. It is the first bone in the body to ossify (fifth week of fetal gestation) and is the last bone to fuse (medial epiphysis at 25 years of age). The clavicle, an “S”-shaped bone, is the only long bone that ossifies by an intramembranous process. Spinal Decompression Surgery & Slip Disc.ORIF – Open Reduction Internal Fixation.The risk decreases over the age of 20 but increases again in older people as they lose bone strength with age. Birth: During a difficult the birth, the collarbone may break, while passing through the birth canal.Īdults have a lower risk of break their collarbone than teenagers and young children.When the arm is outstretched or a person falls onto their shoulder, it can also result in this condition.
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