Skip to main content 415-563-3110. The involved arm will be placed in a sling or a figure-8 brace to secure it and support its weight for comfort. A fractured clavicle, or fractured collarbone, is a common sports injury that generally occurs from an impact to the shoulder of a fall on an outstretched arm. Neer classification of clavicle fractures. The fracture has been satisfactorily immobilized, and the patient has been given appropriate analgesia. 1,16 Direct impact occurs at the acromion, usually with the arm in an adducted position, and force is transmitted through the AC joint to the CC ligaments and the distal clavicle. Patient does not currently demonstrate complications of fracture such as compartment syndrome, arterial or nerve injury. The chief goal of this treatment is to achieve a healed clavicular strut in a normal anatomical position as possible. This is due to two factors: firstly this is the thinnest part of the bone, and secondly, it is the only part of the bone not reinforced by attached musculature and ligaments 3. Contribute. Workup: XR clavicle Findings: Fracture. osteoporosis) or less frequently genetic abnormalities (e.g. Compound fracture: extending through the skin, Joint involvement: intracapsular; articular; dislocation. With a suspected vascular injury, obtain a complete blood count (CBC) to check the hemoglobin and hematocrit values. Get started . Type II distal clavicle fractures, which involve displacement, are associated with the highest incidence of nonunion. Nb. How Does A Bone Break Heal - Bone Fracture Healing Process. Nonoperative Treatment of Midshaft Clavicle Fractures in Adults. Clavicle fractures usually hurt a lot, and it often hurts when you try to move your arm. Fractures can also occur, however, in a variety of other settings. Functional recovery following early mobilization after middle third clavicle osteosynthesis for acute fractures or nonunion: a case-control study. Learn more about the rehab, recovery time, & exercise protocols for broken collarbone, fractured clavicle, or other shoulder injuries repairs. Dr Henry Knipe and Andrew Murphy et al. Become an editor or join our volunteer programme to make your contribution. CONCLUSIONS: The presence of concomitant ipsilateral rib fractures significantly increases the rate of midshaft clavicle fractures being >100% displaced. The odds ratio for progression of the clavicle fracture to >100% was 4.08 (P = 0.000194) when ribs 1-4 were fractured and not significant for rib fractures 5-8 or 9-12. Return to sport following clavicle fractures: a systematic review. Primary open reduction and internal fixation with plate ( locking compression plate) and screws of middle third clavicle fractures provides a more rigid fixation and allow immediate post-surgical mobilzation. Non-ACJ-spanning plate fixation and open suture fixation appear to offer better sporting outcomes than other fixation which is likely due to the preservation of ACJ function. Group I: Fractures of the middle third or midshaft fractures (the most common site). Decrease the use of arm sling (use during non-dependent position). Bahney CS, Zondervan RL, Allison P, Theologis A, Ashley JW, Ahn J, Miclau T, Marcucio RS, Hankenson KD. There is a bimodal distribution of clavicle fractures, with the 2 peaks being men younger than 25 (sports injuries) and patients older than 55 years of age (falls). Kleinhenz BP, Young CC, Clavicle Fractures. According to the Systematic review done by Robertson and Wood, 2016, most patients with an acute clavicle fracture will return to sports activity, with around four-fifths of all patients able to return to their pre-injury level of sports activity. Top Contributors - Elvira Muhic, Sofie Van Cutsem, Manisha Shrestha, Lucinda hampton and Kim Jackson. The treatment will depend very much on the problems identified during your initial assessment, but may include a mixture of the following: Sign up to receive the latest Physiopedia news, The content on or accessible through Physiopedia is for informational purposes only. Clavicle fractures: individualizing treatment for fracture type. Available from: Tidy's Physiotherapy Chapter 22 Churchill Livingstone Elsevier London 2013. 1173185. Subjective – any information given to you by the patient: allergies, past medical history, past surgical history, family history, social history (living arrangements, social conditions, employment, medication), review of systems . Complete fracture: extends all the way across the bone (most common), Transverse fracture: perpendicular to the axis of the bone, Oblique fracture: orientated obliquely across the bone, Spiral fracture: helical fracture path usually in the diaphysis of long bones, Incomplete fracture: does not cross the bone completely (usually encountered in children), Bowing fracture: an incomplete bone fracture of the long bone in infants and children due to forces in the axial load, Buckle fracture: due to direct axial load, the cortex is buckled, often in the distal radius, Greenstick fracture: the cortex is broken, but only on one side. 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