Clavicle Fracture

Collarbone Fracture (Clavicle Fracture): Medical History

Medical history (history of illness) is an important component in the diagnosis of clavicle fracture (clavicular fracture). Family history Social history Current anamnesis/systemic anamnesis (somatic and psychological complaints). Do you have any pain? Where is the pain localized? Did you have a fall? What was the mechanism of the accident? Vegetative anamnesis incl. nutritional anamnesis … Collarbone Fracture (Clavicle Fracture): Medical History

Collarbone Fracture (Clavicle Fracture): Complications

The following are the major conditions or complications that may be contributed to by a clavicle fracture (collarbone fracture): Musculoskeletal system and connective tissue (M00-M99). Osteoarthritis Pseudarthrosis (false joint) – in up to 15% of cases with conservative therapy. Symptoms and abnormal clinical and laboratory findings not elsewhere classified (R00-R99). Chronic pain – in up … Collarbone Fracture (Clavicle Fracture): Complications

Collarbone Fracture (Clavicle Fracture): Classification

Lateral clavicle fractures are classified according to Jäger and Breitner (1984)as follows: Type Fracture Ligamentous injury Type 1 Fracture lateral (away from the midline of the body) of the coracoclavicular ligament (connecting the clavicle to the processus coracoideus of the scapula) Occasional acromioclavicular ligament (ligament that reinforces the acromioclavicular joint. It extends from the acromion … Collarbone Fracture (Clavicle Fracture): Classification

Collarbone Fracture (Clavicle Fracture): Examination

A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body weight,height; furthermore: Inspection (viewing). Skin (normal: intact; abrasions/wounds, redness, hematomas (bruises), scars) and mucous membranes. Gait (fluid, limping). Body or joint posture (upright, bent, gentle posture). Malpositions (deformities, contractures, shortenings) [medial elevation of the … Collarbone Fracture (Clavicle Fracture): Examination

Collarbone Fracture (Clavicle Fracture): Diagnostic Tests

Obligatory medical device diagnostics. X-ray of the thorax (radiographic thorax/chest), in two planes. Radiographs of the shoulder and clavicle in a.p. projection (radiograph in which the beam path is from front (anterior) to back (posterior) with respect to the body), and a tangential radiograph of the clavicle Fracture sonography (ultrasound of bone fractures) to visualize … Collarbone Fracture (Clavicle Fracture): Diagnostic Tests

Collarbone Fracture (Clavicle Fracture): Surgical Therapy

1st order, depending on the exact form of the fracture. Osteosynthesis – joining the ends of the bones by inserting force carriers (plates or intramedullary stabilization) [see also under “Further notes”]. Osteosynthesis is indicated for the following conditions: Dislocation (displacement or twisting of bones or parts of bones in relation to each other) by more … Collarbone Fracture (Clavicle Fracture): Surgical Therapy

Collarbone Fracture (Clavicle Fracture): Therapy

General measures Conservative therapy with the following components is used primarily for nondislocated lateral clavicle fracture: Immobilization for seven days in a Gilchrist bandage (to immobilize or fix the shoulder joint). Subsequent physiotherapy for six weeks In patients with a mid-third clavicle fracture who received care on the first day of the event, use of … Collarbone Fracture (Clavicle Fracture): Therapy