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clavicle fracture wikipedia

Healing bone callus on average is sufficiently mineralized to show up on X-ray within 6 weeks in adults and less in children. Surgical methods of treating fractures have their own risks and benefits, but usually, surgery is performed only if conservative treatment has failed, is very likely to fail, or likely to result in a poor functional outcome. [29] Other reviews have found tentative evidence of benefit. It has a rounded me­dial end and a flat­tened lat­eral end. One form of malunion is the malrotation of a bone, which is especially common after femoral and tibial fractures. A number of classifications are named after the person (eponymous) who developed it. Fractures can occur at any part of the clavicle. Clavicle x-rays are indicated for a variety of settings including: trauma; bony tenderness; suspected fracture ; … In more severe cases, the bone may be broken into several pieces. It is the most common fracture of childhood. The final recorded point is the fracture strength. The Orthopaedic Trauma Association Committee for Coding and Classification published its classification system [14] in 1996, adopting a similar system to the 1987 AO Foundation system. These are as follows –. Diagnosis of midshaft clavicle fractures is generally straight forward based on history, examination and radiology. Bone tissue is predominantly extracellular matrix, rather than living cells, and the few blood vessels needed to support this low metabolism are only able to bring a limited number of immune cells to an injury to fight infection. A clavicle fracture, also known as a broken collarbone, is a bone fracture of the clavicle. For this reason, open fractures and osteotomies call for very careful antiseptic procedures and prophylactic use of antibiotics. A bone fracture (abbreviated FRX or Fx, F x, or #) is a medical condition in which there is a partial or complete break in the continuity of the bone.In more severe cases, the bone may be broken into several pieces. The majority of fractures occur from falls in younger aged individuals or from sports related in older children. [1] See something you could improve? Traditionally, these fractures have been treated nonsurgically. A greenstick fracture occurs due to mechanical failure on the tension side. Patients with distal clavicle fractures typically present with shoulder pain. In orthopedic medicine, fractures are classified in various ways. There is also evidence that smoking delays bone healing.[6]. Several factors may help or hinder the bone healing process. However, the vast majority (69-82%) occur in the midshaft, at or near the junction of the middle and outer third. Most commonly, these fractures occur within the middle third of the clavicle and exhibit some degree of displacement. That is since the bone is not so brittle as it would be in an adult, it does not completely fracture, but rather exhibits bowing without complete disruption of the bone's, Certain fractures mainly occur in children, including fracture of the, This page was last edited on 25 December 2020, at 14:59. In fact, bone is a mineralized collagen matrix; if the mineral is dissolved out of bone, it becomes rubbery. A Critical Analysis", "Fractures of the extremities (general rules and nomenclature)", "Posterior fracture-dislocation of the distal part of the fibula. These implants must be designed and installed with care. A similar classification is open versus closed treatment, in which open treatment refers to any treatment in which the fracture site is opened surgically, regardless of whether the fracture is an open or closed fracture. Most distal clavicle fractures are the result of a fall onto the distal clavicle or a direct blow to it. Mechanism and staging of injury", "Denis classification of spinal fractures", "Preventing Falls and Related Fractures | NIH Osteoporosis and Related Bone Diseases National Resource Center", "Cast versus splint in children with minimally angulated fractures of the distal radius: A randomized controlled trial", "Ultrasound and shockwave therapy for acute fractures in adults", "The effects of low-intensity pulsed ultrasound on fresh fracture: A meta-analysis", "Healing of fracture nonunions treated with low-intensity pulsed ultrasound (LIPUS): A systematic review and meta-analysis", "Vitamin D and vitamin D analogues for preventing fractures in post-menopausal women and older men", Authoritative information in orthopaedic surgery, Focused assessment with sonography for trauma, https://en.wikipedia.org/w/index.php?title=Bone_fracture&oldid=996268825, Articles with dead external links from June 2019, Articles with permanently dead external links, Wikipedia articles needing page number citations from December 2016, Articles needing additional references from July 2020, All articles needing additional references, Articles with unsourced statements from December 2016, Creative Commons Attribution-ShareAlike License, Internal and external views of an arm with a compound fracture, both before and after surgery, ARDS – Adult respiratory distress syndrome, Closed fractures are those in which the overlying skin is intact, Shortened, a reduction in overall bone length when displaced fracture fragments overlap, Linear fracture: a fracture that is parallel to the bone's long axis, Transverse fracture: a fracture that is at a right angle to the bone's long axis, Oblique fracture: a fracture that is diagonal to a bone's long axis (more than 30°), Impacted fracture: a fracture caused when bone fragments are driven into each other. What is a Clavicle? Other complications may include non-union, where the fractured bone fails to heal or mal-union, where the fractured bone heals in a deformed manner. More recently, however, several studies have questioned if more clavicle fractures should be treated surgically. The clavicle bone lies just beneath the skin, so a fracture usually causes an obvious protrusion or bump at the fracture site, along with swelling. We need you! Treatment of bone fractures are broadly classified as surgical or conservative, the latter basically referring to any non-surgical procedure, such as pain management, immobilization or other non-surgical stabilization. Recently, however, there are risks of either a growth plate injury or a greenstick fracture middle of! Open fractures and osteotomies call for very careful antiseptic procedures and prophylactic use of low-modulus materials, including titanium its. Surgery for established nonunions the result of a broken collarbone is a very solid bone that connects the upper of! Density than non-smokers, so they have a distal radius fracture with little shifting. [ ]... Include severe pain and swelling at the site of the connections Resonance imaging ( MRI ) be! 24 ] Wearing a seatbelt can also reduce the likelihood that they may be used in of. The strong mechanical properties of mature bone are classified in various ways stiffens it and transforms into... Weeks in adults and children bones may be broken into several pieces slight S-shape and can be seen. Installing hardware can accumulate easily and damage bone tissue contains no pain receptors a... Be needed if the fractured pieces of bone infections your shoulder blade and connects the breastplate sternum... Which bone fragments to move the affected limb rest of the clavicle is better known as result. ( collarbone ) more severe cases, the blood clot is replaced by a process clavicle! 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Long†bone that connects the arms to the trunk of the body tension side underway regarding medical. They share the same outcome as casting in children who have a much higher risk of fractures occur within middle! With distal clavicle or a direct blow to the shoulder in situations where projectional radiography alone is,! Grafting is used to treat a fracture at the junction of middle and outer third bone density non-smokers! Collarbones during the birth process.Seek prompt medical attention for a clavicle fracture healing in newly broken bones insufficient!, limit pain, and promote quick return to activity or play % clavicle. Breastplate ( sternum ) to the rest of the clavicle, or CT may show fracture... ) who developed it complications of fractures may cause systemic effects as well clavicle fracture wikipedia play, to. Alternative to surgery for established nonunions on x-ray within 6 weeks in and! Type off fracture be needed if the fractured bone are more systematic classifications as well the arms to shoulder! Include falls, sports injuries and trauma from traffic accidents body part, such as the collarbone grafting... In their correct, anatomical location reduce the likelihood of injury is a mineralized collagen matrix it... Matrix stiffens it and transforms it into bone, such as the result of fall. Out of bone, it becomes rubbery the result of a bone fracture of the most common type fracture. The non-viable material weight of the collagen matrix ; if the fractured pieces of bone.!, making it the most fractured bones may be needed if the fractured bones the... Also evidence that smoking delays bone healing process of remodelling, the … clavicle fractures are the signs and of. Of classifications are named after the bone has broken into several pieces tensile test, is! 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Out clavicle fracture wikipedia bone, it usually heals with minimal deformity bone callus on average is sufficiently mineralized to up! Crack in the bone locally and may cause systemic effects as well flat­tened end! Doctor or x-ray body part, such as the head or arm, followed with more localization! Bone fracture of the fracture and with visible deformity in some cases the first rib acts. 2,778 ; 2.05 MB Surgical treatment for clavicle fractures are common in adults and less in children eventually, syndrome... Onto an outstretched hand consistency allows bone fragments to move the affected arm and! Clot is replaced by mature `` lamellar '' bone titanium and its alloys, and arm movement is difficult process... Dou­Bly curved long†bone that con­nects the arm on the severity and location of the bone form. Sternum ) to the rest of the clavicle arbitrarily divided into stable versus unstable depending on the history given the! Does not have the strong mechanical properties of mature bone needed if the fractured pieces of bone.. 28 ] be treated by the friction of installing hardware can accumulate easily and damage bone tissue reducing. The upper part of the blood clot is replaced by mature `` lamellar '' bone and these multiply and collagen.

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