![]() ![]() mechanism of clavicular injury include:.in elderly individuals, a sequelae of low-energy falls are more likely to be the cause.in children and young adults, moderate to high energy mechanisms such as motor vehicle accidents or sports injuries (especially in contact sports such as football and rugby) are responsible.Shaft fractures are common in young adults while lateral and medial end fractures are frequently seen in elderly people (1) there are two reported peaks of incidence, the first (and largest) is in young active males while the second is in elderly individuals with a slight female predominance (2)Ĭlavicular fractures are usually caused by trauma (except for rare pathologic fracture due to metastatic or metabolic disease) (3).annual incidence is estimated to be between 29- 64/100,000 population per.accounts between 2.6% - 4% of all adult fractures.A second operation to remove the nail will be performed after 2-3 months.Clavicle fractures are the most common upper limb accounting for about 35% injuries to the shoulder girdle (1) Then the nail is passed on to reach the fracture site. It involves a small 1 cm skin incision near the sternoclavicular joint, and then a hole is drilled in the anterior cortex after which an elastic nail is inserted into the medullary canal of the clavicle. The procedure is performed under fluoroscopic guidance. It is considered as a safe method for fixation of displaced clavicle fractures in adolescents and athletes as it allows rapid healing and faster return to sports. Percutaneous elastic intramedullary nailing of the clavicle is a newer and less invasive procedure with lesser complications. In addition to the risks that occur with any major surgery, certain specific risks of clavicle fracture surgery include difficulty in bone healing, lung injury and irritation caused by hardware. Patients with diabetes, the elderly individuals and people who make use of tobacco products are at a greater risk of developing complications both during and after the surgery. They often cause irritation in the skin at the site of insertion and have to be removed once the fracture heals. Placement of pins may also be considered to hold the fracture in position and the incision required is also smaller. If they cause any irritation, they can be removed after fracture healing is complete. These plates and screws are usually left in the bone. Overlapping of the broken ends of bone (shortened clavicle)ĭuring this surgical procedure, your surgeon will reposition the broken bone ends into normal position and then uses special screws or metal plates to hold the bone fragments in place.Fracture associated with nerve or blood vessel damage and scapula fracture.Surgery for the fixation of clavicle fractures may be considered in the following circumstances: Surgery is performed to align the bone ends and hold them stable during healing. ![]() Broken clavicle may cause difficulty in lifting your arm because of pain, swelling and bruising over the bone.īroken clavicle bone, usually heals without surgery, but if the bone ends have shifted out of place (displaced) surgery will be recommended. A direct blow over the shoulder that may occur during a fall on an outstretched arm or a motor vehicle accident may cause the clavicle bone to break. Clavicle fracture, also called broken collarbone is a very common sports injury seen in people who are involved in contact sports such as football and martial arts as well as impact sports such as motor racing. ![]()
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