The collarbone is one of the main bones of the shoulder joint. This, together with the acromioclavicular scapula and joint support the shoulder, give stability and strength to the shoulder.
The clavicle also protects the bundle of nerves and vessels that go from the neck to the shoulder (brachial plexus).
A clavicle (collarbone) fracture occurs through trauma to an outstretched hand or by direct contact on the clavicle or shoulder. This type of accident occurs in sports such as football, wrestling or ice hockey.
Symptoms of a clavicle (collarbone) fracture:
- sudden acute pain after a direct hit on the clavicle or shoulder;
- the impossibility of lifting the respective member due to the pain;
- Friction sensation when trying to lift the affected limb.
Sometimes the shoulder appears detached and, if a deformity is present, it has a bulging or hinged appearance along the collarbone. Very rarely, the bone perforates the skin, but more often it can push it resulting in the appearance of a tent.
A clavicle (collarbone) fracture is not usually serious. In rare cases, it can pierce a lung or cause a rib fracture or the severing of nerves or vessels. These changes can result in a pale, cold or cushioned limb and tingling.
A clavicle (collarbone) fracture can be diagnosed by anamnesis and objective examination. The orthopaedic in Dwarka will check:
- the affected area and will look for deformities of the bone or grooves;
- the peripheral circulation of the arm by searching the pulse and observing the color of the skin and the temperature;
- damage to the nerves or blood vessels;
- the angles of movement of the shoulder and other joints;
- muscle strength in the affected limb.
The orthopaedic in Delhi will recommend an x-ray to find the exact location of the fracture and the degree of severity.
Most heal without any intervention. The arm is immobilized in phase so that the movements of the shoulder during healing are reduced. An adult will wear the band for a few days up to a week; children may need 1 to 3-4 weeks. For children, a ribbon can also be used to keep the shoulder in the correct position.
Immediately after the fracture, a few slight movements can begin and as the pain subsides, it can start to toning movements. If the physical exercises start too soon, the fractured bone may not heal properly. If the patient is an athlete or has an active lifestyle, he is advised not to start the activity until his shoulder is functioning normally.
Non-steroidal anti-inflammatory drugs, including aspirin, ibuprofen or naproxen, may be used to relieve pain. Aspirin is not given before the age of 20 due to the risk of developing Reye syndrome. Paracetamol can help relieve pain.
For severe fractures, surgery is recommended occasionally.