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What is the best treatment approach for the clavicular fractures?
In general, surgical fixation is recommended for type II distal clavicle fractures. Treatment of these fractures requires direct visualization and reduction of the fracture fragments through a vertical incision. After the fracture is visualized and reduced, the coracoclavicular interval is stabilized.
Why is the scapula not commonly fractured compare to the clavicle?
Scapula fractures are uncommon because the scapula is protected by the chest and shoulder muscles. Significant force is needed for a fracture to occur. Therefore a complete medical assessment should be performed to ensure that there are no additional injuries.
How is clavicle surgery done?
After cleaning the affected area, your surgeon will make an incision through the skin and muscle near your clavicle. Your surgeon will bring the pieces of your clavicle back into alignment (reduction). Next, your surgeon will secure the pieces of clavicle to each other (fixation).
How is a fractured scapula treated?
Most fractures of the scapula can be treated without surgery. Treatment involves immobilization with a sling or a shoulder immobilizer, icing and pain medications. The sling is usually kept for comfort for the first two weeks with subsequent increase of the shoulder’s range of motion.
Why is the scapula rarely fracture?
[1] Scapular fractures are uncommon, accounting for approximately 3-5% of all fractures of the shoulder girdle and less than 1% of total fractures. This is thought to be because they typically required high-energy trauma which also results in multi-system injuries[2].
When does a broken scapula require surgery?
Most scapula fractures do not require surgery. Surgery may be required if a fracture displaces bones, forcing them out of their normal positions.
What is collarbone surgery called?
Open reduction and internal fixation (ORIF) is a type of surgery used to stabilize and heal a broken bone. You might need this procedure to treat your broken collarbone (clavicle). The clavicle is a long thin bone located between your ribcage (sternum) and the shoulder blade (scapula).
What is scapula surgery?
Surgical Treatment for Scapula Fractures The scapula can be fixed with plates and screws. These require large incisions over the back of the shoulder blade or in the arm pit. Surgery can take several hours. Ideally, surgeons like to perform this surgery within 1-2 weeks of injury.
Why do a distal clavicle excision?
Distal clavicle excision is a procedure which involves removal of the outer end of the clavicle (collarbone) to treat shoulder pain and disability due to arthritis or impingement.
How long is a clavicle surgery?
The surgery usually takes between 45-90 min. Usually, this operation is done as daycare surgery, where you go home the same day as the surgery. What to expect during healing of a Clavicle Fracture: While the bone heals usually within 2-3 months, recovery takes much longer.
What is the most common scapula fracture?
– Scapular body and spine fractures are the most frequent (50% of the cases) (Figures 6, 7). The rim fracture could be transversal, involving the supra or infraspinous fossa, or vertical named trans-spinal fracture. The isolated spine fracture is rare accounting for 6–11% of scapular fractures (50-53).
Are scapular fractures life threatening?
Research shows that 80-95% of scapula fractures are accompanied by associated injuries, which may be multiple, life-threatening, or both. As a result, diagnosis and treatment of scapular injuries may be delayed or suboptimal. Long-term functional impairment may occur.
How long does scapula surgery take?
The scapula can be fixed with plates and screws. These require large incisions over the back of the shoulder blade or in the arm pit. Surgery can take several hours. Ideally, surgeons like to perform this surgery within 1-2 weeks of injury.
How long does a scapula fracture take to heal?
Healing: Your fracture is stable and does not need an operation. This injury normally takes 6-12 weeks to heal.
What is clavicle osteotomy?
A clavicular osteotomy in difficult cases of revision TSA is a useful surgical technique that increases the superior exposure area, provides safer dissection, minimizes damage to the anterior deltoid muscle, improves glenoid access, and allows for superior dislocation of the humeral component.
What is Mumford procedure used for?
A Mumford distal clavicle excision is commonly performed to treat pain and discomfort associated with acromioclavicular joint disorders such as distal clavicle fractures, AC joint degeneration, etc.
How long do I need to wear a sling after clavicle surgery?
You will be given a sling to support your arm; this should be used for 2 to 6 weeks whilst the injury heals. Wear the sling during the day but remove it for exercises and personal hygiene. You can wear it at night time if you find it more comfortable but you don’t have to.
What is the relationship between clavicle fractures and scapular fractures?
Clavicle fractures are frequently associated with scapular fractures, and if the scapula fracture is minimally displaced then the clavicle fracture can be treated on its own merits. Superior suspensory complex injuries Of particular relevance to management decisions for scapular fractures are injuries to the superior shoulder suspensory complex.
What is the superior approach to the clavicle used for?
The superior approach to the clavicle can be used for all lateral, medial, and diaphyseal clavicle fractures. 2. Anatomy The clavicle is an S-shaped bone, anteriorly concave laterally and anteriorly convex medially.
What are the indications for surgical treatment of clavicle fractures?
Relative indications for surgical treatment of clavicle fractures include skin compromise, neurologic or vascular injury, open fractures, high-energy closed fractures with greater than 15 to 20 mm of shortening, fractures with 100% displacement, and fractures with comminution.
What are the treatment options for scapular fractures?
Treatment is generally nonoperative in a sling. Surgical management is indicated for intra-articular fractures, displaced scapular neck fractures, open fractures, and those associated with glenohumeral instability. Please rate this review topic. You have never rated this topic.