![]() ![]() The patient first gets painkillers and the affected side is immobilized with a backpack or sling bandage. In the severely injured polytraumatized patient, CT is also usually performed.Ĭoncomitant injuries of the collarbone fracture such as capsule ligament injuries of the shoulder can be assessed by magnetic resonance imaging (MRI).Ĭollarbone fracture: conservative treatmentĪbout 90 percent of all collarbone fractures can be successfully treated conservatively. In this case, a computed tomography (CT) may be necessary. For further clarification, an ultrasound examination of the shoulder and the Schultereckgelenks can be performed.Ĭlavicular fractures in the mid range can sometimes not be assessed by a single X-ray. If it is unclear whether further joints are affected, still images of the shoulder joint, the sternum-Schlüsselbeingelenks and the chest are made. This can be safely clarified whether a collarbone fracture is present and how the break is. This is followed by an x-ray examination at various levels. In infants, the pediatrician recognizes a broken collarbone based on the restraint and by scanning the collarbone. In addition, blood flow, motor skills and sensitivity are checked on the affected arm. It is also important to exclude concomitant injuries such as pneumothorax (air entry in the pleural space) or hematothorax (blood in the pleural space). He also examines the large key trabeculae (arteria and subclavian vein) and checks to see if the nearby nerve plexus (brachial plexus) is intact. The doctor examines the Schultereckgelenk (acromioclavicular joint) and the sternum Schlüsselbeingelenk (sternoclavicular joint). ![]() To clarify the suspected diagnosis of collarbone fracture, a closer examination is needed. It becomes more difficult if the patient is unconscious due to multiple injuries (polytrauma) and other injuries are the first priority. The description of the accident and the symptoms often enough already that the doctor considers a collarbone fracture into consideration. Did you have any complaints like pain, restriction of movement or a previous dislocation of the shoulder?.Can you still move the shoulder or the arm?.Did you fall on the shoulder or outstretched hand?.This will ask you first about the accident and your medical history. If you suspect a fractured collarbone, you should consult a doctor for orthopedics and traumatology. In the affected babies, the above symptoms are often less pronounced.Ĭollarbone fracture: examinations and diagnosis Very rarely (in one to two percent of all patients) is the clavicle fracture open, that is, the bone fragments stick out of the skin.Ī collarbone fracture can also happen at birth. Here, a broken end is up and can be pressed down like a piano key. If there is a break in the outer third of the clavicle, a so-called piano key phenomenon may occur. However, in obese (adipose) or multiple trauma patients (polytraumatized patients), staging is often overlooked. If the fracture is postponed, it can often be seen in lean people, a stage in the course of the clavicle – especially in the page comparison. Directly above the broken collarbone is usually a bruise and a swelling. An audible friction noise of the bone fragments when moving is also a sign of a fracture. The sufferers therefore often take a restraint. Any attempt to move the arm or chest is extremely painful. A typical symptom of a broken collarbone is pain. ![]()
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