Collarbone/clavicle fracture - postoperative therapy program

Collarbone/clavicle fracture - postoperative therapy program

Clavicle or collarbone is a horizontally laid bone, 12-17 cm long, in the upper part of the chest between the sternum and the scapula. It has a shape of na elongated letter S and it is a part of two joints, one with the chest bone, ie. sternum forming articulatio sternoclavicularis and another with the scapula, forming the articulatio acromioclavicularis. Its function is multiple, to provide a strong support on which the scapula and the arm are suspended and to act as protection for the numerous blood vessels and nerve tissue passing directly under it, whose purpose is blood supply and innervation of the arm and shoulder region.

Clavicle fractures are commonly caused by direct external force on the bone, during falls on an extended arm or directly on the shoulder, but they are also very common in car, bike or motorcycle accidents. This injury is the predominant type of fracture with children where it makes 10-16% of all bone fractures. It is less common in adult age where it makes only 2-5% of all fractures. Men tend to be affected by it more often due to the fact that they commonly participate in activities where. The most common location for clavicle fractures is the passing point from the medial to the external third of the clavicle.

Acute post injury symptoms include intense pain and inability to perform any moves with your shoulder or arm, crepitations at the place of fracture, the internal third of the clavicle gets lifted in upwards due to chest muscle activity and a hematoma is visible at the place of bone fracture, the shoulder falls forward because it lost the supporing role of the clavicle bone. Serious complications can develop if any of the subclavicular blood vessels or nerves are damaged by the fractured bone and in that case immediate medical attention is needed in order to prevent blood loss and possible loss of innervation in the shoulder, chest or arm region.

Clavicle fractures can be treated both conservatively or surgically depending on the gravity and type of fracture. With less severe fractures cinservative approach is used, after repositioning of the bone parts has been done the clavicle is immobilised. Surgical treatment is used in case of politrauma, combined trauma to other surrounding bone, muscle, ligament tissue, or in case any subclavicular blood vessels or nerves were damaged. Rehabilitation, done after the bone has healed completely, is aimed at shoulder and arm range of motion development as well as shoulder, upper arm and chest muscle strenght and stability development in order to regain full functionality of the region and stabilize the clavicle and both of the joints it is a part of. Return to noncontact activites acn be done after 6 weeks and full return to contact activities after 3-6 months of progressive functional rehabilitation.

 

 

Umer Butt, MD, MRCS (UK), FRCS T&O (UK), Senior Consultant Orthopaedic Surgeon
Rehabilitation program author

Umer Butt, MD, MRCS (UK), FRCS T&O (UK), Senior Consultant Orthopaedic Surgeon

Dr Butt is a full time Senior Consultant Orthopaedic Surgeon Specialist in Knee/Shoulder Sports Injury, Arthroscopy and Arthroplasty Circle Bath Hospital UK AO Clinic Centre for Orthopaedic, Trauma and Sports Injury Karachi

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Duration

90 days

Program duration is 90 days. If you start today on 31.10.2020., the completion of the rehabilitation program will be on 29.01.2021.

Price

US $40.00

Total price is US $40.00 or US $0.44 per program day