The clavicle is attached at one end to the sternum, this part is called the thoracic end and acromial end of clavicle articulates with the acromion scapula offshoot of the shoulder. Dislocation of the sternal end of the clavicle does not happen often.
The cause of dislocation of the clavicle can be a blow to the chest, falling on his shoulder, etc. At the end of this thoracic clavicle can be moved forward, backward, up or down. Displacement of the clavicle is more common forward, which is called the anterior dislocation.
The patient complains of pain in the sternum-clavicular joint. On the front surface of the chest edema and change in shape of the junction. If the thoracic end of the clavicle dislocate forward - on the front surface of the chest is felt the end of the clavicle in the form of protrusions. In the background dislocation of the clavicle revealed retraction. Refine diagnosis by means of X-ray studies.
Treatment of dislocation of the sternal end of clavicle. Performed anesthesia. Then, using special methods assistant trauma surgeon reduce a dislocation. Usually, reduction of dislocation of difficulties does not represent, but to hold the collarbone in a correct position difficult. Thorax impose vosmiobraznuyu plaster with abstracted at a certain angle arm for 5 weeks. If you can not straighten his collar bone, or it is not held in place, carry out surgery. Thoracic end of the clavicle is fixed with screws or transosseous suture lavsan. After surgery, plaster cast is applied with the hands of diverting up to 5 weeks. After removing the plaster and appointed physiotherapy physiotherapy.
Sprains acromial end of the clavicle are common and account for up to 5% of all traumatic dislocations. Mechanism of injury is usually a fall on the shoulder, hit in the shoulder or collarbone. The clavicle is attached to the blade with a few chords. If the torn ligament is not all, forms subluxation acromial end of the clavicle, with rupture of all ligaments - luxation.
Acromial end of the clavicle is displaced upward and somewhat backward. The patient complains of pain in the dislocation, which increases when moving hand palpation. Movement of hand are limited. The end of the clavicle can be seen under the skin in the form of a step. When pressed on his collarbone reduce a if it is released, the dislocation occurs again. This symptom is a symptom of a key. Finally, diagnosis is established by radiological examination.
Treatment of dislocation of the acromial end of clavicle. Anesthesia performed the injury site with a solution of novocaine. Very easy to reduce a dislocation, but usually keep his collarbone in a correct position can not, and conservative treatment with the imposition of the cast is used only for treatment of subluxations. Complete dislocations of the acromial end of the clavicle treated promptly. Region reveal dislocation, clavicle, and reduce a record with a nail, screw or spokes. Damaged cords are fused clavicle usually do, sometimes they are stitched on a method Bennelya.
After surgical treatment of applied plaster cast for 5 weeks. In the old sprains her clavicle reduction can lead to degenerative changes in the acromioclavicular joint. In this case, resection acromial end of the clavicle in an oblique direction to eliminate contact with the clavicle acromion appendage vanes, in such a way as that would seem to fit the end of the clavicle is not under the skin.
