Klavikul frakt, we dɛn kin kɔl brok kolabɔn, kin apin afta pɔsin dɔn fɔdɔm, spɔt injuri, baysikul krash, ɔ i impak dairekt to di sholda. Mɔs pan di isol klavikul fraktrɔs dɛn kin trit we dɛn nɔ gɛt ɔpreshɔn. Bɔt di say we di pɔsin brok, di say we i de kɔmɔt na di say we i de, di we aw i de kɔt, di kayn we aw di skin de, di injury dɛn we gɛt fɔ du wit am, di ej we di pɔsin de ol, ɛn di tin dɛn we i nid fɔ du ɔltin kin afɛkt di tritmɛnt plan.
Dis ɔvaviu we de bays pan ɛvidɛns de ɛksplen di simptom dɛm, di diagnosis, klasification, non-operative tritmɛnt, ɔspitul opshɔn dɛm, kɔmplikeshɔn dɛm, ɛn rikavari prɔses fɔ klavikul fraktrɔs. I de fɔ jenɛral ɛdyukeshɔn ɛn i nɔ de tek ples fɔ ɛvalueshɔn we kwalifay wɛlbɔdi biznɛs pɔsin de du.
Ki tin dɛn we dɛn kin tek fɔ tek
di midul tכd, כ shaft, na di say we kכmכn fכ klavikul fraktכs.
Di kayn sayn dɛm wae de sho se yu de fil pen, yu de swel, yu de brus, yu de fil lɛk yu de fil, ɛn i nɔ izi fɔ muv yu an.
Plɛn X-ray na di praymar imej tɛst; Dɛn kin yuz CT fɔ kɔmpleks, midul, ɔ prɛ-ɔpareshɔn kes dɛm.
Mɔs pan di fraktrɔs dɛn we nɔ gɛt bɛtɛ ples, dɛn kin trit dɛn wit sling, fɔlɔp imej, ɛn prɔgrɛsiv rihabiliteshɔn.
Fraktrɔs we opin, di skin we de trɛtin, nyurovaskyuɛl injuri, wan sɔldɔm gard we nɔ stebul, ɛn sɔm fraktrɔs dɛn we dɛn dɔn pik we dɛn dɔn displeys ɔ we nɔ stebul kin nid fɔ ɔpreshɔn.
plet fikseshכn εn intramedullary fiksεshכn kin כl tu gi gud autkam insay sεlekt adכlt shaft frakshכn, bכt εvri wan gεt difrεn advantej εn risk.
Di we aw pɔsin kin wɛl kin difrɛn bay di ej, di we aw i brok, di we aw i de trit am, di we aw i de smok, ɛn di pruf fɔ se di bon dɔn wɛl.
Wetin Na Klavikul Fraktrɔs?
di klavikul na bon we shep S we de kכnekt di stεnכm we de na di sεntrכm pan di chεst to di skapula na di sכlda. i de wok lεk strכkchכral link bitwin di trכnk εn di כp pat we i de εp fכ protεkt di nεv dεm εn di bכdi vεsul dεm we de pas dεn.
Klavikul anatomi εn tipik frakshכn displεsmεnt patεn dεm.
klavikul frakshכn kin apin we fכs pas di trεnk we di bon gεt. Di tin dɛn we dɛn kin du na fɔ fɔdɔm dairekt pan di sholda, fɔ fɔdɔm pan in an we yu strɛch, fɔ rɔsh we yu de spɔt we yu de kɔntakt, ɛn fɔ trauma baysikul ɔ motoka we gɛt ay ɛnaji. Na yɔŋ pipul dɛm, dɛn injury ya kin bi afta spɔt ɔ trafik aksidɛnt. pan ol pipul dεm, fכ fכl we nכ gεt lכw εnεji kin bi inof, mכtalman we di bon kwaliti dכn dכn.
di klavikul frakshכn de akכnt fכ lεk 3% to 5% pan di big pipul dεm fraktכs. Bɔku tɛm dɛn kin tɔk bɔt di distribyushɔn as bimodal, wit wan mak bitwin yɔŋ pipul dɛn ɛn yɔŋ pipul dɛn ɛn ɔda wan pan ol pipul dɛn.
Simptom dɛm fɔ wan Klavikul Fraktrɔs
Di sayn dɛm kin dipen pan di say ɛn aw di injury kin tranga, bɔt bɔrku tɛm na:
Pen wantɛm wantɛm oba di kɔlabon afta yu dɔn wund
Swel, brus, ɛn lokaliz tenderness
Pen we yu de es ɔ muv di an we dɔn afɛkt
Wan bɔmp we pɔsin kin si, stɛp, ɔ chenj na di sholda kɔntɔ
Filin fɔ grind ɔ muv na di say we di frakt
Wan tin we kin mek pɔsin sɔpɔt di an we dɔn wund wit di ɔda an
Sayn dɛn we de wɔn pipul dɛn we nid fɔ asɛs kwik kwik wan
I impɔtant fɔ mek dɛn du mɛrɛsin kwik kwik wan we di skin brok ɔ tayt tɛnt oba wan shap pat; di an ɔ di an kin bi pale, kol, wik, ɔ nɔ kin swɛt; i nɔ kin izi fɔ blo; chɛst pen de de; ɔ di injuri bin fala di trauma we gɛt ay ɛnaji. Dɛn tin ya we dɛn dɔn fɛn kin sho se pɔsin brok brok ɔ injuri we gɛt fɔ du wit am we gɛt fɔ du wit di lɔng dɛn, di chɛst wɔl, di nerv dɛn, ɔ di blɔd vesel dɛn.
Di klinik ɛgzamin fɔ inklud di skin, di kɔnto na di sholda, di say we di blɔd de go, ɛn di we aw di nerv dɛn de wok.
Aw Dɛn kin No se Klavikul Fraktrɔs?
Di diagnosis kin bigin wit di injuri histri ɛn wan fyzikal ɛgzamin. di klinik savant de ases di say we di an we di sik de tεnd, di fכm we yu de si, di skin kכndishכn, di sכlda muvmεnt, εn di sirkulεshכn εn nεv fכnshכn fכ di an we afekt. Insay di injury dɛn we gɛt ay ɛnaji, di chɛst, nɛk, skapula, ɛn ɔda pat dɛn na di sɔldɔm bak nid fɔ tek tɛm luk insay.
X-Ray we dɛn kin rayt
Plɛn rediograf na di standad fɔs layn imej tɛst. dεn kin kכnfכm di frakshכn lכkεshכn εn εp fכ sho displεsmεnt, angulεshכn, sכt, εn kכmminushכn. di rayt raydiograf kin sho se i de displεs mכr pas di imej dεm we dεn tek wit di sikman we de le dכn, spεshal wan we di midshaft klavikul fraktכs.
CT ɛn Ɔda Imej dɛn
kכmpyuta tכmografi kin yusful we frakshכn involv di mεdial klavikul כ stεnoklavikul jכint, we di frakshכn patεn kכmpleks, we dεn sכspεkt se di sכlda-gεrd injuri dεm we de aכsכsiayt, כ we dεn nid fכ plan mכr ditayl bifo di כpεrayshכn. adishכnal imej dεn de sεlekt akɔdin to di injuri dεm we dεn sכspεkt fכ asosiet pas fכ yuz am rכtin fכ εvri klavikul frakshכn.
Rediograf dεm de εp fכ difayn usay di frakshכn de, di displεsmεnt, sכt, εn kכmminushכn.
Tayp ɛn Klasifikɛshɔn fɔ Klavikul Fraktrɔs
di fכs step we prεktikal pas כl na fכ klas di klavikul frakshכn bay di say we i de:
| Lכkεshכn | Diskripsh כn | Klinik kכnsidεrashכn dεm |
|---|---|---|
| Midshaft fraktrɛshɔn | invכlv di midul tכd pat pan di klavikul εn na di mכst kכmכn patεn. | Displacement, shortening, comminution, skin kondishɔn, ɛn pasɛnt aktiviti lɛvɛl de ɛp fɔ gayd tritmɛnt. |
| Distal klavikul fraktrɔs | invכlv di lateral εnd nia di akromioklavikulכr jכint. | stεbiliti dipכnt pat pan di rilayshכn bitwin di frakshכn εn di kכrakoklavikul ligament kכmpleks. |
| Frakshכn na di mεdial klavikul | invכlv di εnd nia di stεnoklavikul jכint εn i nכ kin kכmכn. | di posita displεsmεnt nid fכ tek tεm ases biכs imכtant strכkchכ dεm de biεn di mεdial klavikul. |
Kɔmɔn Klasifikɛshɔn Sistɛm dɛn
di Allman sistεm de grup di klavikul frakshכn dεm insay midul-tכd, distal-tכd, εn mεdial-tכd injuri dεm. di mכr ditayl sistεm dεm inklud di Neer klasifikasiכn fכ distal klavikul frakshכn, di Robinson כ Edinburgh klasifikasiכn, εn di AO/OTA klasifikasiכn. dis sistεm dεm de dεskrεb fכs tin dεm lεk di say we i de, di displεsmεnt, di kכminishכn, di artikul involvmεnt, εn di ligament stεbiliti.
Wan klasification nem nɔmɔ nɔ de sho di tritmɛnt. Di dɔktɔ fɔ tink bak bɔt di skin ɛn di sɔft tisu dɛn, di nyurovaskyuɛl stetɔs, di injury dɛn we gɛt fɔ du wit am, di ej we di pɔsin gɛt, di mɛdikal kɔndishɔn, di wok we i de du, di lɛvɛl we i de du tin, ɛn di tritmɛnt we i lɛk.
di kכmכn klavikul frakshכn klasifikasiכn sistεm dεm de dεskrεb di lכkεshכn, stεbiliti, displεsmεnt, εn kכminyushכn.
Nɔ-ɔparetiv Tritmɛnt fɔ Klavikul Fraktrɔs
כl di isolεt klavikul frakshכn dεm dεn de mεnεj dεm we dεn nכ de כpεrayshכn, mכst we dεn akseptabl fכ alayns εn dεn de εkspεkt se di frakshכn go stil stebul. Bɔku tɛm, dɛn kin lɛk simpul an sling pas figa ɔf et bres bikɔs i izi fɔ put am ɛn bɔku tɛm i kin izi fɔ yuz.
Nɔn ɔpreshɔnal kia kin inklud:
Sling immobilization fɔ kɔmfɔt ɛn protɛkshɔn
Pen mɛnejɛmɛnt we pɔsin we sabi bɔt wɛlbɔdi biznɛs de dayrɛkt
Rigyul klinik ɛn raydiografik fɔlɔp
di εlbo, di an, εn di an we yu de muv kwik kwik wan
Progresiv sholda muvmεnt we pen εn frakshכn stεbiliti alaw
Strɔng afta klinik ɛn rediograf sayn dɛm fɔ wɛl
Di bɛnifit dɛn we pɔsin kin gɛt we i nɔ gɛt ɔpreshɔn na fɔ avɔyd fɔ kɔt pɔsin, fɔ anestez, fɔ gɛt infɛkshɔn, ɛn fɔ gɛt prɔblɛm dɛn we gɛt fɔ du wit di implant. Di prɔblɛm dɛn we kin apin na we pɔsin kin gɛt difrɛn difrɛn tin dɛn we nɔ fayn, we i kin delay fɔ mek i nɔ gɛt wanwɔd, we i nɔ kin gɛt wanwɔd, we kin mek i nɔ gɛt wanwɔd, ɛn we i kin go bak kwik kwik wan to wok ɔ spɔt we de aks fɔ am na say dɛn we dɛn dɔn pik we dɛn dɔn kɔmɔt na dɛn os.
Dɛn kin yuz simpul an sling fɔ kɔmfɔt ɛn protɛkshɔn we dɛn de kia fɔ dɛn kwik kwik wan we dɛn nɔ de du ɔpreshɔn.
Ustɛm Klavikul Fraktrɔs Nid fɔ Ɔpreshɔn?
Dɛn nɔ nid fɔ du ɔpreshɔn fɔ ɛvri displeys klavikul fraktrɔs, ɛn dɛn nɔ fɔ yuz wan mɛzhɔmɛnt we dɛn de ayd. Di tritmɛnt fɔ bi wan wan tru di shered disizhɔn-mɛkin bitwin di pɔsin ɛn di ɔspitul we de trit am.
Dɛn kin se dɛn fɔ du ɔpreshɔn pan ɔ dɛn kin tink bɔt am tranga wan we:
Wan opin fraktrɔs
Skin kɔmprɔmis ɔ siriɔs tɛnt oba wan fraktrɔs fragmɛnt
Injury we gɛt fɔ du wit di blɔd vesel ɔ di nerv dɛn
Wan ɔnstɛbul sɔldɔm gird ɔ sɔm sɛlɛkɛt mɔltipɛl-trauma patɛn
Mak displεsmεnt, sכt, כ kכminishכn insay wan adכlt midshaft frakshכn
wan כnstebul displεs distal klavikul frakshכn wit disrupshכn pan di kכrakoklavikul ligament kכmpleks
Simptomatic nonunion ɔ malunion
Wan nid fɔ mek dɛn alaynɛd ɛn stebul bak afta dɛn dɔn tink bɔt wok, spɔt, jenɛral wɛlbɔdi, ɛn wetin di pɔsin lɛk
pan big pipul dεm we gεt displεs midshaft frakshכn, כpεraytiv tritmεnt de כsכsiayt wit hכy union rεt εn bεtε εli pasεnt-rכpכt autkam pas nכnכpεraytiv kεriכn. Bɔt di tin dɛn we kin apin fɔ lɔng tɛm ɛn di satisfayshɔn kin fiba wit ɛni wan pan dɛn we ya. di bεlε difrεn pan yכng pipul dεm, we dεn hεl pכtεnshal bכku εn fכ we rutin כpεrayshכn fכ wan isol displεs midshaft frakshכn kin gi nכ klia fכnshכnal advantej.
Dɛn kin tink bɔt di frakshɔn kwaliti dɛn ɛn di injury dɛn we gɛt fɔ du wit am togɛda we dɛn de disayd if i go fayn fɔ mek dɛn du di ɔpreshɔn.
Nonoperative Care vs. Surgical Fixation
| Treatment | we dɛn kin tek tɛm tink bɔt fɔ | di advantej dɛn we pɔsin kin gɛt | we i kin du tin |
|---|---|---|---|
| Sling ɛn rihabiliteshɔn | Bɔku nɔ-displaced, minimally displaced, ɛn stebul fraktrɔs | I de avɔyd ɔpreshɔn ɛn prɔblɛm dɛn we gɛt fɔ du wit di implant | di frakshכn dεm we dεn sεlekt we dεn dכn kכl dεm dεn kin gεt bכku risk fכ nכ union, malunion, כ slo fכ rεkכvεshכn kwik kwik wan |
| Plɛt ɛn skru fikseshɔn | Sεlekt displεs, sכt, kכminit, opin, כ כnstebul frakshכn | Dairekt ridyushɔn, strɔng fikseshɔn, ɛn ay union rɛt | Ska, infεkshכn, numbness, hadwae prominence, εn posbul implant rimobul |
| Fikseshɔn we de insay di mɛdula | Sεlekt klavikul shaft frakshכn wit wan fayn patεn | sכm sכm insishכn dεm εn lεs sכft tisu εkspכzכn insay sכm kes dεm | Implant iritashɔn, maykreshɔn, rimobul, ɛn less suitability fɔ sɔm comminuted patɛns |
Opshɔn dɛn fɔ Tritmɛnt fɔ Ɔpreshɔn
Plɛt ɛn Skru Fikseshɔn
opin ridyushɔn ɛn intanɛnt fikseshɔn wit plet na kɔmɔn ɔspitul we fɔ klavikul fraktrɔs. Di dɔktɔ we de du di ɔpreshɔn kin mek di say we di bɔdi alaynɛd bak ɛn i kin mek di say we i brok fayn wit wan plet ɛn skru dɛn. Naw כtכpεdik lכk plet sistεm dεm de gi fiks-angul opshכn fכ sεlekt frakshכn patεn dεm. di plet fiks kin bi patikyula yusful we di frakshכn de kכmכt כ we fכ mεnten di lεngth εn rotashכn implεnt.
Implant dɛn we dɛn dɔn kɔntɔr bifo tɛm lɛk wan S-shaped klavikul lכk plet dεn dεn dεn fכ fala di kכva fכ di klavikul, pan כl we di fayn implant sεlεkshכn εn kכntur dipכnt pan di individyual anatomi εn frakshכn kכnfigureshכn. di bad tin dεm we kin apin na fכ sכm sכmtεm rawnd di say we dεn sכk, di implant prominεns, sכft tisu iritashכn, infεkshכn, εn di posisibul fכ du leta fכ pul di hadwae we de sho di sik. I nɔ nid fɔ pul di implant ɔtomɛtik afta ɛvri frakshɔn we dɔn wɛl.
di plet fikseshכn de mek di alayns kam bak εn i de mek di klavikul stebul we di frakshכn de hεl.
Intramɛdulari Fikseshɔn
di intramεdula divays dεm de insay di kanal fכ di klavikul fכ stεbyul di sεlekt shaft frakshכn dεm. we yu kompare am wit pletin, dis tεknik kin yuz sכm sכm sכm sכft tisu dεm εn i kin ridyus sכm sכft tisu dεm we de kכmכt. כltu, nכto כl frakshכn dεm fayn fכ intramεdula fiksεshכn, patikyular we kכmminushכn de mek lεngth כ rotashכnal kכntrכl at. Plɛt ɛn nel dɛn ɔl tu de pat pan wan brayt ɔtpidik trauma fikseshɔn sistɛm.
fכ adכlt klavikul shaft frakshכn, intramεdula nel εn singl-plet fikseshכn kin prodyuz di sem kayn lכng tεm klinik autkam εn kכmplikεshכn rεt. Plɛt fikseshɔn kin gi advantej we kɔminishɔn de.
intramedullary fixation kin bi fכ sεlekt klavikul shaft frakshכn patεn dεm.
Minimally Invasive Plɛt Ɔstiɔsintɛsis
di minimal invasive plet osteosynthesis de yuz sכm sכm insishכn dεm εn limited exposure we i de stεbyul di frakshכn wit plet. di tεknik de aim fכ kip sכft tisu εn frakshכn bayoloji, bכt akכrd rεdukshכn εn protεkshכn fכ di supraklavikul nεv dεm stil imכtant.
εgzampl dεm fכ minimally invasive plet fikseshכn fכ klavikul frakshכn.
Distal Klavikul Fikseshɔn
di distal klavikul frakshכn dεm nid fכ ases di frakshכn lכkεshכn, di fragmεnt saiz, di artikul involvmεnt, εn integriti fכ di kכrakoklavikul ligament kכmpleks. Di tin dɛn we yu kin pik kin bi a distal klavikul lכk plet , kכrakoklavikul stεbilizεshכn, כ כda fikseshכn tεknik dεm we dεn sεlekt fכ di spεsifi k patεn. Evidɛns nɔ de sɔpɔt wan tɛknik fɔ ɛvri distal fraktrɔs.
di distal klavikul fiksεshכn dεn de sεlekt akɔdin to di fragmεnt saiz εn di ligament stεbiliti.
Midial Klavikul Fraktrɔs
di mכst minimally displaced mεdial klavikul frakshכn dεm kin mεnεj witout כpεrayshכn. CT kin valyu bכku tεm we i at fכ difayn displεsmεnt כ we dεn sכspεkt se di posita displεsmεnt de. biכs di trakya, εsophagus, di mεjכr vεsεl dεm, εn כda mεdiεstinal strכkchכ dεm de nia, di posita displεs mεdial injuri dεm nid fכ spεshal asesmεnt kwik kwik wan.
komplex klavikul injuri kin nid fכ fiks stratεji we dεn tayla to di individyual frakshכn patεn.
Klavikul Fraktrɔs Rikɔvayshɔn ɛn Rihabiliteshɔn
nכ wan rεkכvεshכn tεm de fכ εvri klavikul frakshכn. Di ej, di say we di fraktrɔs brok, di displeysmɛnt, di we aw dɛn de trit am, di we aw i de smok, di injury dɛn we gɛt fɔ du wit am, ɛn di raydiografik hiling ɔl de afɛkt di prɔgrɛs. Bɔku pasɛnt dɛn kin gɛt yusful wok bak insay 6 to 12 wik, bɔt fɔ wɛl bɔdi kɔmplit wan, fɔ gɛt trɛnk bak, ɛn fɔ go bak to di wok we dɛn nid fɔ du, kin tek lɔng tɛm.
Protection phase: Dɛn kin yuz sling fɔ kɔmfɔt ɛn protɛkshɔn. Bɔku tɛm, dɛn kin ɛnkɔrej yu fɔ muv yu an, yu an, ɛn yu ɛlbo pas nɔmɔ if ɔda bad bad tin nɔ apin.
Fɔ muv kwik kwik wan: Sɔl ɛksesaiz kin bigin we di pen dɔn go dɔŋ ɛn di dɔktɔ we de trit am kɔnfyus se i fayn fɔ muv.
Strɔng faz: Dɛn kin introduks rɛsistɛns ɛksɛsayz afta dɛn dɔn wɛl na di klinik ɛn raydiograf.
Ritɔn-to-aktiviti faz: Fɔ lif ebi ebi, kɔntakt spɔt, ɛn aktiviti dɛn we gɛt ay risk fɔ fɔdɔm fɔ wet te di fraktrɔs dɔn wɛl ɛn trɛnk ɛn muvmɛnt dɔn kam bak.
Fɔ fala-fala impɔtant bikɔs di difɔmiti we de go ɔp, pen we de kɔntinyu fɔ de, ɔ we nɔ de go bifo pan raydiograf kin sho se i de displeys, i delay fɔ mek di union, ɔ i nɔ de union. Smok kin mek di fraktrɔs nɔ wɛl ɛn dɛn fɔ adrɛs am as pat pan di tritmɛnt plan.
Kɔmplikɛshɔn dɛn we kin apin
Kɔmplikɛshɔn dɛn Afta Nɔ-ɔpareshɔn Tritmɛnt
Nɔnunion: di fraktrɔs nɔ kin wɛl, we kin mek yu fil pen ɔltɛm ɔ wik.
Malunion: di fraktכs de hεl we i sכt, angul, כ displaced posishכn.
Visible prominence: wan bɔmp kin de oba di fraktrɔs we dɔn wɛl.
Sɔlda stiff ɔ wik: i kin nid fɔ rihabiliteshɔn fɔ mek i wok bak.
Nyurovaskyuɛl simptom dɛm: dɛn tin ya nɔ kin apin bɔt dɛn nid fɔ asɛs am kwik kwik wan.
Kɔmplikɛshɔn dɛn afta dɛn dɔn ɔpreshɔn am
Infεkshכn na wund
Numbness ɔ altered sensation arawnd di say we dɛn kɔt
Hadwɔd iritashɔn ɔ prominɛns
Implant we de lus, bɛn, ɔ brok
Dilay union, nonunion, ɔ malunion
Rifrakt, inklud afta dɛn pul di implant
Nid fɔ ɔda ɔpreshɔn, bɔku tɛm bikɔs ɔf di hadwɔd we gɛt simptomatic
Di prɔblɛm we kin kam pan di prɔblɛm kin dipen pan di pɔsin we brok ɛn di pɔsin we sik. If yu gɛt ay rediograf union rɛt nɔ min se ɔpreshɔn na di bɛst tin fɔ ɔlman, jɔs lɛk aw fɔ avɔyd ɔpreshɔn nɔ de pul di pɔsibul fɔ mek dɛn du am leta.
Fɔl ɔp imej kin ɛp fɔ no di prɔblɛm dɛn we de wit di wɛlbɔdi ɛn di prɔblɛm dɛn we gɛt fɔ du wit di implant.
Kwɛstyɔn dɛn we Dɛn Kin Aks Bɔku tɛm
Yu tink se wan klavikul frakt kin wɛl if dɛn nɔ du am ɔpreshɔn?
Yɛs. Mɔs pan di isol klavikul fraktrɔs dɛn kin trit witout ɔpreshɔn ɛn dɛn kin wɛl wit sling sɔpɔt, fɔlɔp, ɛn prɔgrɛsiv rihabiliteshɔn. Di chans fɔ mek dɛn gɛt sakrifays fɔ kia we dɛn nɔ de ɔpreshɔn, dipen pan di fraktrɔs stebiliti, displeysmɛnt, kɔminishɔn, usay i de, di pɔsin in ej, ɛn ɔda klinik tin dɛn.
Aw lɔŋ klavikul frakt kin tek fɔ wɛl?
Bɔrku pasɛnt kin gɛt nɔmal ɔr nia nɔmal wok bak insay lɛk 6 to 12 wiks, bɔt di tɛm fɔ wɛl kin difrɛn. Big pipul dɛm, pipul dɛm wae de smok, pipul dɛm wae gɛt mak displaced ɔr comminuted fractures, ɛn pasɛnt dɛm wae gɛt ɔda mɛrɛsin sik kin nid fɔ lɔng tɛm. Ritɔn to kɔntakt spɔt nid fɔ kɔnfyus hilin ɛn mɛdikal kliarens.
Wetin na di kayn we we kin mek pɔsin brok di klavikul?
di midshaft klavikul frakshכn na di wan dεm we kכmכn pas כl. distal frakshכn dεm nכ kin apin so, εn di mεdial klavikul frakshכn dεm nכ kin kכmכn.
Yu tink se wan bɔmp we yu kin si afta yu dɔn brok klavikul nɔmal?
Wan tin we pɔsin kin si kin apin we pɔsin de wɛl ɛn i kin de afta di bon dɔn jɔyn. Na pikin ɛn yɔŋ pipul dɛn i kin rimɔdel bɔku bɔku wan as tɛm de go. Dɛn fɔ chɛk kwik kwik wan if pɔsin gɛt difrɛn difrɛn tin dɛn we de gro, if i gɛt prɔblɛm wit in skin, i de pen mɔ ɛn mɔ, i nɔ de fil fayn, ɔ i wik.
Yu tink se fɔ fiks plet bɛtɛ pas fɔ fiks insay di bɔdi?
Nɔn pan dɛn tu we ya nɔ bɛtɛ fɔ ɛni sikman. Dɛn tu kin gi gud lɔng tɛm rizɔlt insay sɔm sɛlɛkɛt big pipul dɛn shaft fraktrɔs. plet fikseshכn kin bεtε fכ kכminεt patεn dεm, we intramεdula fiksεshכn kin ridyus insishכn saiz insay fayn frakshכn dεm. Di disizhɔn dipen pan di fraktrɔs mɔfɔlɔji, di ɔspitul ɛkspiriɛns, di pɔsin in prayorities, ɛn di risk dɛn we gɛt fɔ du wit di implant.
Yu tink se dɛn nid fɔ pul di klavikul hadwɔd ɔltɛm?
Nɔ, dɛn nɔ kin pul di plet dɛn, di skru dɛn, ɛn di tin dɛn we de insay di bɔdi ɔltɛm we dɛn nɔ gɛt ɛni sayn ɛn di say we dɛn brok dɔn wɛl. Dɛn kin tink bɔt fɔ pul am fɔ di iritashɔn we de kɔntinyu, fɔ prominɛns, pen, implant prɔblɛm, ɔ ɔda klinik rizin afta dɛn dɔn tɔk bɔt di risk dɛn we ɔda ɔpreshɔn go apin.
Wetin na sayn dɛm wae de sho se di klavikul frakt nɔr de wɛl?
di pen we de kɔntinyu fɔ de na di say we di frakt, we de kɔntinyu fɔ muv ɔ we i de tεnd, we i nɔ de wok fayn, ɛn we i nɔ de go bifo pan di fכlכ-ap imej kin sho se i de delay fɔ mek di union ɔ i nɔ de union. Dɛn tin ya we dɛn dɔn fɛn nid fɔ mek di dɔktɔ we de trit dɛn asɛs dɛn.
Dɔn
di tritmεnt fכ klavikul frakshכn dipכnt pan mכr dan di apinεns fכ wan εks-ray. Mɔs pan di stebul ɔ minimal displaced fraktrɔs dɛn kin manej fayn fayn wan we dɛn nɔ gɛt ɔpreshɔn. Di injuri dɛm we dɛn dɔn pik we dɛn dɔn displeys, we dɛn dɔn shɔt, we dɛn dɔn kɔt, we opin, ɔ we nɔ stebul kin bɛnifit frɔm ɔpreshɔn fikseshɔn, mɔ pan big pipul dɛn. Fɔ tek tɛm asɛs di fraktrɔs patɛn, di skin ɛn nyurovaskyuɛl stetɔs, di injuri dɛn we gɛt fɔ du wit am, di ej we di pɔsin gɛt, di tin dɛn we i nid fɔ du, ɛn di gol dɛn we i gɛt fɔ trit, impɔtant fɔ mek dɛn sheb di disizhɔn.
