CLAVICLE - LONG BONE OR FLAT BONE ???

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CLAVICLE


IMPORTANT NOTES ABOUT CLAVICLE :

(1) IT IS A LONG BONE

(2) IT IS THE ONLY HORIZONTAL BONE

(3) HAS NO MEDULLARY CANAL

(4) HAS TWO PRIMARY(1*) AND ONE SECONDARY(2*) OSSIFICATION CENTRES

(5) DOES NOT FOLLOW ENCHONDRAL OSSIFICATION AND RATHER FOLLOWS INTRA-MEMBRANOUS OSSIFICATION.

(6) 1ST LONG BONE TO START OSSIFYING( 5TH WEEK OF INTRA-UTERINE LIFE) AND LAST LONG BONE TO GET OSSIFIED

(7) MEDIAL (3/5th) IS CYLINDRICAL AND LATERAL (2/5th)  IS FLAT. JUNCTION OF MEDIAL (3/5th) AND LATERAL (2/5th) IS THE WEAKEST POINT AND THE MOST COMMON SITE OF FRACTURE CLAVICLE













POINTS ON FRACTURE CLAVICLE:

  • MOST COMMON FRACTURE IN THE BODY ACROSS ALL AGE GROUPS(OVERALL/NEWBORN/DELIVERY)
  • MOST COMMON SITE OF FRACTURE:- JUNCTION OF MEDIAL(3/5th) AND LATERAL (2/5th)
  • MOST COMMON COMPLICATION:- MALUNION
  • MORE SERIOUS COMPLICATION:- NEURO-VASCULAR INJURY( INJURY TO BRACHIAL PLEXUS AND SUBCLAVIAN VESSELS)


MANAGEMENT: 

  • CONSERVATIVE :

            (1) FIGURE OF "8" BANDAGE

            (2) CLAVICULAR BRACE (MORE COMMON IN PRACTICE)


  • SURGERY :

INDICATIONS FOR SURGERY: 

(1) NEUROVASCULAR INJURY

(2) COSMETIC ISSUE(MALUNION)

(3) FRACTURE AT LATERAL END OF CLAVICLE WITH ACROMIO-CLAVICULAR JOINT DISLOCATION. 



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The information provided here is only for educational purposes. The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed physician should be consulted for diagnosis and treatment of any and all medical conditions.





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