>> YOUR LINK HERE: ___ http://youtube.com/watch?v=E7LThYorhqU
Dr. Ebraheim’s educational animated video describes malunion of the clavicle, explains the etiology and treatment of this condition and tells you all you need to know about it. • Regardless of a sling or figure 8 strap is used, the clavicle will heal. • The clavicle will heal despite the fracture displacement. • There will be deforming forces in the midshaft area of the clavicle. • Despite the presence of a bump, fracture displacement and deformity, healing of the fracture still occurs rapidly. • Healing occurs in about 85% of the cases; however the clavicle will not look aligned due to difficulty in reduction of the fracture. • It is hard to achieve reduction of the fracture without surgery. • Without surgical reduction, the fracture may end with some degree of malunion and possible of the clavicle. • The fragments will not line up with the distal fragment appearing to be downward and anteriorly rotated. • Shortening is clinically significant because it alter the dynamics of the muscles around the shoulder. • It also narrows the costoclavicular space. • The patient may complain of decreased shoulder strength and endurance if the patient had a displaced midshaft clavicle fracture that healed with more than healed with more than 2 cm of shortening. • What are the symptoms of clavicle malunion? • Pain • Easy fatigability • Cosmetic problems (especially in females) • Neurological dysfunction (possible involvement of the brachial plexus- especially the ulnar nerve) • Patient may have thoracic outlet syndrome. • X-ray: • Get x-ray of both shoulders: bilateral panoramic views to measure the shortening. • Check the amount of overlap at the clavicle. • Treatment: • Surgical treatment of the malunion may be successful in restoring the function and relieving the pain. • Clavicle osteotomy is done in the plane of the healed fracture. • The fracture is recreated with correction of the deformity and the length of the clavicle is restored. • If an osteotomy is done with reduction of the clavicle to its preinjury position and this leaves a significant bone defect, then you will need a tricortical piece of bone at the osteotomy area. • • Become a friend on facebook: • / drebraheim • Follow me on twitter: • https://twitter.com/#!/DrEbraheim_UTMC • Donate to the University of Toledo Foundation Department of Orthopaedic Surgery Endowed Chair Fund: • https://www.utfoundation.org/foundati...
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