锁骨 骨折
Overview
Injuries to the clavicle (collarbone) and the acromioclavicular (AC) joint are among the most common sports injuries of the upper extremities. The clavicle attaches to the chest at a joint high on the sternum (breastbone), 肩胛骨和手臂的关节处. 锁骨 fractures occur when people fall onto their shoulder or clavicle, 这在山地自行车运动中经常发生, 滑雪, 单板滑雪和身体接触运动. Older patients with osteoporosis are also at risk for clavicle fractures. Most fractures occur around the middle of the bone shaft.
我们治疗锁骨骨折的方法
锁骨 fractures in which the bone's alignment is still normal (not "displaced," or separated) can be treated with a simple sling to immobilize the bone while it heals. Displaced fractures require surgery to align the pieces, so they can then knit together properly.
Our orthopedic surgeons are experts in using state-of-the-art technologies and advanced techniques to repair clavicle fractures, providing each patient with the most appropriate and effective care. 我们的目标是减轻疼痛，恢复活动能力, so patients can return to their normal lives and favorite activities.
奖 & 识别
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是全国顶尖的十大赌博平台排行榜之一
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全国最好的骨科护理之一
迹象 & 症状
病人 with clavicle fractures may experience the following:
- 疼痛, 骨折部位有压痛和肿胀, 尤其是当你试图使用另一边的手臂时
- A bump at the fracture site, followed by bruising within about 48 hours
- 很少, numbness and tingling in the arm (if the fracture compresses blood vessels and nerves in the area)
诊断
X-rays will usually show whether the clavicle is fractured. Other imaging tests, such as a CT scan or an MRI, are rarely needed.
治疗
非手术治疗
骨折一般需要六到八周才能愈合, though the pain from a clavicle fracture subsides after two to three weeks. 患者需要使用支具或吊带数周, 即使疼痛减轻了, 直到十大赌博平台排行榜说可以安全停止使用. People who don't need surgery typically take between three and four months to make a safe return to full activity, 包括身体接触运动.
作为治疗过程的一部分, 新骨将在骨折部位周围形成, 通常会在皮肤下留下肿块. This bump will remodel over the course of the following year and will decrease in size, 但很少消失.
外科处置
Surgery is the best option if the clavicle's broken ends are pushing on the skin, 如果两端明显重叠, 或者两端有很大的位移. Surgery consists of repositioning the fragments and securing them in place with a plate and screws. 这一过程通常在十大赌博平台排行榜进行 UCSF骨科研究所, takes about an hour and a half, with most patients able to return home the same day. 病人 are under general anesthesia (completely asleep) and given a nerve block (an injection that interrupts pain signals in the area), 哪种能减轻术后疼痛. While surgery does decrease the deformity created by a healed fracture, 它会在皮肤上留下疤痕.
手术后, patients must wear a sling at all times for approximately four weeks and while standing up and moving around for two more weeks after that. Driving isn't allowed until patients no longer need a sling.
在第一到第六周, patients do a light physical therapy regimen to maintain range of motion in the shoulder, either in person with a physical therapist or by following a prescribed 家庭锻炼计划. 六周时, 拍摄新的x光片, 如果治疗是可以接受的, the sling is removed and more active range-of-motion and strengthening exercises are begun. 12周时再次照x光片, 在大多数情况下, patients are allowed to return to sports and other physical activities.
Most patients live comfortably with the plate that was placed during surgery, 但对大约15%的病人来说, 尤其是那些非常瘦的人, 这个盘子很麻烦. 在这些情况下, the plate can be removed after the fracture is completely healed, 术后6到9个月.
常见问题
- 手术后我什么时候可以洗澡?
You'll need to keep the incision clean and dry until your first post-op visit, 手术后一到两周. 当时, 你可能会被允许洗澡, but don't submerge the surgical site in a bathtub or swimming pool until three to four weeks have passed since your surgery.
- 锁骨手术后什么时候可以开车?
You'll be using a sling and unable to drive for six weeks, 但之后你可以继续开车, 只要你有适当的控制，这样做是安全的.
- 我什么时候可以回学校或工作?
Most patients are ready to return to school or desk work five to seven days after surgery. If you're able to work from home, your initial recovery period will be easier. If you have a physically demanding job that requires overhead lifting or strenuous arm work, you'll need more time for a safe recovery and medical clearance before returning.
- 我什么时候可以重新参加娱乐活动?
People are able to return to most sports and other physical activities anywhere from three to six months after clavicle surgery, 这取决于最初受伤的严重程度. 你的十大赌博平台排行榜会给你建议的.
- 钢板和螺丝需要拆下来吗?
The plate and screws are designed to be left in place, and that's fine for most people. But about 15 percent of patients find the plate bothersome. If that's the case for you, these devices can be removed after your clavicle is completely healed.
加州大学旧金山分校健康 medical specialists have reviewed this information. It is for educational purposes only and is not intended to replace the advice of your doctor or other health care provider. We encourage you to discuss any questions or concerns you may have with your provider.
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