Collarbone pain treatment.
Collarbone fracture treatment:
The first step is to inject a Novocain anesthesia shot into the area of the fracture to reduce the collarbone pain. Special techniques are used for the clavicle fragments to get pieced together and positioned correctly followed by placing a cotton-gauze roll into the armpit. Then the shoulder must be immobilized as the fragments of the collarbone could be easily moved again from their designated position. Most common are a figure-8 brace and a sling that are used to support the arm and assure resting and healing. A figure-8 brace is an older method used to facilitate and maintain the symmetric positioning, but lately the most preferred suspension method is a sling. The healing period is usually stays with a month, month and a half period. This treatment accounts for the 95% of all collarbone fracture cases. Only in very special circumstances the surgical method is required: open fracture, skin penetration, vascular and nervous trauma caused by the fracture. In this case the bone fragments are fixated with the use of Open Reduction Internal Plate Fixation method. This method uses titanium plate that is affixed along the collarbone via long screws.
Collarbone dislocation treatment:
For partial dislocations of the acromioclavicular joint a functional treatment normally takes place: the arm is placed in a sling and the joint is anesthetized by a local injection of 10-15 ml. of the 1-2% Novocain solution. In this case the prolonged immobilization of the joint is not required. Within 2 or 3 days after the collarbone pain is reduced the exercise therapy is assigned with limited shoulder abduction of 90 degrees for the duration of 7 to 10 days. Physiotherapy is assigned to accelerate the hematoma desorption.
For full dislocations a complete hospitalization is required. Very accurate joint repositioning and fixation is needed for up to 6 to 8 weeks to make sure the proper regeneration of damaged ligaments. This is achieved by the methods of external fixation or in some cases with the surgical intervention.
Surgical treatment using modern methods of fixation eliminates the need for external immobilization a
nd allows for earlier rehabilitation and significantly reduce the disability time.