Clavicle dislocation
- Anatomy of the clavicle
- Classification
- Dislocation of the outer (acromial) end of the clavicle
- Dislocation of the internal (sternal) end of the clavicle
- Symptoms of types of dislocations
- Prosternal type of dislocation
- Suprasternal type of dislocation
- Substernal type of dislocation
- Photo of a dislocated collarbone
- First aid for acromial dislocation
- Treatment of clavicle dislocations
- Conservative treatment
- Surgery
- Rehabilitation
Content
Survey
First, the researcher should ask the patient about the medical history. He can then perform an examination, comparing the affected shoulder with the unaffected side. To do this, you can use the following tests.
- Load and displacement test
In this test, the therapist stabilizes the scapula and moves the humeral head posteriorly and anteriorly. This test can determine whether the humeral head will subluxate.
- Push-pull test
The patient's arm is in a position of 90 degrees of abduction and 30 degrees of forward flexion. The examiner grasps the midsection of the patient's shoulder and applies posterior pressure. This test is used to evaluate posterior shoulder instability.
- Protzman test
This test is similar to the load and displacement test, but the examiner's second hand is placed in the axilla to feel the movement of the humeral head as close to the glenoid cavity of the scapula as possible.
Anatomy of the clavicle
The clavicle is a not very large arcuate tubular bone. It is united on one side with the sternum, and on the other with the acromial end of the scapula. The main injuries to this area are a fracture or dislocation of the collarbone.
Since it contains 2 ends, in this case, dislocation of the acromial end of the clavicle is also distinguished as dislocation of the sternal end of the clavicle. Injuries to the acromial end are more common. We will analyze all the symptoms and causes of injury, without exception, as well as all possible ways to solve the problem.
A dislocated collarbone is a fairly common injury. As a percentage, the number of cases of clavicle dislocation is 5% of the total number of injuries of this kind. In this case, one should strictly distinguish between dislocation of the acromial (external) and sternal (internal) ends.
For a general understanding of the collarbone, we invite you to watch a video that describes in detail the composition of the shoulder joint.
Salter-Harris fractures of the sternal end of the clavicle[edit | edit code]
in athletes under 25 years of age, instead of dislocations of the sternal end of the clavicle, fractures passing through the proximal epiphyseal cartilage may occur. Clinically, such fractures (especially mixed ones) resemble dislocations and are treated conservatively. Further growth of the clavicle, as a rule, is not affected, and repositioning of fragments (unless there is a strong displacement) is not required; It is enough to prescribe painkillers. Sometimes parents discover a dense mass formation near the sternal end of the clavicle in their child and, fearing a malignant tumor, consult a doctor. When collecting anamnesis, it turns out that the child suffered an injury several weeks before, and the mass formation is just a callus at the site of a healing clavicle fracture, which is confirmed by x-ray.
Literary sources
Battaglia TC et al: Interposition arthroplasty with bone-tendon allograft: a technique for treatment of the unstable sternoclavicular joint. J Orthop Trauma 2005; 19(2): 124.
Classification
If up to 3 days have passed since the dislocation of the sternal or acromial end of the clavicle, such a dislocation is considered fresh, from 3 days to 3 weeks - stale, more than 3-4 weeks - old.
Depending on the location and degree of damage in traumatology and orthopedics, the following are distinguished:
- Complete dislocation of the acromial end of the clavicle - damage to the coracoclavicular ligament, capsule and ligaments of the acromioclavicular joint.
- Incomplete dislocation in the acromioclavicular joint - the acromioclavicular ligament is torn, the coracoclavicular ligament remains intact.
- Complete dislocation of the sternal end of the clavicle - the integrity of the sternoclavicular and costoclavicular ligaments is disrupted.
- Incomplete dislocation of the sternoclavicular joint - the sternoclavicular ligaments are damaged, the costoclavicular ligament remains intact.
Bandages for dislocation of the acromial end of the clavicle[edit | edit code]
Source:
Book “Applying bandages and orthoses”
.
Editor
: D. Perrin
Ed.
: Practice, 2011.
The adhesive bandage begins by applying anchor strips to the shoulder, shoulder girdle, chest and back (Fig. 5.2). The nipple should be protected with gauze or bandage. Sequentially apply strips of adhesive plaster from the anchor strip on the shoulder to the anchor strip on the shoulder girdle and from the anchor strip on the chest to the anchor strip on the back.
Figure 5.2.
Bandage for dislocation of the acromial end of the clavicle.
A.
Before applying any adhesive bandages to the shoulder or chest that may catch the nipple, cover it with gauze or a bandage.
B—C.
Apply anchor strips to your upper arm, chest, back and shoulder.
G-E.
Apply strips of adhesive tape from the anchor strip on the shoulder to the anchor strip on the shoulder girdle and from the anchor strip on the chest to the anchor strip on the back so that they cross over the acromioclavicular joint.
Instead of (or in addition to) this bandage, you can place a protective pad over the acromioclavicular joint and secure it with an elastic bandage. In Fig. Figure 5.3 shows a method for making a protective lining from orthoplast and securing it with a spica bandage. Protective pads can be made in the same way for use with other injuries, such as shoulder, quadriceps, or iliac crest contusions.
Figure 5.3.
Use of protective orthoplast lining.
HELL.
Make a protective lining from orthoplast.
E—I.
Secure it over the shoulder joint with a spica-shaped bandage made of elastic bandage.
Figure 5.3.
(continuation and ending).
K-M.
You can apply a protective pad over the adhesive bandage described in Fig.
5.2. N—T.
To secure the protective pad, you can use a version of the spica bandage that does not cover the proximal part of the shoulder.
McConnell bandage for dislocation of the acromial end of the clavicle[edit | edit code]
If the acromial end of the clavicle is dislocated, a McConnell bandage can be used (Fig. 5.4). Applied for a long time, this bandage helps bring the acromion and the acromial end of the clavicle closer together.
Figure 5.4.
McConnell bandage for dislocation of the acromial end of the clavicle.
For the bandage, use an adhesive elastic lining bandage "Cover-Roll Stretch" and a high-strength non-elastic adhesive tape "Leukotape". A.
Apply the first strip of adhesive elastic bandage along the upper arm and shoulder girdle, starting at the insertion of the deltoid muscle on the humerus and ending 2 to 3 cm proximal to the acromioclavicular joint.
B.
Apply a second strip of adhesive elastic bandage perpendicular to the first, from the coracoid process to the spine of the scapula.
B.
Place the first strip of adhesive tape over the first strip of adhesive elastic bandage while reducing the acromial end of the clavicle into the acromioclavicular joint.
Figure 5.4
(ending).
D.
Apply a second strip of adhesive tape perpendicular to the first.
D.
The point of intersection of the strips should be above the AC joint. If necessary, you can apply a second layer of adhesive tape.
Exercises for the muscles acting on the shoulder joint[edit | edit code]
Most sports, especially those that require frequent overhead swings of the arms, require sufficient strength and flexibility in the muscles acting on the shoulder joint. To stretch them, it is convenient to use a cane with a cross handle: it helps to achieve maximum range of motion in the shoulder joint (Fig. 5.5).
Figure 5.5.
A cane with a cross handle for stretching the shoulder muscles through flexion
(A)
, abduction
(B)
and external rotation of the shoulder
(C).
To strengthen the muscles, perform exercises with dumbbells (Fig. 5.6) or a rubber expander (Fig. 5.7).
Figure 5.6.
Exercises with dumbbells to strengthen the muscles that abduct
(A)
, flex
(B)
and extend
(C)
the shoulder. Usually it is enough to raise your arm so that it is parallel to the floor (A-B).
Figure 5.7.
A rubber expander is convenient to use to strengthen the muscles that rotate the shoulder outward
(A)
or inward
(B).
Forecast[edit | edit code]
Return to sports that require arm overhead (such as swimming, tennis, and baseball) occurs later than those that do not require this movement (such as football or rugby).
Literary sources[edit | edit code]
- Dumonski M et al: Evaluation and management of acromioclavicular joint injuries. Am J On hop 2004; 33(10):526.
- Su EP et al: Using suture anchors for coracoclavicular fixation in treatment of complete acromioclavicular separation. Am J Orthop 2004;33(5):256.
Dislocation of the outer (acromial) end of the clavicle
The outer, acromial end of the clavicle is connected to the acromial process of the scapula by two ligaments. Depending on whether one or both of them is damaged, subluxation or complete dislocation of the clavicle is diagnosed, respectively.
Symptoms of external dislocation of the end of the clavicle
The main symptoms of a dislocation of the outer end of the clavicle are:
- pain in the area of the junction of the collarbone and scapula.
- pain when trying to move your arm or shoulder.
Important!
It is worth noting that the latter aspect often leads to the fact that, out of ignorance, patients often confuse a dislocated clavicle with a dislocated shoulder joint.
However, distinguishing one injury from another is quite simple, knowing the following symptoms:
- When the clavicle is dislocated, there is swelling and deformation caused by the protrusion of the outer end of the bone (it protrudes upward and slightly back). Swelling rarely occurs in cases of shoulder dislocation.
- A dislocation of the shoulder joint is accompanied by a feeling that the shoulder is out of place, and any attempt to move the limb is accompanied by a sharp attack of pain. If the collarbone is dislocated, the pain is moderately limiting.
Dislocation of the sternal end of the clavicle[edit | edit code]
Dislocations of the sternal end of the clavicle are a fairly rare injury caused either by a blow from the side to the shoulder or a fall on an abducted arm (the cause primarily of anterior dislocations), or a strong blow from the front to the clavicle (the cause of posterior dislocations). The severity of the injury ranges from a sprain with mild subluxation of the clavicle to rupture of the ligaments and capsule and complete dislocation of the clavicle.
Anterior dislocation of the sternal end of the clavicle[edit | edit code]
Main features
- There is a history of trauma to the upper chest.
- At the site of the sternal end of the clavicle there is a painful tumor.
- X-rays and CT scans of the chest show a dislocated clavicle.
Clinical picture
The anterior dislocation of the sternal end of the clavicle occurs more frequently than the posterior one. When examining the victim, attention is drawn to a tumor at the site of the sternal end of the affected clavicle. It is not easy to confirm such a dislocation radiographically because the converging sternum, clavicle and rib obscure the sternoclavicular joint; you have to take pictures in an oblique projection. If, despite normal chest x-rays, the suspicion of a dislocation remains, it is worth resorting to a more sensitive diagnostic method - CT.
Treatment
Usually the symptoms quickly go away on their own, and the mobility of the shoulder joint is not affected. As for the reduction of the sternal end of the clavicle, there is lively debate about this. Existing operations are accompanied by a fairly high risk of complications, and after closed reduction of the clavicle it is difficult to keep it in the desired position.
Posterior dislocation of the sternal end of the clavicle[edit | edit code]
Main features
- There is a history of trauma to the upper chest.
- Pain in the area of the sternal end of the clavicle.
- Hoarseness, difficulty breathing and swallowing may occur.
- X-rays and CT scans of the chest show a dislocated clavicle.
Clinical picture
Posterior dislocation of the sternal end of the clavicle is much less common than the anterior one, but it is incomparably more dangerous, since it can be accompanied by injuries to the trachea, esophagus and great vessels. Symptoms range from mild to moderate pain at the sternal end of the collarbone to hoarseness, difficulty breathing and swallowing, and subcutaneous emphysema (when the trachea ruptures).
Treatment
Early closed reduction of posterior dislocation of the sternal end of the clavicle usually gives a stable result. To perform the reduction, a pillow is placed under the shoulders of the patient lying on his back, after which the straightened arm is retracted 90° and pulled towards himself, and if this is not enough for reduction, then the assistant, grasping the collarbone with his fingers or a sterile linen clamp, pulls it forward. In exceptional cases, closed reduction under general anesthesia or open reduction is required.
After reduction, the patient is given a splint and is recommended to apply ice to the collarbone and take NP VS orally to relieve pain. After 2-3 weeks, when the sternoclavicular joint has healed sufficiently, you can begin exercises to develop the shoulder joint. You can raise your arm no earlier than 3 weeks after the injury.
Dislocation of the internal (sternal) end of the clavicle
Unlike the external one, dislocation of the internal, sternal end of the clavicle is quite difficult to confuse with anything else. This is explained by the specific articulation of the bone with the chest.
Depending on the nature of the injury, there are different types of dislocations:
- Prosternal
- Suprasternal
- Retrosternal
All of them are characterized by pain in the area where the collarbone connects to the sternum:
- Pain when breathing deeply
- Deformation and swelling of soft tissues
- Noticeable shortening of the shoulder girdle on the injured side
Important!
If the dislocated bone touches the vessels, which is most often observed with a retrosternal dislocation, specific external manifestations will be noted (for example, a change in the color of the skin).
Clinical picture
The main problem with shoulder subluxation is instability of the glenohumeral joint. The anatomy of this joint allows for a large range of motion, which is accompanied by a loss of stability. A study conducted by Basmajian determined that the supraspinatus muscle and also the posterior fibers of the deltoid muscle play a key role in preventing humeral subluxation. Chaco and Wolf also confirmed in their study that the supraspinatus muscle is very important in preventing inferior subluxation of the humerus. Shoulder subluxation occurs during abduction and external rotation.
Other studies indicate that the most important ligamentous structure for maintaining proper alignment of the humerus and also for preventing shoulder subluxation is the inferior glenohumeral ligament. This ligament is most important in external rotation and abduction during the throwing movement.
Shoulder subluxation can lead to soft tissue damage because traction can occur due to gravitational forces and a weak shoulder provides poor protection. This is usually quite painful and may be accompanied by partial numbness in the shoulder, arm and hand.
Symptoms of types of dislocations
At the same time, there are symptoms characteristic of each individual type of dislocation.
Prosternal type of dislocation
Thus, the first, prosternal type of dislocation is the most common and is easily determined by the protrusion of the inner end of the clavicle forward.
Suprasternal type of dislocation
In the case of a suprasternal dislocation, the collarbone protrudes forward and upward.
Substernal type of dislocation
For the third type of dislocation, according to its name, there is a retraction of the inner end of the clavicle. Retrosternal dislocation of the inner end of the clavicle is considered to be the most dangerous, since in this case there is a serious risk of damage to important anatomical structures.
Also helping to avoid confusion is the fact that in the event of a fracture, in addition to swelling and deformation, there is limited mobility of the shoulder, bruising and rupture of soft tissues from fragments of the broken bone. In addition, displacement during a fracture, unlike a dislocation, usually occurs forward and downward. However, an x-ray should be taken to rule out the presence of a bone fracture.
Attention!
In people who are obese, the outward signs of a dislocated collarbone may be less noticeable.
Causes of deformation
More often, clavicle deformation occurs due to bone injuries, fractures, and dislocations. Doctors note various possible causes of asymmetry.
Deforming arthrosis of the clavicular joint
Arthrosis of the clavicular joint
The pathology is chronic. This is a degenerative disease of cartilage tissue, which is expressed in stiffness of hand movement. Sometimes this disease is also called “osteoarthrosis of the shoulder joint” (not to be confused with osteochondrosis). This disease occurs in approximately 7% of the world's population. People who constantly load the joint suffer more often: builders, musicians, computer scientists, athletes. Arthrosis of the clavicle develops in old age. The disease can be treated conservatively or surgically. It all depends on the degree of pathology.
Incomplete fracture (break of bone tissue)
It happens more often with boys or men/guys due to their overly active lifestyle. This is a hard combat sport, mobility at school, on playgrounds. An injury can occur when you fall on your elbow, hit a wall with your shoulder, fail to fit into a doorway, or make a sharp turn. More often than not, with such an injury, an adult or child does not even experience pain. Minimal discomfort is attributed to a bruise.
The fact of an incomplete fracture is detected after 2-3 weeks, when a bone callus forms at the site of the crack. Outwardly, it resembles a swelling in the area of the tubular bone. It is advisable to take pictures and visit a traumatologist. The doctor will assess the extent of the injury and the degree to which the tissues are healing correctly.
Complete fracture
This type of injury is often displaced and the bone can even protrude through the skin, which is called an open fracture. Pathology with displacement occurs due to a direct strong blow to the tubular bone. When the integrity of the bone tissue is damaged, the joint will crackle. The person feels unbearable acute pain. Literally immediately, under the influence of the muscles of the shoulder girdle, the broken collarbone diverges. Its inner part rises up, its outer part goes down. Instant swelling at the site of injury plus a change in the position of the scapula are additional signs of a complete fracture. The ICD-10 code for clavicle injury begins with S43. This includes dislocations, bruises, fractures, etc.
Scoliosis
The most common reason why one collarbone protrudes more than the other in an adult or child is scoliosis. The problem develops gradually, so parents often pay attention to it when it has already taken root. Scoliosis develops from improper sitting, increased stress on the spine, and a weak muscle corset. Initially, you need to pay attention to the weight and type of the student’s backpack, and to the position in which he mostly sits. It is important to pay maximum attention to the student’s mobility and provide him with a full-fledged orthopedic place to sleep.
With scoliosis, the asymmetry of the collarbones is clearly visible and the curved arch of the patient's spine is visible. Any postural disorders in children according to the ICD have code M53.2.
If problems are identified, you should contact an orthopedist. The doctor will assess the severity of the patient’s condition and select the appropriate treatment tactics.
Scoliosis in children is congenital. It occurs due to a birth injury in one of the cervical vertebrae (usually the second or third) or other birth problems. Such conditions are quickly compensated and by the age of 5-6 years, parents no longer observe pathological changes in the baby.
Injury
With strong impacts to the shoulder joint, soft tissue bruises are possible. In this case, they swell. Visually, a person can trace the asymmetry of the collarbones. But with the right help, it goes away quickly. To reassure you, you can visit a traumatologist so that he can track the integrity of the bones and their joints in the pictures.
Oncology
In rare cases, cancer of the lymph nodes leads to a change in the appearance of the collarbone. Lymph is sent to this area when draining from the lungs and chest. With oncology, a person additionally feels the constant presence of a lump in the throat.
First aid for acromial dislocation
When providing first aid to a victim who has suffered a dislocation of the collarbone, first of all, one should ensure fixation and calmness of the injured limb. This can be done using a bandage or a rag scarf. The arm is suspended in a bent state, and a small soft cushion is placed in the armpit.
Since the injury is very painful, it is permissible to apply a cold compress to the painful area. Ice should be wrapped in cloth to prevent the skin from freezing. This kind of compress can be applied for no more than a quarter of an hour with an interval of thirty minutes between procedures.
It is important to know!
Attempting to straighten a dislocation on your own is strictly prohibited, since inexperienced actions can lead to negative consequences. Also, until the ambulance arrives, you should not give the patient strong painkillers, which can change the clinical picture.
Conservative treatment
In the treatment of dislocations of the acromioclavicular or sternoclavicular joints, difficulties arise not in their reduction, but in maintaining them in the desired position necessary for tissue regeneration. The joints are fixed using a variety of splints, bandages, and devices equipped with a dense compression pad. Reduction of the clavicular joint occurs under local anesthesia. To carry it out, a 1% solution of Procaine is used, the dose of which depends on the age and weight of the victim. The following immobilization methods have the greatest therapeutic effectiveness:
- Volkovich bandage. A thick cotton-gauze roll is applied to the area of the injured clavicular joint, which is secured with an adhesive plaster. If the acromial end of the clavicle is damaged, the patient is asked to move the shoulder outward and slightly back while positioning the pelota. At the final stage of immobilization, a cushion is placed in the axillary region. The victim is asked to lower his arm, which is suspended with a scarf;
- Deso bandage. The patient is asked to move the shoulder back and a cotton-gauze roll is applied, which is fixed with an adhesive bandage. It covers the lower third of the shoulder and the shoulder girdle. For complete immobilization, the pelot is fixed with a second adhesive tape located perpendicular to the first. The patient is asked to lower his arm to check how the bandage is holding it;
- gypsum bandage. This is the most commonly used and reliable way to fix the clavicular joints in a stationary position. Thoracobrachial dressings require the mandatory use of cotton-gauze rolls and plaster bandages of the required size.
The duration of conservative treatment ranges from 2 weeks to 1.5 months. Patients' therapeutic regimens include non-steroidal anti-inflammatory drugs in tablets or capsules. The least number of side effects is typical for Ketorolac, Nimesulide, Meloxicam.
In the presence of gastrointestinal pathologies, instead of NSAIDs, traumatologists recommend taking analgesics or antispasmodics (Baralgin, Bral, Spazmalgon) to reduce the severity of pain.
At the initial stage of therapy, antihistamines can be prescribed: Loratadine, Tavegil, Suprastin. These drugs eliminate swelling that occurs when soft periarticular tissues are damaged.
To accelerate the regeneration of clavicular joints, chondroprotectors are used in tablets, capsules or ointments with glucosamine and chondroitin.
Treatment of clavicle dislocations
Therapy for clavicle dislocation is carried out both by conservative methods and by surgical intervention.
Conservative treatment
The specificity of the procedure is that straightening the protruding end of the collarbone is not a difficult task. It is much more difficult to fix and keep it in the correct position. In traumatology, incomplete acromial dislocation is usually treated conservatively. The displacement of the bone is eliminated by moving the shoulder back and at the same time pressing on the protruding end of the clavicle. Then the acromioclavicular joint is immobilized for a period of 2-3 weeks. Subsequently, physical therapy and physiotherapy are prescribed: electrophoresis, magnetic therapy, ozokerite therapy.
When the sternal end is dislocated, reduction is carried out without much difficulty, but it is not always possible to keep the collarbone in place. The assistant pulls the patient's shoulders back, while the traumatologist corrects the position of the collarbone by moving it out from behind the sternum or applying pressure. There is a special conservative treatment method in which, after reduction, a figure-of-eight plaster cast is applied. The patient is prescribed exercise therapy and physiotherapy.
Treatment for dislocation of the outer end of the clavicle is carried out using invasive and non-invasive techniques. In most cases, one of the conservative treatment options is sufficient. But if at the end of treatment there is no result, or it is unsatisfactory, the doctor may suggest surgical intervention.
Surgery
With complete acromial dislocations, articulation plastic surgery is often indicated, since the unrestrained acromial end of the clavicle is very easy to put in place, but due to the anatomical structure of this area, it is almost impossible to keep it in the correct position. During the operation, the orthopedic traumatologist realigns the collarbone and secures it with Mylar tape or silk thread. Some surgical techniques use additional fixation with a pin.
For fresh substernal dislocations of the clavicle, in most cases surgical treatment methods are also used. Lavsanoplasty is used to restore ligaments. Usually the operation is performed as planned a few days after treatment. In case of retrosternal injuries, especially those accompanied by breathing problems, intervention is performed on an emergency basis. Old dislocations of both ends of the clavicle can only be eliminated with the help of surgery, the indications for which can be considered as pain and movement disorders, as well as a cosmetic defect.
Clinical manifestations
Immediately after injury, the victim experiences severe pain, spreading to the upper body and intensifying with inhalation. Movement in the joint is so limited that the person is unable to raise his arm. The most characteristic symptoms of a dislocated clavicle, regardless of its location:
- skin sensitivity decreases, a feeling of numbness occurs;
- the collarbone area rapidly swells and the skin turns red;
- deformation of the clavicular-sternal or clavicular-acromial joint is visualized.
If the injury is not complicated by ligament ruptures or only one of them is damaged, then victims do not always seek medical help. The damage causes mild pain, slight swelling, and slight limitation of movement. Such an injury is called a subluxation and, in the absence of medical intervention, provokes the development of severe complications, which can only be eliminated by surgery. With sternoclavicular dislocation, the patient, when visiting a traumatologist, complains only of pain and decreased range of motion. Pain is felt on palpation, especially when the doctor tries to lift his arm.
The initial diagnosis can be made already at the stage of examining the victim. If a prosternal dislocation occurs, then a protrusion of the clavicle is visible in the damaged area, and a retrosternal injury is visualized in its retraction.
A similar diagnostic technique is used to determine dislocation of the acromial end of the clavicle. In this case, the upward protrusion of the collarbone is clearly visible. When the doctor puts a little pressure on the acromial end, it returns to its natural position. As soon as the pressure eases and stops, the acromial end begins to move and rise.
The initial diagnosis is confirmed or refuted after instrumental studies, the most informative of which is radiography . A dislocation of one of the sections of the clavicle is indicated not only by the fairly variable width of the joint space. The main sign of such injuries is a change in the position of the lower part of the clavicle and its acromial end. Their presence at the same level means the integrity of the ligamentous apparatus and the absence of dislocation. If the collarbone is displaced upward on the X-ray image, then pathology therapy begins immediately.
| Dislocation of the clavicular joint | Clinical manifestations |
| Acromioclavicular | Severe pain that intensifies with inspiration, visualization of protrusion of the acromial end of the bone, extensive hematoma when the integrity of the blood vessels is violated, edema |
| Sternoclavicular | Visual deformation of the joint in the form of a decrease in the length of the shoulder and shift of the clavicle, severe pain and rapidly spreading swelling, hematoma |
Rehabilitation
Regardless of what methods were used in the treatment of clavicle dislocation, rehabilitation is an important and necessary link in therapy. With its help, the healing process of muscles and ligaments is accelerated, the motor activity of the limb is restored, the collarbone is strengthened, which serves to prevent relapses.
After 3 months after the injury, the doctor prescribes special physical exercises, with the help of which the collarbone and arm acquire their previous shape and function. If you start doing exercises ahead of schedule, there is a possibility of recurrence of the injury, the treatment of which will take more effort and time.
Prevention of scoliosis
To ensure that the spine remains straight and all parallel bones/limbs of the body are positioned correctly, preventive measures should be taken from an early age.
- Maintain good posture both when walking and while sitting. Correct it if the slightest violations are noticed in the early stages.
- Avoid carrying excessive weights. Especially in one hand or on one shoulder.
- When sitting for a long time, your legs (knee bend) should form a 90-degree angle. The back remains straight. Every 15-20 minutes you need to get up and stretch.
- It is important to strengthen your back and abdominal muscles. Therefore, daily gymnastics is mandatory.
- You should lead a normal active lifestyle. Hiking, running, swimming, cycling will do excellent service to the spine. Refusal of prolonged sitting, standing, and excessive loads.
- It is advisable to take a general massage course at least once a year.
- Watch your weight. In thick, obese people, the load on the joints and spine increases significantly.
- If you experience prolonged discomfort in your back, you must seek qualified help in a timely manner.
Following these simple rules will keep your spine strong and healthy. At the same time, a girl, a man, a teenager, and a child will always be able to walk beautifully.