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Delbe Fractures

Most often fractures occur in the middle third, or between the middle and outer thirds. As apparent broken collarbone clavicle fractures can be damaged various organs and tissues, since the nature of the displacement of bone fragments may be affected by factors such as impact force, heaviness of limbs, pull muscles, etc. Ends of the displaced bone fragments can be damaged pleura, blood vessels, nerves and skin. The victim is concerned about pain at the site of the fracture, hand injury side moves with difficulty because of pain. On the injury is swelling, change in shape of the clavicle, the shortening of shoulder girdle, hemorrhage, shoulder lowered and shifted forward and inward, supraclavicular fossa smoothed. The victim maintains his good hand and forearm and elbow the injured limb, pressing it to his body. When probing into the fracture site can be determined by the mobility of fragments of the clavicle and the friction (crepitus).

It is not necessary to achieve a clear identification of the mobility of the clavicle bone fragments during the inspection, as it is very painful and can damage the surrounding soft tissue. Survey victim If you suspect a fracture of the clavicle physician first identifies the degree of disruption of soft tissues (skin, subcutaneous tissue, blood vessels, nerves, organs of the chest), after which the victim is appointed by x-ray for further diagnosis and for appropriate treatment. Treatment of fractures of the clavicle on scene of an accident victim must provide first aid, which is hanging at the hands of a scarf. You can also pribintovat hand to the body (elbows bent at a right angle), then deliver victim to the trauma center (or hospital, depending on the state) to establish an accurate diagnosis and providing medical assistance. Treatment of clavicle fractures depends on its nature. Subperiosteal fracture treatment (by type of "green branches"), and fractures without displacement of fragments is carried out using different fixation bandages, which are imposed for a period of two to three weeks in children and adults for a month (in children fractures coalesce faster).

At fractures of the clavicle with displacement of bone fragments after local anesthesia is reduction of bone fragments. But to keep the fragments in position is very difficult because of muscle tension, and therefore developed special methods for their fixation, for example, rings Delbe – two soft rings and grab the shoulder joints connected to each other on the back. When damaged, requiring prolonged bed rest, the victim is laid on the bed with hard mattress, his hand hanging from the bed down and backwards. Fractures that were complicated breach of the skin (open fracture) or closed fractures with soft tissue injuries held various surgery, restoring the function of the clavicle. To speed up the healing of tissues and use Polimedel ArgoVasna gel.

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