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Sternoclavicular dislocation is rare, [2] but may result from direct trauma to the clavicle or indirect forces applied to the shoulder. [4] Posterior dislocations deserve special attention, as they have the potential to be life-threatening because of the risk of damage to vital structures in the mediastinum ; [ 5 ] surgery can be used to fix ...
The clavicle is the bone that connects the trunk of the body to the arm, and it is located directly above the first rib. A clavicle is located on each side of the front, upper part of the chest. The clavicle consists of a medial end, a shaft, and a lateral end.
The coracoacromial ligament originates from the summit of the acromion of the scapula, just in front of the articular surface for the clavicle. [1] It inserts by its broad base along the whole length of the lateral border of the coracoid process of the scapula. [1] The clavicle and under surface of the deltoid muscle are above it.
The coracoclavicular ligament connects the clavicle to the coracoid process of the scapula. [1] It is not part of the acromioclavicular joint articulation, but is usually described with it, since it keeps the clavicle in contact with the acromion. It consists of two fasciculi, the trapezoid ligament in front, and the conoid ligament behind. [2]
The clavicle, collarbone, or keybone is a slender, S-shaped long bone approximately 6 inches (15 cm) long [1] that serves as a strut between the shoulder blade and the sternum (breastbone). There are two clavicles, one on each side of the body. The clavicle is the only long bone in the body that lies horizontally. [2]
A supraclavicular nerve block is useful when performing surgery on the shoulder, anaesthetising a large area of skin. [5] The supraclavicular nerves are vulnerable during surgery on the clavicle, and must be identified early on in surgeries to reduce the risk of nerve injury and neuroma. [6]
External fixation is a surgical treatment wherein Kirschner pins and wires are inserted and affixed into bone and then exit the body to be attached to an external apparatus composed of rings and threaded rods — the Ilizarov apparatus, the Taylor Spatial Frame, and the Octopod External Fixator — which immobilises the damaged limb to facilitate healing. [1]
A common surgery is some form of modified Weaver-Dunn procedure, which involves cutting off the end of the clavicle portion, partially sacrificing the coracoacromial ligament and suturing the displaced acromial end to the lateral aspect of the clavicle for stabilization, then often some form of additional support is introduced to replace the ...