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Treatment of a separated shoulder depends on the severity of the injury. When beginning treatment, the first steps should be to control inflammation, and to rest and ice the joint. Anti-inflammatories such as ibuprofen may also relieve pain and inflammation. The joint should be iced every four hours for fifteen minutes at a time.
Surgery is employed in 5–10% of cases. However, a meta-analysis of 2 144 midshaft clavicle fractures supports primary plate fixation of completely displaced midshaft clavicular fractures in active adult patients. [9] If the fracture is at the lateral end, the risk of nonunion is greater than if the fracture is of the shaft. [10]
Shoulder pain or tenderness and, occasionally, a bump in the middle of the top of the shoulder (over the AC joint) are signs that a separation may have occurred. Sometimes the severity of a separation can be detected by taking X-rays while the patient holds a light weight that pulls on the muscles, making a separation more pronounced.
Separation of vertebral bodies; Movement of facet joints; Expansion of intervertebral foramen; Stretch of soft tissues; When mechanical traction is combined with other physical therapy modalities such as passive mobilization, massage, stretching and active exercises, it is an effective treatment for pain reduction in cervical or lumbar spine ...
The collarbone is a thin doubly curved long bone that connects the arm to the trunk of the body. [4] Located directly above the first rib, it acts as a strut to keep the scapula in place so that the arm can hang freely. At its rounded medial end (sternal end), it articulates with the manubrium of the sternum (breastbone) at the sternoclavicular ...
An open fracture (or compound fracture) is a bone fracture where the broken bone breaks through the skin. [2] A bone fracture may be the result of high force impact or stress , or a minimal trauma injury as a result of certain medical conditions that weaken the bones, such as osteoporosis , osteopenia , bone cancer , or osteogenesis imperfecta ...
If pain disappears and shoulder function remains good, no further testing is pursued. The test helps to confirm that the pain arises primarily from the shoulder, rather than being referred from the neck, heart, or gut. If pain is relieved, the test is considered positive for rotator-cuff impingement, of which tendinitis and bursitis are major ...
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 ...