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A regimen of physical therapy following surgery is prescribed and most patients experience full recovery within 8 to 10 weeks post-surgery. [1] The procedure was created by, and named for, orthopedic surgeon Eugene Bishop Mumford in 1941. [2] [3]
If it becomes severe, the Mumford procedure or distal clavicle excision can be performed. [citation needed] Most non-surgical treatment options include first immobilizing the arm with a sling for approximately 2 weeks followed by gradually improving shoulder movement using physical therapy to build up the muscles and help stabilize the joint. [5]
Clavicle fractures occur at 30–64 cases per 100,000 a year and are responsible for 2.6–5.0% of all fractures. [15] This type of fracture occurs more often in males. [ 15 ] About half of all clavicle fractures occur in children under the age of seven and is the most common pediatric fracture.
Modern variations of the procedure may use additional fixation methods to better stabilize the distal clavicle end as the original construction is rather weak compared to the unharmed shoulder. Even with these modifications, the modern surgeries do not match intact coracoclavicular ligament strength in cadaveric testing. [ 3 ]
If the clavicle is fractured, the patient must at first wear a strap and sling around the chest to keep the clavicle in place. After removing the strap and sling, the doctor will prescribe exercises to strengthen the shoulder and restore movement. Surgery is occasionally needed for certain clavicle fractures, especially for disunions.
Clay-shoveler's fracture is a stable fracture through the spinous process of a vertebra occurring at any of the lower cervical or upper thoracic vertebrae, classically at C6 or C7. [1] In Australia in the 1930s, men digging deep ditches tossed clay 10 to 15 feet above their heads using long handled shovels. [ 2 ]
Early fracture immobilisation and fixation helps to prevent further soft tissue injury and promotes wound and bone healing. This is especially important in the treatment of intraarticular fractures where early fixation allows early joint motion to prevent joint stiffness. Fracture management depends on the person's overall well-being, fracture ...
A Smith's fracture, is a fracture of the distal radius. [ 1 ] Although it can also be caused by a direct blow to the dorsal forearm [ 2 ] or by a fall with the wrist flexed, the most common mechanism of injury for Smith's fracture occurs in a palmar fall with the wrist joint slightly dorsiflexed. [ 3 ]
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