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Clavicle
fracture and Prolotherapy Robert Filice, M.D. Former staff physician Seeing as it is the most mobile joint in the human body, the shoulder takes on a disproportionate chance of injury. The boney components of the joint include the clavicle, the scapula, and the upper portion of the humerus. There are also interconnections that will be found as far away as the sternum and the rib cage in the back. Here are the most common injuries we see in no particular order: Clavicle fracture: These usually occur when a person attempts to break a fall by extending an outstretched arm or by a direct fall on the lateral shoulder itself. Most clavicular fractures (80%) occur in the middle third of the clavicle, and are called group I. These are not casted, but simply treated with an arm brace, even if there is displacement of the two ends of the bone. Group II fractures occur in the outer third of the clavicle and can sometimes produce arthritis in the AC joint (the junction of the clavicle with the acromion process of the scapula) while group III occur at the sternal side of the bone. Group III is often associated with other more serious injuries to organs or vessels of the chest. Any of the three groups of fractures are treated conservatively with a sling without casting when there is no displacement. Whenever bones are fractured, ligaments and tendons which attach to the area of the fracture can be torn or damaged and result in chronic pain which persists beyond the normal healing time of the fracture itself. Such soft tissue damage and pain is best treated with a course of Prolotherapy. |
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