Rings of the delbe and bandage of the dezo bandage at the fracture of the clavicle

Use of a dezo dressing for injuries of the shoulder and collarbone

All brachial orthoses can be divided into several large groups, each of which performs its functions and is assigned in certain situations.

An immobilizing semi-rigid orthosis on the shoulder and forearm reliably fixes the problem joint after trauma (fracture, dislocation, etc.) or surgery. In such a bandage the patient can not move his shoulder or move his hand to the side.

The fixing orthosis-kerchief from elastic fabrics is sometimes supplemented by rigid designs - tires, hinges, which help to set the necessary angle of an arm and a shoulder joint position.

On a note! In addition, an abduction brachial orthosis is produced, which has a special pillow. It is placed between the body and the hand, keeping the given angle of the position of the shoulder joint.

A soft support band is used to prevent injuries in the first place by athletes. It only provides the necessary level of compression to the joint and muscles, excluding stretches and fractures.

The most popular modification of this orthosis is the Dezo bandage, which helps to fix the bent at the elbow A hand with one or two shoulder straps, as well as a wide elastic retainer, which is attached to torso. This model is no longer a prophylactic, but a therapeutic one. It is used after injuries and operations, as well as in cases where it is required to immobilize the shoulder.

Bandages for the shoulder and collarbone are called "Delbe rings". With their help, the shoulder belt is fixed during treatment for injuries of the sternoclavicular joint.

The appointment of brachial orthosis may have several goals. In connection with this, several large groups of different designs have been developed, united by one name - "shoulder bandage". Groups are called:

• fixing bandages;
• supporting bandages;
• limiting bandages;
• clavicular bandages.

Degree of fixation

According to the degree of fixation, the structures are divided into several categories:

• bandages of weak fixation for early rehabilitation of the musculoskeletal system and for the prevention of injuries after overloads;
• bandages semi-rigid for postoperative rehabilitation and treatment of arthritis, arthrosis and periarthritis;
• Bandages of rigid fixation for immobilization at fractures or after operations.

The degree of compression and rigidity of fixation of the bandage is determined by the doctor.

Signs of clavicle fracture

The characteristic clinical signs indicating deviations from the natural state of the bone are a direct indicator of the presence of the disease.

The main symptoms of a clavicle fracture have a direct relationship with strong pain in the area of ​​the lesion that the patient experiences after getting injured.

Attempts to commit any movement by a damaged limb will be doomed to failure, since severe pain will not allow the injured person even to raise his hand.

In addition, the forearm will appear swelling or swelling, which clearly indicate the presence of bruises.

Diagnosis of clavicle dislocation

Diagnose the dislocation of the clavicle by external signs (characteristic bulging of the outer or inner end of the bone, pain, swelling of soft tissues). However, in addition to external examination, the doctor is obliged to palpate the injured place and make a radiograph.

In case of dislocation of the outer end of the clavicle, the radiograph makes it much easier to diagnose, since it allows consider the position of the external process of the scapula relative to the lower edge of the clavicle: when dislocated they are located at an angle from each other.

If they are located on the same level, the deformation of the external end is caused not by a dislocation, but by the pathology of the clavicle.

In some cases, the doctor may also appoint a CT scan of the affected area.

Treatment of clavicle fracture

The process of therapy in the presence of trauma will depend on the patient's age, but should not be treated at home. As is known, in newborns and children under three years of treatment, the clavicle fracture occurs very quickly with minimal intervention by doctors.

For those patients whose age exceeds the specified figure, the bone will grow together 6-7 months. Before starting the procedure, the patient is given an anesthetic, after which a special plaster bandage is applied as a rigid fixative.

First aid

To begin with, you should give the patient any available analgesic and apply cold to the site of the injury in order to calm the pain. After this, you need to try to stop the bleeding by fixing the injured area with a bandage.

Doctors use a cruciform method of fixation, in which the shoulder girdle remains stationary.

Operation at fracture of clavicle

In the process of surgery, a bone clench is performed with a special metal structure, which eliminates the displacement of the fragments.

Osteosynthesis can be performed both with the use of screws and with the use of plates, the choice is made by the attending physician based on the nature of the fracture (open, closed).

Tire with a collarbone fracture

Fracture of the clavicle is a complex trauma, the treatment of which requires a special approach, since it is not possible to splint directly the paired humerus.

It is equally important to squeeze the shoulder to the body as much as possible, placing a roller of cotton wool under your arm.

Gypsum in case of fracture of clavicle

Therapy of dislocation of the clavicle is carried out by both conservative methods and by surgical intervention. Specificity of the procedure is that to fix the bulging end of the clavicle - the task is not difficult. It is much harder to fix and hold it in the right position.

https://www.youtube.com/watc? = 4B2f_F02FcM

But if there is no result at the end of treatment, or if it is unsatisfactory, the doctor can offer surgery.

Elastic bandages

The most common variant of non-invasive treatment of the dislocation of the outer end of the clavicle is the Volkovitch bandage. Before it is applied, the affected area is anesthetized with a dose (20-30 ml) of a 1% procaine solution and the colleca is inserted.

Then a cotton-gauze roll is inserted into the axilla, and the cotton-gauze peloton is applied to the acromial joint, which is fixed by the patch in the next Sequence:) in the direction of the back and down from the outer process of the scapula to the shoulder; ) on the back of the shoulder to the elbow; ) Girth of the elbow fold; ) on the front of the shoulder to the acromial process of the scapula.

As an analogue to the first option, you can apply a dezo bandage. Before its superimposition in the armpit, a cotton-gauze roll is also inserted. The dressing is superimposed as follows:

7) Repeat steps 4 - 6 until complete immobilization of the damaged shoulder girdle.

Dezo's bandage with a clavicle dislocation

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In the treatment of dislocation of the outer end of the clavicle with the help of elastic (soft) bandages from the first day of therapy It is recommended to apply cold to the damaged area (this will help to eliminate puffiness and stop pain Feel). In the event that the pain does not go away, you should take an anesthetic.

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Remember: self-medication is harmful to health, so taking an anesthetic and its type should be discussed with your doctor.

Inelastic bandages

The success of the therapeutic course depends on many factors: the severity of the pathology, the extent of damage, the professionalism of the doctors and the age of the patient. In severe cases, surgery is required.

X-rays help to diagnose fracture. Usually it is carried out in two projections: a lateral and a straight line.

The bone fragments can be compared without surgery by repositioning. This is a medical procedure performed under local anesthesia.

This procedure avoids the wrong fusion of the parts of the clavicle.

Therapeutic course includes:

• anesthetics;
• antibiotics for infection of an open fracture or postoperative sutures;
• restorative, immunostimulating agents;
• vitamins;
• calcium preparations to strengthen bone tissue;
• physiotherapy: electrophoresis, magnetotherapy, ultrasound, laser therapy, UHF therapy (ultrahigh-frequency);
• therapeutic physical training, massage and warm salt baths at the final stage of treatment.

First aid for fracture of clavicle

If there is a suspicion of dislocation of the clavicle, urgently, it is necessary to accurately hang and fix the limb by applying a bandage (both a bandage and a scarf are suitable for this). In this case, a cotton-gauze roll or a piece of cloth rolled into it should be placed in the axillary cavity.

Reduce edema can be applied to the site of the injury cold.

Exceptions are cases where a person has a low threshold of pain.

Caution: Before using an anesthetic for strong action, you should consult your doctor.

If a clavicle fracture is suspected, an early immobilization of the limb should be carried out to prevent the possible movement of the bone fragments. Prehospital stage, i.e. transportation of the patient must be done correctly.

The complex of first aid measures will help to avoid complications: damage to veins, lungs and / or nerves. Unprofessional interventions can irreversibly exacerbate the situation.

If at hand there is no suitable material for the neckband, then fold up and fix the edge of clothing: T-shirts, shirts. It is important that the forearm is completely fixed with a bandage.

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This is part of the arm from the elbow joint to the wrist. This bandage is called a scarf or kerchief.

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Why do I need complete immobilization of my arm with a broken clavicle? When it is completely immobilized, the patient relaxes the muscles, bone fragments exert less pressure on the nerves and the pain recedes slightly.

If at hand is only a scarf, belt or just a cloth tourniquet, then proceed as follows. He is thrown over his shoulders, and between the shoulder blades the resulting loops are connected by something.

The main requirements for the design are rigidity and reliability. The site of the fracture can be anesthetized by applying ice.

You can not:

• try to independently fix the "dislocation" without an exact diagnosis;
• carry the patient standing or lying down, only sitting or half-sitting;
• lean forward;
• to pull his hands;
• fully straighten the damaged limb;
• fasten the upper limb with a thin cord, rope or belt.

Complications of clavicle fracture

The risk of complications arising in the event of an injury is always present, for example, a fracture in the child that has not properly fused. In this situation, you will have to break the bone once again so that it can re-grow.

The consequences can be as follows:

• loss of hand efficiency during the rehabilitation period;
• damage with sharp bone fragments of nearby vessels and nerves, as well as dome of the pleura and skin;
• serious hemorrhage;
• plexitis - inflammation of the nerve plexus;
• muscle paralysis;
• secondary displacements, for example, because of muscle contractions or an improperly applied bandage;
• formation of false joints;
• scoliosis - lateral curvature of the spinal column - with an incorrect fusion of fragments of the clavicle;
• non-occurrence;
• infection if the place around the wound with an open fracture is not treated with antiseptics;
• osteomyelitis - purulent-necrotic inflammation of the bone and adjacent soft tissues caused by pathogenic microorganisms;
• suppuration of a postoperative wound;
• Arthrosis accompanied by joint stiffness;
• limitation of hand movements;
• cosmetic defect with improper bone consolidation.

Complication in the form of flaccid paralysis of muscles appears with obstetric trauma. This happens with very large newborns and with a leg presentation.

If you ignore the secondary displacement, the bones will become crooked. This will necessarily affect later the ability to control the hand, its power.

The causes of non-adhesion of the clavicle:

• multisplaced fracture;
• inadequate metal fixer;
• excessive removal of the periosteum during surgery.

If the clavicle is not damaged or improperly fused, repetition of the fragments and surgery can be performed. In order to detect complications in adjacent soft tissues, computer or magnetic resonance imaging studies are rarely prescribed.

A source: https://momentpereloma.ru/perelomy/ispolzovanie-povyazki-dezo-pri-travmah-plecha-i-klyuchicy/

Bandage for fracture of the collarbone: how to apply?

Fixation of dressings for clavicula fracture

This article tells about the purposes and methods of applying bandages to the clavicula (clavicula) in a fracture. Types of dressings and indications for their use are described.

Clavicle - a problematic place for applying gypsum in fractures. To securely fix the bone, different bandages are used. The bandage for clavicle fracture is superimposed for temporary immobilization and treatment.

Features of trauma

Fracture clavicula happens with a strong impact on it. Usually it happens in car accidents, while playing sports. Right under the clavicle there is the first rib, therefore a combined fracture is possible.

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The main symptom of a collarbone fracture is a sharp pain that occurs at the time of injury. Since the clavicle is directly under the skin, the fractures are most often open and are accompanied by mild bleeding. The expert in the video in this article will tell you more about the features of the fracture of the clavicle.

The purpose of dressing for a fracture

The dressing is applied in different situations and for different purposes.

1. For the purpose of transport immobilization.The fixing dressing is superimposed to prevent complications. Movable bone fragments can injure important vessels and nerves, lungs. Therefore, during transportation of the victim to the emergency room, the bone must be immobilized.
2. With a therapeutic purpose.In case of a fracture of the clavicle, a dressing is also applied for treatment. The main condition for the fusion of bones is their immobility.

Depending on the purpose, different types of dressings are applied.

The dressing is applied in different ways

Types of dressings

Bandages differ in the material from which they are made, and the way they are applied. Before applying medical dressings, anesthesia should be performed.

Delbe Dressing

As a conservative treatment method, the Delbe bandage is used. To make it you will need cotton wool and gauze. The layer of wool is twisted into a long tight roll and wrapped with several layers of gauze or bandage.

Rolls are put into the armpits of a person and folded in rings. Fasten them together on the back. The dressing prevents the displacement of the damaged edges of the clavicula.

Modern modification of the Delbe rings

The eight-dimensional bandage

It is better to apply this bandage with an elastic bandage. It is also used for medicinal purposes. Place it crosswise across both axillary basins and forearms. It is often used as a medical dressing for a child.

Bandage of the Seimas

Used mainly for transport immobilization. This bandage involves the use of an adhesive plaster. With a wide patch, the forearm is fixed in a bent position at right angles.

Kosynochnaya

A bandage dressing is the simplest variant of transport immobilization. It can be made from any strong fabric available at hand.

The manufacturing instruction is very simple. A triangle is folded from a piece of cloth. In the middle of the triangle, place an elbow bent at right angles.

The ends of the fabric are tied around the neck.

The simplest version of the bandage

Oval Titova

Another type of bandage for transport immobilization. Oval pushes in the armpit from the side of the lesion. The hand is suspended on a kerchief or a wide bandage.

Crutch Bandage

A crutch bandage is made of crutches. It provides the maximum dilution of the shoulder-lines and their preservation in this position. Crutches make a tire, the length of which corresponds to the distance from the patient's axilla to the wing of his ilium.

The application of a crutch dressing should be carried out in several stages.

1. First, the patient raises his hand up, trying to reach the back of the head with the palm of his hand. In this position, the maximum dilatation of the shoulder-lines occurs.
2. Then the tire is placed in such a way that one of its edges rests on the armpit, and the second - in the wing of the ilium. The lower end of the tire is fixed with gypsum bandages through the trunk.
3. At the last stage, the patient lowers his arm through the upper edge of the tire. The clavicle is in the right position and the fragments are compared. The lower edge of the tire is fixed diagonally across the entire trunk to the shoulder of the opposite side.

The period of wearing such a bandage is one month.

The correct dressing ensures immobility of bone fragments and fusion of damage. Know how to impose a bandage for temporary immobilization, everyone should know.

Bandages of Deso and Velpo, plaster casts are not used today, as when wearing them, muscle atrophy and shoulder joint damage occur.

A bandage with a fracture of the clavicle is an indispensable element in the treatment of trauma. Its use makes it possible to significantly shorten the healing time of the fracture.

A source: https://travm.info/lechenie/sposoby-immobilizacii/pri-perelome-klyuchicy-povyazka-670

Fracture of the clavicle - first aid, surgery and treatment, recovery period and rehabilitation

The twin bone of the shoulder girdle is considered one of the most vulnerable due to its location and structure. It has an oblong, S-shaped form, the main purpose of which is the coupling between the free upper limb and the trunk.

How can I break my collarbone?

Features of the structure of the bone do not provide for a hard protective surface, so the clavicle can be broken in several ways. One of the most common is the dislocation of the acromial end (ICD code S42.0).

This can happen as a result of a blow to the shoulder joint, falling on the elbow or bruising your hand in a traffic accident. It is rare to find fractures of a pathological nature that arise when the bone malignant neoplasms.

Also, a crack in the clavicle is sometimes formed with a sharp contraction of the muscles.

The characteristic clinical signs indicating deviations from the natural state of the bone are a direct indicator of the presence of the disease.

The main symptoms of a clavicle fracture have a direct relationship with strong pain in the area of ​​the lesion that the patient experiences after getting injured.

Attempts to commit any movement by a damaged limb will be doomed to failure, since severe pain will not allow the injured person even to raise his hand. In addition, the forearm will appear swelling or swelling, which clearly indicate the presence of bruises.

Fracture of the clavicle - treatment

The process of therapy in the presence of trauma will depend on the patient's age, but should not be treated at home.

As is known, in newborns and children under three years of treatment, the clavicle fracture occurs very quickly with minimal intervention by doctors. For those patients whose age exceeds the specified figure, the bone will grow together 6-7 months.

Before starting the procedure, the patient is given an anesthetic, after which a special plaster bandage is applied as a rigid fixative.

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The injured part of the body needs urgent hospitalization, so the first fracture of the clavicle should provide the safest way to move the victim to the nearest hospital.

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To begin with, you should give the patient any available analgesic and apply cold to the site of the injury in order to calm the pain. After this, you need to try to stop the bleeding by fixing the injured area with a bandage.

Doctors use a cruciform method of fixation, in which the shoulder girdle remains stationary.

Operation at fracture of clavicle

Operative intervention is not necessary in all cases, however, if the patient does not want to have visible deformations on the body, therapeutic massage will not help here.

In the process of surgery, a bone clench is performed with a special metal structure, which eliminates the displacement of the fragments.

Osteosynthesis can be performed both with the use of screws and with the use of plates, the choice is made by the attending physician based on the nature of the fracture (open, closed).

Tire with a collarbone fracture

Fracture of the clavicle is a complex trauma, the treatment of which requires a special approach, since it is not possible to splint directly the paired humerus.

For this reason, the splint is spliced ​​with an elastic bandage or dressing. The success of the event will depend on how effectively it will be possible to fix the hand and immobilize the shoulder girdle.

It is equally important to squeeze the shoulder to the body as much as possible, placing a roller of cotton wool under your arm.

Gypsum in case of fracture of clavicle

Correct therapy always involves the imposition of gypsum in view of the elimination of complications in the process of recovery.

In the absence of gypsum, if there is a fracture of the clavicle, there is a risk of damage to the nerve trunks, muscles, or a group of vessels, which will inevitably lead to an incorrect fusion of bones.

A broken collarbone requires urgent immobilization, if proper measures are not taken, the patient risks permanently being disabled. Modern materials for fracture therapy have a number of advantages:

• availability;
• strength;
• high plastic properties;
• cheapness.

Bandage for fracture of clavicle

Gypsum and a tire for the treatment of clavicle fractures are integral parts of the therapy process. However, it is not uncommon to use other attributes of medical practice.

Often, immobilization in case of a fracture of the collarbone includes the use of dressings during the provision of pre-hospital care, but they are indispensable and at the stage of patients undergoing health therapy.

The most known bandages for treatment in medical circles are:

• Delbe's bandage;
• tire Kuzminsky;
• eight-shaped soft bandage;
• Seira's bandage;
• the oval of Titov.

Delbe's rings with a collarbone fracture

There is another no less effective way of applying a bandage, which restores the length of the clavicle - these are the Delbe rings.

According to the rules of desmurgy, rings should be prepared as follows in the case of a collarbone fracture: two rings of cotton wool wrapped in cheesecloth, the holes in which are somewhat larger than the diameter of the shoulder the victim.

The resulting design is worn through the hands, stretching to the muscular cavities, after which the rings are connected with a special rubber tube on the back of the patient.

8-band dressing

An eight-part bandage on the collarbone is one of the ways of immobilization.

It is imposed only after the correction of acute fragments by a doctor, it is contraindicated in doing the first medical aid, otherwise the trauma will heal very long.

The main task of this dressing is to prevent the displacement and extension of bone fragments, so it is very tightly applied. In the case where it is not possible to eliminate the displacement in this way, surgery is performed for reposition purposes.

How to sleep with a clavicle fracture

After receiving medical care, the patient should adhere to certain rules for a speedy recovery.

Security measures are aimed at providing the injured area with the most favorable conditions for rehabilitation, so sleep with a fracture of the clavicle is allowed only on the back or healthy side.

Doctors recommend removing the bandage for the night and straightening the arm where the clavicle fracture is present. If necessary, you can buy special dumbbells for muscle development.

Consequences of fracture

No treatment process can give a 100% guarantee of healing of the resulting injury, therefore the consequences of a fracture of the collarbone can be very different.

And although in most cases this ailment passes quickly, some patients experienced such complications as slow healing during therapy.

In addition, it can occur with a multi-lobed fracture:

• arthrosis of the joints;
• violation of the ratio of soft tissues;
• risk of rupture of the skin;
• damage to the neurovascular bundle;
• bone infections or outgrowths.

Smirnov-Weinstein bandage

A bandage for treatment is used very rarely, especially if the clavicle is broken. This decision is due to the need for surgical intervention in the patient's getting a fracture.

The position of the injured bone affects the choice of the method of therapy, so in some cases special means such as the Weinstein bandage are used.

According to the principle of superposition, it is similar to the Velpo or Dezo bandages, however, it has its own nuances:

1. The arm is bent at right angles to the elbow joint.
2. The shoulder is raised at an angle of 45 degrees and slightly retracted.
3. In the axillary region put the platen.
4. On the foreleg of the opposite side, apply a cotton-gauze bandage.
5. The humeral girdle is fixed with the help of smoothed langettes.
6. Longets are fixed with plaster bandage.

Dezo's bandage with a collarbone fracture

With this dressing, you can immobilize a certain part of the patient's body, mainly it is used for injuries of the humerus or clavicle. In addition, this bandage can be done during rehabilitation or after operations.

The bandage of Dezo in case of a fracture of the clavicle is imposed only to correct the dislocation, if there was one. Before the procedure it is important to examine the muscular cavity for the presence of maceration of the skin.

To apply the bandage you will need a cotton swab, a pin and wide bandages.

Complications of clavicle fracture

The risk of complications arising in the event of an injury is always present, for example, a fracture in the child that has not properly fused. In this situation, you will have to break the bone once again so that it can re-grow.

Often the appearance of complications of clavicle fracture leads to a slowdown in the process of recovery or the appearance of internal hemorrhage.

The optimal treatment period for adult patients is 16 weeks, the rehabilitation of the child takes much less time.

Recovery after a fracture of the clavicle

LFK after the trauma transfer includes three main stages, each of which is an important component of the recovery process for any patient, whether it is an adult or a child.

First the patient undergoes immobilization with the help of bandages, it includes simple exercises for the hand and fingers. The second stage of recovery after a fracture of the clavicle is carried out using special gymnastics sticks.

During this period, the patient needs to develop a shoulder joint. After the removal of gypsum, therapeutic exercise is added, which includes additional procedures:

• amplipulse therapy;
• high-frequency magnetotherapy;
• remote shock wave therapy;
• mineral water;
• low-frequency magnetotherapy;
• hydrogen sulphide baths;
• SUF irradiation in erythematous doses;
• UHF-therapy;
• ultrasound therapy;
• physiotherapy;
• physiotherapy;
• sodium chloride bath;
• electrophoresis of painkillers;
• electrophoresis of vasodilator preparations.

: Collarbone fracture - symptoms and consequences

A source: http://sovets.net/9687-perelom-klyuchicy.html

Fracture of clavicle with displacement: treatment, surgery, rehabilitation (with photo)

The treatment of the fracture of the clavicle is engaged only by a doctor, a traumatologist, but the surgeon can also, if there is no corresponding specialist.

The main treatment options can be identified only two:

• conservative;
• operative.

The doctor decides on a particular method, depending on the type of fracture and the degree of displacement.

Often, the role played by concomitant pathology, and damage to neighboring organs (lungs, pleura, subclavian artery and vein, nerves).

After the fusion of the fracture follows the rehabilitation period, it must be done competently, because it is not enough just to operate, the main thing is to get out of the person and give him the opportunity to move normally. But, about all more in detail.

Gypsum on the shoulder and chest

The essence of conservative treatment consists in comparing fragments, under local anesthesia and subsequent immobilization, which can last from 3 to 7 weeks.

For the purpose of immobilization, gypsum dressings are used that cover the shoulder and thorax, but they are very bulky and bring discomfort during wearing.

Bandages are also used that are used for fractures without displacement, but if there is an offset and contraindications to the operation or gypsum, they can also be used.

And some versions of bandages (Delbe's rings) can correct the fracture, if properly applied. Also, the dressing can be used both as first aid and treatment option.

Types of dressings

The rings of Delbe and the rules for their superposition

Rings of Delbe

You can make this kind of bandage from any handy material, but most often for this use gauze and cotton wool. A platen is being prepared, in the middle of which is cotton wool and then the rings themselves.

On each side there is one ring, it should fit snugly against the skin, without squeezing it. On the side of the back, bandaging them together, they do it very carefully and slowly, and then bind.

So, the fragments diverge, and the pain decreases.

But as any method has its drawbacks, so it is not deprived of them.

The forearms do not rise, but this is the condition for the best comparison.

Moreover, the attached muscles can dislodge the fragments during their contraction. The Dezo or Velpo bandage helps to remove this deficiency.

8-shaped or eight

Eight dressing

The forearms with this bandage are maintained diluted, as in the previous version of fixation, but this method will require additional fixation of the limb. In the field of axillary hollows are placed pads from cotton wool, which are securely fixed.

The bandage itself resembles the figure "8" and passes through the axillary cavities.Behind the bandage passes through the neck, with the shoulders diluted, but so that the person feels comfortable.

Each subsequent tour should overlap the previous one by one-third or half, so the tissues will not be squeezed.

Using a scarf

This method is simple and not only in its application, but it will not be possible to immobilize the fracture.The bandage will only lift the hand and hold it in this position, preventing the muscles from moving the fragments.

Scarf bandage

As a material, a scarf made of cloth can be used. But it can be made from gauze. You will need material, the sides of which are not less than 1 meter.

The square is bent in half diagonally, and the resulting triangle is used as a bandage. The large side of the triangle covers the wrist, and the long ends are fixed around the neck.

The bandage extends all over the forearm to the elbow, and the ends are fixed with a pin.

Dezo Headband

Dezo Headband

The Dezo Bandage is the most common and simple in its execution. You can do it with a simple or elastic bandage.

It all starts with two or three fixing tours at the chest level, from the armpit from the healthy side and wrapping around the shoulder.

Further from the armpit on the healthy side, the bandage goes to the elbow along the front surface of the thorax and to the patient's shoulder-strap, swinging over it.

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On the back of the shoulder, the bandage is directed to the elbow, bending around it, again directed into the armpit basin of the healthy side.

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After the head bandage should be on the back, passing the stubble direction, and again tossed through the foreleg in the rear in advance. After all, on the front surface of the shoulder in the direction of the elbow, after which, leaning over the back surface should be in a healthy armpit. The final result is the fixation of the pressed shoulder and the bandage is repeated.Two repetitions are sufficient for normal immobilization of a fracture.

The advantages are that the bandage supports and presses the arm to the trunk, reducing its mobility. But, like any method and it has its drawbacks.

The bandage does not dilute the forelegs and this circumstance does not contribute to the correction of fragments. It is also difficult to do it without preliminary preparation (to understand the correctness and all stages it is better to see the scheme of its superposition).

Without help. For someone to support a limb, it is difficult to fulfill.

Velpot's Bandage

Velpot's Bandage

As in the previous version, you can use an elastic and simple bandage. But before applying it, the brush of the diseased limb is placed on a healthy shoulder, with respect to the shoulder the angle is approximately 45 degrees.

Begin bandaging with a sore shoulder in its middle third. In the middle of the bandage passes to the opposite side and turns to the back, so 2-3 rounds fixes the limb to the trunk.

Sufficient for reliable fixation of 2 to 3 cycles, the advantages and disadvantages are the same as in the previous version of the bandage.

Surgery

In order to perform the operation, strict indications will be required:

1. In the case of infringement of soft tissues between the stagnant fragments.
2. The high probability that the bone will grow together incorrectly (this can often be found with a late call to the doctor).
3. Prolonged fusion or unsatisfactory result of conservative treatment.
4. Damage to organs and the neurovascular bundle.

The clavicle fracture in itself refers to those that are better to operate than to treat conservatively (the probability of prolonged or incorrect adhesion is great, etc.).

Intervention Options

Metalloesteosynthesis of clavicle fracture

The technique of surgical intervention is many and each has its advantages and disadvantages. So what can the patient's doctor offer to his patient? The methods of operation are as follows:

• intraosseous osteosynthesis;
• plate;
• screw;
• pin;
• apparatus of external fixation.

Intraosseous osteosynthesis

There are two options for this operation, and the method itself is quietly going down in history, but sometimes it is applied.

1. Operation Klyuchevsky.It is carried out under the condition of a short central fragment.
2. The Spijan-Kuncher methodIt is used for short peripheral fragments. In this case, the fragments must be exposed and the fracture site should be opened. Due to the fact that the bone does not have a cavity, a channel is formed in it with the help of a drill and a drill. A rod with a rectangular or square cross-section on the section is installed in the channel. Due to the rod is achieved stability, the rod itself is fixed to the end of the bone.

Plate

Fixation of fracture by plate

Most often, the plate is used for the fracture of the body of the clavicle (its central part).

To do this, in the arsenal of doctors there are all kinds of platinum (S-shaped, hook-shaped, etc.).

If the fracture occurred in the end area, plates with hooks or those that can be blocked with special screws are used.

Pins and screws, external fixation devices

If there is a bone displacement and there are no fragments (an oblique fracture), it can be fastened with a screw inserted into the bone. You can also insert a pin in the collarbone (a rod or tube made of a special material that can be fixed with screws for greater stability).

Fixation of a fracture with a pin

The pin may be blockable or not blockable. The locking pin can be additionally fixed with screws, which are carried out through the holes in the collarbone and the pin itself. The non-locking pin can be smooth or threaded, which is more stable.

External fixation devices can also be widely used, especially with an open fracture.

Rehabilitation

Physiotherapy

After prompt or conservative treatment a person must be rehabilitated. At this stage, the severity of the injury and the age of the victim are important.

Recovery of work capacity occurs for 6-8 months, and metal structures themselves are removed about a year after surgery.

After the fracture, physiotherapy procedures are shown, some can be used during immobilization, and some after removing the gypsum, there are some that do not depend on the immobilization factor. All of them are used at the discretion of the attending physician, an important place is occupied by exercise therapy and massage, only they are used only after removal of immobilization or after surgery.

A source: http://spina-sustav.ru/travmyi-pozvonochnika/ob-osobennostyah-lecheniya-reabilitatsii-posle-pereloma.html

Fracture of clavicle: symptoms and treatment

Fracture of the clavicle occurs with a strong mechanical effect of external factors. Patients with epilepsy often suffer from such traumas.

The combination of weak bone tissue and seizures leads to a fracture.But most of the fractures are injuries in various sports: in football, hockey, boxing and many others.

With an accident and childbirth, a fracture of the collarbone is quite common.

Fractures of the clavicle are of different types: external, middle and inner, depending on the fault. Most often, the average occurs, since it is here that the clavicle is very fragile. The clavicle on the right side suffers most often. On the right side, injuries are usually greater, since most people are right-handed.

Fracture with bias is very unpleasant during treatment. In this case, fragments of bone or ends of the clavicle are displaced from different angles. This greatly complicates the treatment. When a collarbone is injured, a plaster or special bandage is usually applied, which maintains the normal position of the body.

Signs of clavicle fracture

Symptoms of trauma are extremely painful and when they occur, you should immediately consult a doctor or call an ambulance. Symptoms for a fracture with a displacement are as follows:

• shoulder is struck by acute pain;
• the fracture region swells;
• The skin in the area of ​​lesions turns blue or turns pale;
• there is an external (open fracture) or internal bleeding (closed);
• the shape of the shoulder is deformed, the arm seems longer;
• the hand is deprived of mobility;
• nerves are also damaged;
• the hand is numb;
• the scapula is stronger;
• The closed fracture breaks the integrity of the pleura.

After the fracture of the clavicle occurred, the damaged area swells and because of fragments of bones the blood vessels are torn - therefore, hematomas appear.

Trauma with bias suggests that you need to impose a bandage or plaster to not hurt even more and reduce pain.

Also need to sleep in the right position.

Delbe's rings with a collarbone fracture

The rings of Delbe at the fracture are a very popular bandage. Earlier there were cotton-gauze bandages, but it became impractical, because they need to be worn for a long time, and such rings did not fit this role.

They dress on the neck and shoulders, tightened and fixed between the shoulder blades. Delbe's rings in modern medicine are much more convenient and practical, and also amenable to washing. Such a bandage can be purchased already ready and adjusted on the patient.

Recovery with the help of Delbe rings does not bring any unpleasant sensations.

Rings are made in the form of a figure-eight - a cross between the shoulder blades.

Before applying a bandage, a cotton-gauze bandage is put between the shoulder blades, then the rings are put on and tightly fixed.

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After applying this bandage, the position of the fragments should be monitored by an x-ray method.

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The materials from which the band is made are very strong, but soft. Before buying, you need to determine the circumference of the chest to choose the right size. With the rings is very comfortable to sleep. Restoration can also be done if a cast is applied.

Delbe rings and their functions:

• The shoulders are in a dilute position;
• the clavicle is fixed in the normal position;
• the ligaments that control the clavicle relax;
• fragments of bone do not move and do not tear tissues and blood vessels.

Doctors recommend using this particular band because it is the most convenient and practical, and is also easily regulated.

Treatment

First aid for trauma with bias: you should secure your arm in one position. To do this, you need to tie it, for example, with a scarf. After this, it is necessary to pribintovat limb to the trunk, to completely immobilize it, forming a right angle.

Providing immobility eliminates almost all symptoms, most importantly - pain goes away. Closed fracture is protected from infections from the outside, open - no. It is important in all ways to protect the open wound from getting bacteria, so as not to cause inflammation.

Fracture of the clavicle in the course of treatment is fixed with such devices as gypsum, Dezo's bandage, Delbe's rings and others. Bandages should be applied with care, so as not to harm the patient even more and do not dislodge the broken parts.

Fracture of the clavicle with a strong bias or closed with a lot of fragments is usually subjected to surgical treatment.

Such treatment allows to avoid injuries of blood vessels and tissues. The surgeons correct and fix the bone.

Fracture of the acromial end of the clavicle involves fixation of the bone with the help of hook-shaped plates.

Measures and exercises for fracture

Treatment of trauma implies exercises that accompany rehabilitation. They are carried out until the mobility of the hand is fully restored. Physiotherapy, which accelerates recovery, is also used.

There are some guidelines that should be followed. For example, do not carry heavy items, sleep on a hard surface and only on the back.

Gypsum helps the correct fusion of the bone, and exercises need to be performed right in it.

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You can first try to move your fingers and brush, and then move on to more complex movements.

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Simple exercises should be done for several minutes a day about 6 times, not more. It is not recommended to make sudden movements so as not to cause an attack of pain.

Fracture of the clavicle and its symptoms can be removed with the help of massage, physiotherapy and exercise therapy. Physical education after a few weeks should become more complicated. Exercises can be performed even in the pool.

Exercise should be administered with extreme caution, and if the symptoms increase, it is best to avoid exercise. Do not rush to remove gypsum, as it speeds up bone growth.

Rehabilitation

After applying gypsum or bandage, rehabilitation lasts about six months or more. When the recovery is important, the age range of the patient and the degree of injury.

Symptoms are eliminated by physiotherapy. Immobility, provided by gypsum, should be maintained for a long time, so that the bone has time to grow together.

You can use the methods of physiotherapy during and after the removal of the cast.

All the methods of treatment must be agreed with the doctor and take care of injury so as not to make it worse.

A source: http://drpozvonkov.ru/travmy/fracture/perelom-klyuchicy-simptomy-i-lechenie.html