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Fractured clavicle

The fracture of the clavicle is a common injury is in contact sports and in those with potential sudden falls, such as skiing, cycling and motorcycling.

In the acute phase of trauma, while waiting for the doctor is important to immobilize the injured part to avoid as much as possible movements that exacerbate the fracture and pain. The clavicle fracture heals spontaneously after 4/6 weeks with a guardian or functional bandage, even if the two stumps are not repositioned so as to mate perfectly: can remain aesthetic damage due to bone callus and the partial overlapping of the stumps of the fracture.

Rarely the treatment is surgical because of the scarcity of subcutaneous tissue that exposes the bone to infection and the risk of nonunion. For this reason most of the clavicle fracture is treated with a specific rehabilitation protocol; after the final removal of the bandage treatment you start an initial phase in the pool, of recovery of full range of motion in all planes of the shoulder, through fluency exercises and active and passive mobility.

Subsequently, the protocol consists in the recovery of the strength of the stabilizers of the scapula, shoulder girdle, through exercises in the gym with rubber bands with increasing resistance, as well as in the full recovery of neuromotor control, and having consciousness of the position of the limb through continuous correction of the posture with verbal warnings (during the exercises) and performing the exercises in front of the mirror.

The re-educational path ends with proprioceptive and sports specific exercises (especially external rotation) in the field.

Usually the clavicle fractures are resolved positively in 8-12 weeks after injury.

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