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  Česky / Czech version Rehab. fyz. Lék., 11, 2004, No. 1, p. 40–44
 
Non - standard Treatment of Clavicle Fracture 
Košťál Z. 

Oddělení pro ortopedii a traumatologii pohybového systému, Okresní nemocnice Vsetín
 


Summary:

       The fracture of clavicle is one of the most frequent fractures in general, although it is considered – rightly – a benign fracture. Defective healing of these fractures occurs in 0.1% to 15%. The usually considered factors of unfavorable healing include, in addition to primary open reposition and internal fixation, also interposition of soft tissues, inadequate primary immobilization, re-frectures and open fractures. Clavicle plays an important role in stabilization of shoulder girdle and unhealed clavicle rarely remains without symptoms. Difficulties are caused by pains in the area of pseudoarthrosis, less functional shoulder girdle, but also compression of branchial plexus and vascular structures, which are intimately conected with the pseudoarhrosis. The defect is mostly treated by surgical intervention of reconstruction of salvage character. Resection operations are not recommended. The case report describes accidental injury is a young woman, who developed a pseudoarthrosis after usual conservative treatment and was subsequently treated by early resection of clavicle. The reconstruction treated is described including complications, which developed. The X-ray documentation and clinical photographs demonstrate the course of treatment and good functional result with restored original length of the clavicle.

        Key words: clavicle, fracture
       

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