Clavicular Fractures
Clavicular is the name of the bone of the shoulder region known as the collarbone. Clavicle fractures constitute 35% of all shoulder fractures and 4% of all adult fractures. Collarbone fractures, usually located in the midline and without significant separation, are observed. Fractures that show significant separation, cause restriction of functions around the shoulder, or are located close to the acromioclavicular joint are treated surgically. Apart from these cases, the treatment is mostly performed with supportive devices called arm slings or figure-8 bandages. In cases of collarbone fractures that require surgery, the bone pieces are contacted with plates-screws or intra-canal fixation devices.
Proximal Humerus Fractures
Proximal humerusis the name of the upper part of the arm close to the shoulder joint. It constitutes 5% of adult fractures. It is usually seen after simple falls in patients over the age of 60 with low bone mineral density. 80% of the fractures in this region are undifferentiated fractures and can be treated without the need for surgery. Simple and comfortable methods such as arm slings, Velpo bandages and padded slings can be used in the treatment. Rehabilitation begins in approximately 3-6 weeks to gain pain-free range of motion. An early return to work can be achieved by using an arm sling.
Comminuted fractures may require surgical intervention due to union problems and loss of function. Thanks to modern detection methods, treatments with high detection power and early rehabilitation can be provided. With this method called minimally invasive fracture surgery, the natural healing process can be continued without damaging the fracture area.
Sometimes, the injury causes too much damage to the fracture parts to be detectable. In multi-part fracture-dislocation cases, where the parts are too thin and osteoprotic to be detected, prosthesis surgery can be used to improve the patient's quality of life and end the pain.
Scapula Fractures
All fractures It is seen in 1% of cases. They are high-energy injuries and may be accompanied by soft tissue injuries and rib cage damage. They are balanced fractures that do not slip, thanks to the strong muscles surrounding them and the protective-supportive effect of the ribcage. Surgical intervention may be required for comminuted fractures extending to the shoulder joint surface or affecting the shoulder strap system.
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