Clavicle Fractures - Everything You Need To Know - Dr. Nabil Ebraheim

Dr. Ebraheim’s educational video describes describing the most important points in clavicle fractures. This is a very nice lecture , I WAS EXPERMINTING WITH power point but the content of the lecture is very good. it is like a rare stamp with errors which will get better with time, thank you
Examination of the patient
•Check for deformities and tenting of the skin. •May be impending open fracture. •Watch for distracted clavicle. •Check for possible neurovascular deficit (check for brachial plexus injury). •Be aware that the neurovascular bundle is very close to the clavicle (subclavian vessels are about 1 cm from the clavicle).
X-rays: get x-rays of both shoulders. In the x-rays, you are going to look for shortening, comminution and the z-type fracture.
Risk factors for nonunion, fracture displacement and comminution. shortening more than 2 cm .
Absolute indications for surgery: open fracture, vascular injury and fragment is tenting the skin.
Conservative treatment: most clavicle fractures can be treated without surgery. Patient with undisplaced clavicle fractures usually heals well. It is difficult to reduce and maintain reduction in clavicle fractures. Healing will occur in 85% of patients despite the degree of displacement. if the fracture is significantly displaced, then there is a higher incidence of nonunion and this displaced fracture can cause significant, persistent weakness and disability even if the fracture heals. sling is Used for minimally or nondisplaced fractures of the clavicle. The fracture will probably heel with a small bump (callus of healing). Movement of the shoulder and the arm is not a risk factor for nonunion.
Surgical treatment:
•Comminuted fracture (use buttress plate)•Segmented fracture •z-type fracture •fracture shortening more than 2 cm •fracture displacement more than 100%
nonoperative treatment in these cases will lead to decreased endurance and strength, but the range of motion will remain the same in operative or nonoperative cases.
What type of hardware or surgical implant should be used in fixation of clavicle fractures?
Reduction: 1- superior plate fixation, 2- anteroinferior plate fixation,surgery is usually not easy. Surgery begins by defining the location of the AC joint. Also surgery is dependant on getting good x-rays in the operating room.
Superior plate fixation: no dissection of the deltoid muscle from the clavicle. The superior plate has a mechanical advantage being on the tension surface of the clavicle.
Anteroinferior plate fixation: has the advantage of using longer screws with a safe screw trajectory and less hardware prominence. Has disadvantage of deltoid dissection from the clavicle. The anteroinferior plate may be better tolerated by the patient, especially those who carry loads on their shoulders such as backpacks.
It is better to use a contoured plate. About 30% of the clavicle fixation plates are removed after the fracture has completely healed.
Complications of clavicle fractures: nonunion, malunion.
Complications of clavicle fractures due to fixation
1-Symptomatic hardware (most common complication, will need reoperation)
2-Infraclavicular numbness: complication due to injury of the supraclavicular nerve. There are three supraclavicular branches span out to cover the entire clavicle subcutaneous surface, lateral ,medial & intermediate. Injury to these branches may cause chest wall numbness below the incision. Injury to those branches may occur due to the incision or from traction during surgery. treatment of nonunion of the clavicle is plate and bone graft

[@almariourpiano1377]

It is a.very helpful and informative video to everyone. Lord Jesus bless you Doctor.❤

[@almariourpiano1377]

Actually my wife had an accident and she is very happy to know about your video.

[@nabilebraheim]

Thank you

[@joshharte7868]

This is the best video for information. thank You

[@Moinuddin1278]

Thanks Dr Nabil, it was really very helpful

[@cubasestudent55]

I appreciate your thorough explanation of collarbone fractures and treatment options.

[@nellyscandal7961]

YOU ARE WONDERFUL DOCTOR

[@miguelpereira970]

I broke my clavicle in 4 peaces 10 days ago in a mtb accident. Despite several opinions i decided for surgery. 72h after i’m really happy of first results: no pain, almost no pain drugs, stability, small movements… nothing compare with before surgery situation : huge pain, drugs and at least 6 weeks time to may be have the clavicle somehow fixed again

[@SuperTacticalcom]

Broke mine on Saturday while mtb. Also hoping for surgery.

[@SharpThinkingSharpKnives]

Me to on a four wheeler crash on Monday

[@SharpThinkingSharpKnives]

On September 3

[@SuperTacticalcom]

@@SharpThinkingSharpKnives about to get back on the mtb and hockey rink this weekend. Surgery was June 27

[@chashmanrajput2326]

Which hospital

[@michaelaguilar7304]

So informative, thank you very much

[@caroljones4511]

This video is so much more helpful that the Orthopaedic Doctor that I am seeing.

[@toddolson573]

Thank you for this detailed information. Always good to know what one is up against.

[@Kutomaru1]

This was awesome thankyou

[@getoutofmyswamp7259]

This video is awesome!

[@ignas001]

Thank you for this video sir

[@RK2010XY]

My mommy learned a lot from this video.

[@parasuramg6218]

Very great explain

[@GusriYonaldi]

very informative, great 👍👍

[@janmohammadkhalid7591]

Thank you sir.

[@OrthoStrike]

Really a good and interesting video...

[@francinewintzmbbs4977]

Thank you!

[@Justin-vp3sf]

very helpful. Thank you

[@chinitabam6922]

I experiencing it now ..my clavicle fracture occur way back 2013 and its 9 years ago ,now i lways have pain in my back through my neck

[@chinitabam6922]

What should i do

[@Milk-vw1cv]

Ur mid back?

[@chinitabam6922]

@@Milk-vw1cv its okay but sometimes its hurts .. can my clavicle fracture affect anyparts of my body in the near future

[@arjunks6653]

Have u done surgery?

[@enderguy1648]

@@chinitabam6922id say workout ur back and neck muscles i had it too before i started to workout

[@drha6646]

very thanks sir

[@vinaypatel7915]

Thank you sir for this information

[@lucyblue1235]

How common is clavicle fracture due to shoulder dystocia in the uk?

[@Mr_RevIt]

This was a good video

[@imjulyy]

i had broke my left clavicle and had surgery connecting it back to bone i got a piece of metal basically, but the doc that did my surgery cut one of the nerves around where the surgery happens he said he couldn’t save it but now i don’t feel nothing around that area i feel it but not as much, it’s like i gotta press harder to feel it

[@ramilmemmedov5973]

what you mean by significant displacement? it is more than 2 cm? I have displaced fracture and its about 3 weeks i took x rqy previous Saturday and the bones approached to each other. So should I wait 3 weeks and look up the result?

[@oliversparks1459]

No. It Was Beautiful

[@user-qr9kz4rp3x]

I have just undorgone surgery one week back, how much time it will take to heal, and for me to move my arms?

[@jimboyechavez1987]

mine is comminuted fracture of the middle third segment of left clavicle because of motorcycle

[@Raskolnikov1204]

May I ask, why the 1/3 lateral (distal) fracture is a problem fracture?

[@AlazarYZ]

I just fractured my clavicle and it socks. Keeping my fingers crossed that surgery will be approved.

[@angelcazares8946]

How did it go?

[@AlazarYZ]

@angelcazares8946 Surgery went well. Recovery was good at first, or maybe it was the medication lol, but now almost a year out it's good but still painful ar times. Thanks for asking.

[@enderguy1648]

@@AlazarYZis it better now?

[@vlogpat5968]

Thanks for the video very informative, a month ago i broke my clavicle bone in the middle in my left side of shoulder and it was completely displaced and i didn't go for surgery but now still functioning

[@bketty2563]

Same thing happened to me two days ago. Any tips on recovery or how long it will take to heal

[@vlogpat5968]

@@bketty2563 after 1 week it slowly heal by using clavical strap

[@Manojpadala]

Same thing happened to me any tips please

[@kegalormoon]

@@bketty2563 it's just happend to me 46 hours ago 🤦🏻‍♂️ how are you now?

[@dorath2237]

Hello , is kinda too late, but yesterday 13/10/2022 i broke my collar bone. It has Z kinda like fractured and the bone is still connects together. I dont want an operation. Any suggestion?

[@nusrathjahanjameel350]

Assalamualaikum wa rahmatullah wa barakatuh wa maghfiratahu, Last video and this both videos on clavicle helped me alot sir! Jazakallahukhairan kaseera

[@rewecashrestha2741]

I have a clevical bone fractured in left side in middle ..is surgery is possible?I had used belt about 2 month ago..it have joined like up and down form. What to do?

[@hemanthgowda3272]

What did u do have u undergone surgery ru ok nw?

[@edisonjaysamson9289]

can i aboard the ship as a crew i have collarbone fracture?

[@edwardmichalczyk7019]

Broke clavicle 3 times never set last time while sleeping on shoulder and gave out becoming non union finally having repaired properly after 30 years , finding out that shoulder was pulling on neck causing major problems, 2 months now and finally relieved can't imagine that any ortho would think that it would just heal ,and you could live like that wasting littery years of life and living with pain and discomfort also I believe that after my first break with it being now out of place shoulder changes now and causing a torn labrum you would think that they would know about proper alignment????

[@rippedbody217]

I have a no displaced fracture collarbone When ca i train bodybuilding again Please if you are a bodybuilder and you was i n that case answer me

[@lukasx543]

in one video u said the most common broken bone in the body was the radius and now the clavicle.

[@darrylfauteux8843]

thankyou for the information i broke my collar bone two weeks ago and you have been the most iformative video that i can find...thankyou very much im just wondering when i can start my therapy is ok to start two weeks after i broke it no surgey

[@behappywithkuhu3229]

@darryl Fauteux how r u now?do u need surgery? recovered fully?

[@strawberrymilkplayzroblox753]

@@behappywithkuhu3229 bot answer his fucking question

[@abhimogaveerab4978]

I have broken my left clavical it had 2 month old at present it had not be jointed but pain is relif doctors suggest to Sergary sum doctors suggest to s automatically develope allocated up and down is not broblem pls suggest what can i do Surgery or leave it that

[@aryanshankar7962]

Please consult ur doctor

[@ernestsanda6747]

Really helpful, broke my clavicle 6 days ago

[@MayorSantana]

How are u feeling right now

[@mithudas1491]

Thank u so much..

[@jcgtv3692]

had clavicle surgery yesterday 12/20/22...fingers are numb as well as the lower shoulder. thought the it might be from the Nerve Blocker injection but that should subsided a few hours after surgery. should i sitll be numb a day later..unless there is an issue of course. thanks

[@sebz1390]

Yessss we’re clavical twins. Broke mine on 12/20 as well. So far 2 days in. This sucks 😂. God speed

[@jcgtv3692]

@@sebz1390 had surgery 12/20..little better today

[@ryanjordan1292]

Broke my collar bone about a month ago and had a plate put in. My shoulder and chest are numb due to nerve damage. Are you guys getting feeling back yet?

[@nusrathjahanjameel350]

For clavicle fracture displaced in a high diabetic patient ,what to do? Surgery?

[@nusrathjahanjameel350]

Actually if diabetes is controlled in that patient it is increasing in 2-3 months after and healing takes time! If in that case healing stops! And he is 62years old then? What can I do?

[@lapanakitiona8858]

My diagnosis is: Undisplaced Fracture of the Left Clavicle". So I need a surgery or what the best treatment for myself need your help is much more appreciated

[@chafikelaouni6896]

@@nusrathjahanjameel350 o

[@perimimanju6489]

Last week my brother left collar bone was fractured next day he consult doctor Doctor said that he no need surgery 100%naturally it will cure he gave blet to tie shoulder it is so painful and blood circulation was difficult is these any problem How munch time will take heal

[@oloptrish]

Do you wear a sling?

[@Shadowluv2]

My collarbone got fractured and dislocated 5cm apart

[@bencater7158]

I have a z-type rn it’s not ideal

[@eslam_ali_goma]

خالص الشكر والتقدير والاحترام لحضرتك معلومات قيمه ومهمه محتاج رقم حضرتك أو طريقه للتواصل

[@trysam]

اسلام على لماذا تريد التواصل؟

[@Kilo_of_Milk]

Yes

[@shyamkharol662]

मेरी शोल्डर की हड्डी टूट गई है बेल्ट लगाया हुआ है क्या यह बेल्ट से सही हो जाएगी कितने दिनों में होगी

[@Sanatvlog18]

Thik huq bhai

[@shyamkharol662]

@@Sanatvlog18 ठीक तो हो गया है लेकिन उसमें से आवाज आती है

[@Dilipdildarsiwanbihar]

@@shyamkharol662 sab kam kar lete ho ab ...bhari kam

[@bisharatsangi6735]

I broke my clavicle bone week ago by car accident, I still feel pain no idea how long will it take to heal wounds

[@jasperrabadon]

Same

[@anupamkumari6367]

It takes ABT 6-8 months to heal even more than that.....most important thing is exercise for that area .

[@hemanthgummadi8248]

​@@anupamkumari63676 to 8 weeks not months.

[@oloptrish]

I didn't wear my sling for a week am i at risk of malunion?

[@albrownmd]

Ribs are the most commonly broken bone in the body.

[@ShahidKhan-us4jr]

Clavicle bandij

[@ShahidKhan-us4jr]

Clavicle fractures bandig

[@niyiosinbola823]

This is highly informative. What ideal Pain relief can be used, pls ?

[@Anuanu-uc5bq]

0:19,1:00,1:23,1:40,3:30,4:59,6:29,9:04

[@AbhishekSharma-69]

Thanks 😢