Surgery to relocate the SC joint is considered for posterior SC dislocations, and some painful, symptomatic anterior SC dislocations. If non-surgical repositioning of the joint is not successful, then surgery may be done to relocate the SC joint and repair the damaged SC joint ligaments. When surgery is performed for a posterior SC dislocation, the procedure is done with both an orthopedic and a vascular surgeon available. The reason is that there is a chance of damage to the major blood vessels of the chest, and a vascular surgeon must be immediately available if needed.
In any patient younger than 25 years old, a growth plate fracture of the clavicle should be suspected rather than an SC joint dislocation. The medial clavicular growth plate is the last growth plate to close in the body. It is this growth plate that is injured, rather than the SC joint, in most patients under the age of The treatment of a medial clavicular growth plate fracture is similar to the treatment of an SC dislocation, except that it is very rare for these young patients to require surgery.
Dealing with joint pain can cause major disruptions to your day. Sign up and learn how to better take care of your body. Click below and just hit send! Kiel J, Kaiser K. Sternoclavicular Joint Injury. In: StatPearls [Internet]. Posterior sternoclavicular dislocations: a brief review and technique for closed management of a rare but serious injury.
Orthopedic Reviews. Sternoclavicular joint dislocation and its management: A review of the literature. World J Orthop. Published Apr Your Privacy Rights. To change or withdraw your consent choices for VerywellHealth. At any time, you can update your settings through the "EU Privacy" link at the bottom of any page.
These choices will be signaled globally to our partners and will not affect browsing data. We and our partners process data to: Actively scan device characteristics for identification. Request an Appointment at Mayo Clinic. Share on: Facebook Twitter. Show references Clavicle fracture broken collarbone. American Academy of Orthopaedic Surgeons. Accessed Sept. Hatch RL, et al. Clavicle fractures. Peters MDJ. Surgical versus conservative interventions for treating broken collarbones in adolescents and adults.
Orthopedic Nursing. McKee-Garrett TM. But do not put ice directly onto your skin because it can burn. Your shoulder may be slumped downwards and forwards under the weight of the arm, as the broken collarbone is no longer providing support. There may have been a snapping or grinding noise when your collarbone broke. In severe cases, one end of the bone may poke through the skin. Most broken collarbones are left to heal naturally using a simple triangular sling to support the arm and hold the bones together in their normal position.
The sling is usually fitted in hospital after an X-ray has confirmed the collarbone is broken. You'll be given painkillers to relieve the pain. Surgery under a general anaesthetic is only needed if the injury is severe — for example, where the bone has broken through the skin — or if the bones have failed to line up and are overlapping significantly.
Several techniques can be used to repair the collarbone. Fixing the break with a plate and screws is the most common method. Your surgeon will explain the technique they're going to use and its advantages and disadvantages.
Before you're discharged, you may see a physiotherapist , who can show you some gentle arm and shoulder exercises to do at home with your arm out of its sling. These will help reduce stiffness, relieve some of the pain, and strengthen your shoulder muscles. You'll probably need to go back to the hospital outpatient department about a week after being discharged to check your collarbone is healing properly.
See your GP if you have any concerns before this appointment.
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