All about the fracture of the collarbone in a child
Children are very active, they learn about the world with interest and constantly share their indomitable energy with others. Trauma in childhood is a very common phenomenon, and sometimes an innocent fall can result in serious damage to the integrity of the bone – a fracture of the clavicle. In this article, we will look at how to recognize the problem and how to return the child the freedom of movement and action.
Clavicle – this is one of the bones that make up the human shoulder girdle. This bone is considered the only one that provides the so-called rigid coupling of the upper limbs with the trunk. In itself, this bone is flat, has an S-shape and several areas:
- the sternum (the junction with the breastbone) – trauma in this area is the least common;
- the acromial end;
- the middle part of the bone, called the diaphysis, is the site most often diagnosed with fracture.
Fracture of the collarbone is a trauma, the frequency of diagnosis of which is approximately 10% of the total number of fractures. As for the age, damage can happen at any time. Experts note the following fact – in the age period from 2 to 4 years such damage is most often encountered.
As in the case of damage to any other bone, the main cause of a clavicle fracture is a fall or stroke. This type of damage usually becomes a consequence of falling on a straightened arm, on the elbow or on the shoulder itself – the collarbone is squeezed and cracked in its thinnest area, namely, at the diaphysis. It is worth noting that in young children this type of trauma usually follows the type of green twig. This name is simply explained: when you try to break a fresh green twig from a tree in half, it crunches and gets damaged inside, but the upper layer is elastic and strong, and it does not tear. So, if a child has a pressure on the clavicle bone, inside it can crack, but the elastic periosteum is not damaged, and thus both parts of the clavicle do not diverge, remaining damaged only inside.
Of great importance is therapeutic exercise, the complex of exercises for which is selected by a specialist individually.
Usually this type of injury does not give dangerous consequences for health. The danger is only possible damage to blood vessels and nerve plexuses by displaced fragments. If the broken bone was incorrectly fixed, then after recovery, some asymmetry of the shoulders may be noted, but the consequences that are dangerous for the health are usually not observed.
Separate attention should be paid to the fracture of the collarbone in the child during childbirth - this trauma occurs quite often and it is called the most common damage to the musculoskeletal system of the baby during labor activity (on average it occurs in 5 newborns out of a hundred). It can happen for various reasons:
- most often the trauma is a consequence of complications in childbirth associated with atypical presentation of the child (transverse, pelvic or leg);
- the toddler is large, and the pelvis at the parturient is very narrow;
- rapid childbirth (the child does not have time to properly turn around);
- sometimes during childbirth the baby can catch on and shoulders and get stuck in the birth canal after the head has come out. In this situation, doctors have to specifically dissect the collarbone of the newborn.
Recognize such a trauma in the baby is not difficult - during the swaddling, he will cry, in the area of the clavicle will form a swelling, and hand movements from the damaged side will be severely limited.