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Hello.

One month ago at me fracture of the left clavicle in the field of was closer to a thorax, with shift. In travmotologii to me have made a figure-of-eight bandage, have tried to make a reposition, but the repeated roentgen has shown, that fragments have remained in the same position. Then to me have suggested to perform operation and to insert a spoke, I have agreed, but not on my fault operation was broke also I has continued conservative treatment. Now I can already move the damaged or injured arm or hand, but without a load, a bandage have removed or have taken off. The roentgen yet did not do or make, but, probing or palpating a place of fracture through a skin, I see that the clavicle grows together with shift and overlapping or blocking nearby 1 - 2 see I.e. the fragment from a brachium has left downwards and forward and sticks out from under skins, the fragment from a breast bone has left forward and upwards.

Now at an involvement of the damaged or injured arm or hand there are nagging pains in a brachium, such impression, that muscles and ligaments or cords of a brachium cannot get used to new position of a clavicle. I go in for sports (a mountain bicycle, skis, the paraplanerism) therefore me interests a question: how much or as far as after an adhesion with shift the clavicle can maintain loads? I have in view of distant prospect, whether i.e. we shall admit or allow in a year after fracture the clavicle can srosshajasja maintain with shift commensurable with healthy a load? On the bill of restoration of mobility of a brachium I do not doubt, and here on a load there are doubts, the truth, at me and a load not as in weightlifting.

Can, it is necessary to perform operation, for that that would will get rid of shift?

If it is necessary, I can try to lay out the latest roentgen.

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1- and TO KEEP fragments of a clavicle the extremity or end in the extremity or end without their/one bracing povjazkoj/it is impossible-//muscles it is great enough, and the vector of forces is directed to the different parties or sides.

The 2-clavicle, strangely enough, grows together well enough and at absence of standing the extremity or end in the extremity or end.

3 osteal callositas is formed, sometimes superfluous, integrity and functionality is sufficient.

4-disturbance of a primary axis at accretion not the extremity or end in the extremity or end is present practically at all cases of treatment without an osteosynthesis.

5-essential value or meaning;importance except for insignificant cosmetic defect it not imet.

6-if the attending physician nevertheless has decided to execute a reposition with an osteosynthesis not performance of operation in the appointed or nominated day, does not mean, that it or she cannot be made in other, a little bit delayed term.

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Thanks for such detailed and precise answer, I could not extend this information from doctors treating me.



6-if the attending physician nevertheless has decided to execute a reposition with an osteosynthesis not performance of operation in the appointed or nominated day, does not mean, that it or she cannot be made in other, a little bit delayed term.

To tell the truth, as that attending physician at me is not present. As to me have told or said, in our city in similar traumas are engaged in one fracture clinic. On reception young doctors sit, operation would be done or made by other doctor, the manager seems. It has turned out so, that the doctor on reception after unsuccessful attempt of a reposition has run with my picture to that main thing, has returned and has offered operation, I have agreed. He has given out to me a direction on analyses and has told or said that operation we shall do or make on Thursday , well I have handed over all analyses and was on Thursday. It has appeared, that I should be on medium, the manager has shouted at me, I have tried to explain, that my fault in the circumstances is not present. As a result, seeing such attitude or relation to patients, at me any desire would be gone that me similar doctors operated and I have told or said, that I shall be treated conservatively (before I already perelopalil the Internet on this bill and has understood, that I do not have acute necessity for operation).

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And here a today's roentgen. To tell the truth, I thought it will be better, and here such distance : (

Fracture was 13.08.05.

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Fragments need to be pull together, it is enough their diastases-divergences sushchestvenoe. The osteosynthesis is desirable and shown, without it or this the adhesion can borrow or occupy long term.

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Ndja and the doctor to me has already told or said that it is time to develop an arm or a hand. Today went on fonoforez while the humeral joint came back has ached even more strongly.

Tomorrow has decided to go to talk with managing, and that time goes, and results are not present.

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Ndja and the doctor to me has already told or said that it is time to develop an arm or a hand. Today went on fonoforez while the humeral joint came back has ached even more strongly.

Tomorrow has decided to go to talk with managing, and that time goes, and results are not present.

At such approach results will be, but not those that you expect.

Ask to make once again a picture in 2 projections, and lay out them here.

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Yesterday me looked two doctors, treating and the manager on KEK (at me already one hospital leaf or sheet has ended). In a card had not time to enclose a fresh picture, therefore the manager felt fracture by arms or hand, by strong pressing on external (from a brachium) a fragment I have felt a sharp pain, such impression, that he has broken already formed osteal callositas. Has advised to wear a bandage, to hold an elbow more close to a body and has appointmented on 21 number. If tomorrow I will manage to talk to it or him I would shall ask that have made a picture in the second projection.

And in what position there should be an arm or a hand, what fragments would approach?

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// And in what position there should be an arm or a hand, what fragments would approach? //

Rapproachements of fragments can be reached or achieved, but as I already wrote to you in their beginning-keep in the fixed position it is practically impossible. Initially, if and to not do or make operation the greatest possible reposition-rapproachement of fragments and long should be spent that is missed already/month in fact has passed/deduction or has taken place/deduction a retentive bandage. Position of an arm or a hand individually, but as a whole-bent in an elbow the arm or hand, is led to a trunk a brachium forward or back/up to rapproachements of the extremities or ends of fragments.

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In general, on all raskladam it turns out, that in the further life I would not have problems with this fracture, now I should do or make an osteosynthesis (by the way, I have asked yesterday, as though to me it or him did or made, to me have responded that by means of two spokes). And the earlier, the better. Probably knowingly to me right at the beginning of it or him offered, only here have not explained a situation.

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In general, on all raskladam it turns out, that in the further life I would not have problems with this fracture, now I should do or make an osteosynthesis (by the way, I have asked yesterday, as though to me it or him did or made, to me have responded that by means of two spokes). And the earlier, the better. Probably knowingly to me right at the beginning of it or him offered, only here have not explained a situation.

Is, certainly, and such technique, but for some reason seems to me, that it is better to make the open way with bracing by a plate.

But it only my opinion. Spokes spent blindfold, in unspecialized traumatology or traumatologic otdeleni, are less preferable.

This way demands skills and if those at the doctor are not present, can not lead desirable.

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Is, certainly, and such technique, but for some reason seems to me, that it is better to make the open way with bracing by a plate.

But it only my opinion. Spokes spent blindfold, in unspecialized traumatology or traumatologic otdeleni, are less preferable.

This way demands skills and if those at the doctor are not present, can not lead desirable.

Probably it is the fulfilled technique at local surgeons because right at the beginning I have addressed for consultation to other surgeon and he has specified this method. And has told or said, that an end of a spoke will leave to stick out outside and will pull out after a while. How much or As far as I understand, in this case it is not necessary to cut the second (time for putting off or taking out of a plate).



Only I could not find the description of process of the equipment or installation of a spoke. For this purpose drill an aperture in an end face of a bone? And how to be with formed already osteal callositas, it or she should be deleted, what she would not stir or prevent to data of fragments?

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Probably it is the fulfilled technique at local surgeons because right at the beginning I have addressed for consultation to other surgeon and he has specified this method. And has told or said, that an end of a spoke will leave to stick out outside and will pull out after a while. How much or As far as I understand, in this case it is not necessary to cut the second (time for putting off or taking out of a plate).



Yes it so



And how to be with formed already osteal callositas, it or her it is necessary

To delete, what she would not stir or prevent to data of fragments?



And here this question set to the one who has decided to spend spokes in a month after fracture.

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Has gone today in travmotologiju, the doctor has told or said, that the narcosis now is not present and has suggested to approach or suit on Monday - should will appear. As has mentioned possible or probable complications (an inflammation of a bone, a pyesis of a wound), a pier therefore and it is not desirable to do or make operation, probably, all taki conservative treatment will give positive takes.

While a map on arms or hand, has decided to make repetitions from pictures and to lay out in the chronological order. The first picture is made before I began to wear a figure-of-eight bandage; on the second on me there was a bandage; on third I its or her week did not wear. It is visible, that fragments approach, but not considerably, i.e. result of monthly treatment insignificant.

On results of a roentgen Shift of fragments on width 1.5 diaphyses is written , the osteal callositas is not expressed . Operative treatment means precisely only?

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Different way to displace fragments, except for as operatively, it will not be possible.