15. Types and treatment of the injuries of the shoulder girdle (soft tissue and bony lesion

Question 1

What is the cause of clavicular fractures?

Answer 1

Fall onto an outstreched arm or shoulder Direct blow to the clavicle

Question 2

When is surgery indicated in a clavicular fracture?

Answer 2

If any of the following is true:
• Seperation
• Open fracture
• Associated nervous damage
• Associated vascular damage
• Non-union after 3 months
• Distal third fracture

Question 3

What is the cause of scapular fractures?

Answer 3

A fractured scapula indicates severe chest trauma (IE vehicle accident)

Question 4

what are some types of brachial plexus injury?

Answer 4

Erb’s palsey: the arm hangs by the side and is rotated medially; the forearm is extended and pronated.
Klumpke’s paralysis: a characteristic sign is the clawed hand, due to loss of function of the ulnar nerve and the intrinsic muscles of the hand it supplies.