The clavicle bone is a tubular bone connected at one end to the acromial process of the scapula, and on the other side to the sternum.
A fragment under the traction of muscles can shift, depending on what kind of damage was received.
The share of such damages is the highest percentage of , and statistics show that no one is immune from such a problem.
Because the information will be very useful for moms.
The reasons for the fracture
The causes of the fracture
- Timely first aid - half the success in treatment
- Proper nutrition
Reasons for fracture
This type of injury can be considered the most frequent of those that can be found in a newborn. This is explained not only by the fact that the fetus is large or the woman has a narrow pelvis, but also the fragility of the bone tissue of the baby.
Fracture of the collarbone in a newborn is a violation of the bone integrity of the clavicle, most often in its middle part.
The cause of a fracture in newborns is the rapid delivery, the impact of a mechanical instrument, or the actions of a doctor.
Features of trauma in children
The main feature of this type of fracture is also called "green branch" .This is due to the nature of the fracture, when the bone breaks and remains slightly bent.
In this case, the second clavicle does not break, because it is held by the periosteum. Therefore, the displacement of the broken bone will not happen, or it will be insignificant.
It often happens that the inner part of the bone breaks, but the periosteum remains to hold it. In newborns, a complete fracture with a displacement does not practically occur. Usually, there are no open types of fractures.
More severe forms of fracture of the collar bone , as well as the complications associated with them are characteristic of older children.
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Classification of clavic fractures
Conditionally, fractures can be divided into several types. At the same time, for each type , the presence of its foundation is characteristic.
For quality or for the presence of damage to the skin:
- Closed. Isolated from the external environment fracture;
- Opened. Integrity of the skin is broken, sometimes it can lead to infection.
The number of debris and the degree of their separation:
- No bias. Most of the bone tissue is preserved;
- With offset. The connection between the fragments is broken, sometimes one of them moves far enough.
On the fault line and its direction:
- Skew;
- Screw-like;
- Ringed;
- Transverse;
- Longitudinal.
Symptomatic characteristic of injury
In the place of damage to the integrity of the bone, develops a mild hematoma. Active movements 
are not violated by hand, but when performing palpation at the site of bruising, crunching and crackling , which occurs due to crepitation, can be felt.
The appearance of an edema signals that deeper layers of tissues have been damaged.
In this case, the deformation in the place where the clavicle was damaged is also noticeable. There may also be some limitation in the possibility of hand movement.
Treatment and first aid for trauma
For this, uses the Dezo dressing, since it is elastic and soft. It fixes the child's handle to his body. In the presence of an extensive hemorrhage with a convexity called the cephalogram, an additional intravenous vitamin K.
is prescribed. As an analgesic, ointment "Traumeel C" is usually chosen which can be used successfully as a remedy for edema. In addition, it is able to slightly increase regeneration. It is important to lubricate the entire trapezius muscle, and not just the broken collarbone.
For two weeks the newborn should not lie on the side, in the side of which the bone was broken. Treatment of a collarbone fracture in newborns after discharge is continued at home. Already in 20 days the bone tissue will fully integrate and this injury can not affect the health of the child.
Timely first aid is half the success in treating
Usually, fracture of the collarbone in children is diagnosed almost immediately after birth, but sometimes it happens that such damage occurs in infants after discharge from the maternity hospital.
In this case it is important to provide first aid on time, because much depends on its correctness and timeliness. It is possible to single out two ways of fixing the hand in the presence of a fracture of this kind:
- It is necessary to fold the arms of the child on the chest, having bent their elbow, and then to get them by the head. Further behind the back should be laid a stick, which should be kept in the elbows. But since not every child can lie down for a long time, it is better to use the second method.
- It is necessary to immobilize the limb of the baby, and for this purpose, not too tight bandage. The hand should be suspended on a kerchief at a right angle.
When a baby is found pallor, cold sweating, heart rate, it can be said that he develops all signs of vascular insufficiency.
In this case, you can give a little sniff the baby ammonia spirit.
In the photo, the Dezo dressing used for fracture of the collarbone in children
Pain relief can be done by applying special ointments, as well as through injections.
Solutions are introduced directly next to the damage site, so that they act more quickly.
Since for the whole treatment time the hand should be immobilized, a special type of dressing, most suitable for children, is selected. These are the following:
- Delbe Rings. Also suitable for fixing a fracture with an offset. It represents two rings, worn on the shoulders of the patient and connected by a bandage. They tighten the shoulder blades, immobilizing the injured arm.
- Dressing Dezo. Produced by fixing the arm to the breast with bandages around the chest and shoulder.
- 8-type dressing of fixing type.
- Crutch-gypsum dressing.
Post-traumatic rehabilitation
The course of restorative measures , aimed at rapid renewal of nutrition in damaged tissue, as well as strengthening of the clavicle, which was damaged, includes the following list of measures:
- Magnetotherapy. Exposure to a damaged area by a different frequency magnetic field;
- exercise therapy. Performing light exercises by hand. Moms can make easy its inclinations to the sides, gently bend the handle of the newborn;
- Massage. It is better that it is performed only by a qualified specialist for the first time, as only an employee with a special education will be able to select a complex that does not harm only the healed bone. In the future, you can do it yourself;
- Electrophoresis. The effect of the current, together with a special drug, is also able to have a beneficial effect and accelerate the recovery of the body after trauma.
Similar measures are aimed at accelerating the flow of blood, which will promote rapid healing.
Proper nutrition
Breasts that are on natural diet and drink breast milk are usually enriched with all the necessary trace elements. Since food for him comes directly from the mother, she needs to pay special attention to their own diet.
It should include more of those products that will be rich in silicon and calcium, magnesium, phosphorus. Other elements that directly influence the structure of bone tissue are just as important.
He is selected only individually, because the baby's body is not strong enough yet and is not able to cope with infections.
