Question
Bandage shown in the photograph is used in fracture of :
A. Humerus
B. Scapula
C. Clavicle
D. Cervical Spine
Show Answer
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Correct Answer » C Explanation |
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Ans:C. Clavicle.
Figure of 8 bandage is shown in the image.It is used in fracture of Clavicle.
Clavicle fracture.
- It is often caused by a fall onto an outstretched upper limb or hand, a fall onto a shoulder, or a direct blow to the clavicle.
- It is the most common bone to be fractured in children and during birth.
- It is commonest at the junction of medial 2/3 & lateral 1/3rd.
Clinical Features:
- Pain, particularly with upper extremity movement or on front part of upper chest
- Swelling
- Sharp pain when any movement is made
- Most common complication of fracture of Clavicle is malunion.
Treatment:
Nonoperative:
- Current practice is generally to provide a sling, and pain relief, and to allow the bone to heal itself, monitoring progress with X-rays every week or few weeks. Surgery is employed in 5–10% of cases.
- The arm must be supported by use of a splint or sling to keep the joint stable and decrease the risk of further damage. Usually, a figure-of-eight splint that wraps the shoulders to keep them forced back is used and the arm is placed in a clavicle strap for comfort.
Surgical:
- Surgery is considered when one or more of the following conditions presents.
- Comminution with separation (multiple piece)
- Significant foreshortening of the clavicle (indicated by shoulder forward)
Skin penetration (open fracture)
- Clearly associated nervous and vascular trauma (brachial plexus or supraclavicular nerves)
- Nonunion after several months (3–6 months, typically)
- Distal third fractures (high risk of nonunion)