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Clavicle fracture – with follow up at 3 weeks  · Virtual Fracture Clinic

This information will guide you through the next 6 weeks of your rehabilitation. Use the Video or information below to gain a better understanding of your injury and what can be done to maximise your recovery.

 

Healing: This injury normally takes 6-12 weeks to heal.
   
Pain: Take pain killers as prescribed. You may find it easier to sleep propped up with pillows. Mild pain can continue for up to 3 months.
                                              

Using your arm:

 

Use the sling for the first 2 weeks to allow the soft tissues to settle.

It is important to keep the shoulder moving to prevent stiffness but not to aggravate the injury.

Avoid lifting and overhead movement for 6 weeks.

   

Follow up:

 

 

You will see a Shoulder Specialist about 3 weeks after your injury. 

They may do another x-ray to evaluate the position of the collar bone. The specialist will talk through the next phase of your rehabilitation.

If you have not received this appointment within one week of receipt of this letter please contact your hospitals Appointment Line.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Area of your injury

If you are worried that you are unable to follow this rehabilitation plan, or have any questions, then please phone the Fracture Care Team for advice.

Or, if you are experiencing pain or symptoms, other than at the site of the original injury or surrounding area, please get in touch using the telephone or e-mail details at the top of this letter.

 

 

 

What to expect

  Weeks

  since injury

  Rehabilitation plan

  0-3

  Wear the sling during the day, except for exercises and personal hygiene.

  It is your choice if you wear your sling at night.

  Start the “Initial Exercises” below straight away.

    X  Do not lift your elbow above shoulder height as this may be painful.

  3-6

    X  Try not to use the sling.

  Begin normal light activities with the arm and shoulder.

  Increase movement as shown in the Stage 2 exercises.

    X  Avoid heavy lifting for the full 6 weeks.

  6 -12

  The injury should be healed.

  Resume normal day to day activities but be guided by any pain you experience.

  Start to lift your arm over-head.

   X   Heavy tasks may cause discomfort.

 

Advice for a new injury

Cold packs: A cold pack (ice pack or frozen peas wrapped in a damp towel) can provide short term pain relief. Apply this to the sore area for up to 15 minutes, every few hours ensuring the ice is never in direct contact with the skin.                                                    

Rest: Try to rest your shoulder for the first 24-72 hours. However, it is important to maintain movement. Gently move your shoulder following the exercises shown. These should not cause too much pain. This will ensure your shoulder does not become stiff and it will help the healing process.

 

Smoking advice

Medical evidence suggests that smoking prolongs fracture healing time. In extreme cases it can stop healing altogether. It is important that you consider this information with relation to your recent injury. Stopping smoking during the healing phase of your fracture will help ensure optimal recovery from this injury.

For advice on smoking cessation and local support available, please refer to the following website: http://smokefree.nhs.uk or discuss this with your GP.

 

Exercises

If you have stiffness in your elbow or hand from wearing the sling, you may wish to perform these exercises first. However, once they become easy you can start with the posture and pendulum exercises.

 

Initial exercises to do 4-5 times a day:

Finger and wrist flexion and extension

Open and close your hand as shown 10-15 times.

Then move your wrist up and down 10-15 times.

 

After a few days, hold a soft ball/ball of socks. Squeeze the ball as hard as possible without pain.

Hold for 5 seconds and repeat 10 times.

 

 

Elbow Bend to Straighten

Bend and straighten your elbow so you feel a mild to moderate stretch. You can use your other arm to assist if necessary. Do not push into pain. 

Repeat 10-15 times provided there is no increase in symptoms.

Forearm Rotations

Put your elbow at your side. Bend it to 90 degrees. Slowly rotate your palm up and down until you feel a mild to moderate stretch. You can use your other arm to assist if necessary. Do not push into pain. 

Repeat 10-15 times provided there is no increase in symptoms.

 

Postural awareness

Bring your shoulders back and squeeze your shoulder blades together as shown in the picture. Do this with or without your sling on.

Hold the position for 20-30 seconds and repeat 5 times provided there is no increase in symptoms.

 

 

 

 

 

 

 

Shoulder pendulum exercises

Stand and lean forward supporting yourself with your other hand. Try to relax your injured arm and let it hang down.

  1. Swing your arm slowly and gently forwards and backwards.
  2. Swing your arm slowly and gently side to side.
  3. Swing your arm slowly and gently in circles clockwise.

Continue for approximately 1-2 minutes in total provided there is no increase in symptoms. Remember to try and relax your arm.

 

 

 

Stage 2 exercises

Start these exercises 3 weeks post injury and to do 4-5 times a day:

 

Active assisted Shoulder flexion

Use your other hand to lift your arm up in front of you as shown in the pictures.

Repeat 10 times provided there is no increase in symptoms.

 

 

 

 

 

 

 

 

Active assisted External rotation

Keep the elbow of your injured arm tucked into your side and your elbow bent. Hold onto a stick/umbrella/golf club or similar. Use your unaffected arm to push your injured hand outwards. Remember to keep your elbow tucked in. Push until you feel a stretch.

If you don’t have a stick you could simply hold the injured arm at the wrist and guide it outwards. 

Hold for 5 seconds and then return to the starting position. Repeat 10 times provided there is no increase in symptoms.

 

Stage 3 exercises

Start these exercises 6 weeks after your injury and to do 4-5 times a day.

When you have regained full range of movement in the stage 2 exercises without pain you can start to do these exercises without the support of your other hand. This is known as active range of movement. The, when you have regained full movement without helping with your other arm, you can build up your regular day to day activities.

Perform these exercises 10 times each. Only go as far as you can naturally, without doing any trick movements to try and get any further. The movement should increase over time and should not be forced.

 

Active Forward flexion:

With your thumb facing up, try to move your arm up, keeping it close beside your body.

 

 

 

 

 

 

 

 

 

 

Active Abduction

With your thumb facing up and outwards, try to move your arm in a big arc out to the side.

 

 

 

 

 

 

 

 

 

Active External Rotation

With your elbow by your side, rotate your forearm outwards, keeping your elbow at about 90 degrees in flexion.

Measurement of Clavicle Fracture Shortening Using Computed Tomography and Chest Radiography


Background:

Nonoperative management of midshaft clavicle fractures has resulted in widely disparate outcomes and there is growing evidence that clavicle shortening poses the risk of unsatisfactory functional outcomes due to shoulder weakness and nonunion. Unfortunately, the literature does not clearly demonstrate the superiority of one particular method for measuring clavicle shortening. The purpose of this study was to compare the accuracy of clavicle shortening measurements based on plain radiographs with those based on computed tomography (CT) reconstructed images of the clavicle.


Methods:

A total of 51 patients with midshaft clavicle fractures who underwent both a chest CT scan and standardized anteroposterior chest radiography on the day of admission were included in this study. Both an orthopedic surgeon and a musculoskeletal radiologist measured clavicle shortening for all included patients. We then determined the accuracy and intraclass correlation coefficients for the imaging modalities. Bland-Altman plots were created to analyze agreement between the modalities and a paired t-test was used to determine any significant difference between measurements.


Results:

For injured clavicles, radiographic measurements significantly overestimated the clavicular length by a mean of 8.2 mm (standard deviation [SD], ± 10.2; confidence interval [CI], 95%) compared to CT-based measurements (p < 0.001). The intraclass correlation was 0.96 for both plain radiograph- and CT-based measurements (p = 0.17).


Conclusions:

We found that plain radiograph-based measurements of midshaft clavicle shortening are precise, but inaccurate. When clavicle shortening is considered in the decision to pursue operative management, we do not recommend the use of plain radiograph-based measurements.


Keywords:

Fracture; X-ray computed tomography; X-ray film.

X-Ray Images of Fabian Cancellara’s Broken Collarbone

Just in case you haven’t seen them already, here’s pics of Fabian Cancellara’s broken collarbone before and after surgery. He fell in a feed zone during the 2012 Tour of Flanders and did a real doozy on the bone. Video and the rest of the PR when you click on through…

PRESS RELEASE: Fabian Cancellara spoke with the press today in the Crossklinik in Basel, Switzerland, where he underwent surgical treatment following his crash in the Tour of Flanders last Sunday.

At the start of the press conference, team doctor Andreas Gösele explained to the press how the four-part fracture of Cancellara’s right collarbone (picture above) was treated and what the next steps are. Gösele: “My colleague, doctor Farkas, used a clavicle pin to put the bone together. It’s a procedure where we insert a pin in the clavicle itself, instead of using a plate and a lot of screws to keep the bone together. This procedure is a lot more natural and doesn’t affect the strength of the bone once the device is removed. The pin will be removed once the fracture is completely healed, at the very earliest in six weeks time. But this is really a small routine operation.”

Medically speaking Cancellara would be fit to train on a ergometer, but the Swiss champion still has a lot of muscle pain from the crash. “I’m happy that the surgery went so well, but I’m still in pain. I’m going to rest a couple of days, maybe even a week, and then resume training. I had two major goals this season: the classics and the Olympics. The spring campaign is unfortunately over for me now. Because I had planned a break after the classics anyway, my build-up towards London will not change. The plan is that I return to competition in May, possibly the Bayern Rundfahrt, as I did last year.”

Two days after the crash, Cancellara looks back at the incident with regret, but also sees the broader perspective. “A crash is part of cycling, and in a way it’s also part of life. I have been working really hard in the last four months to be in the best shape possible for the big races; and I’m confident that I would have performed well. However, I’m glad I only broke my collarbone and that I’m ok for the rest. I’ll be back!”

Cancellara expressed his gratitude for the support of the team and the fans before and during the classics. “The amount of messages wishing me a speedy recovery is really nice. I also had a lot of contact with the team members that are still in Belgium. I told them that they should keep their heads up and be ready for a good battle on the cobblestones on Sunday.

He also thanked the medical staff at the Crossklinik in Basel and praised his wife Stefanie, who is pregnant with their second child. “A bike rider needs the unconditional support of his family to perform well. Stefanie knows this and she fully supports my career. Now that we are expecting a second baby, I’m even more motivated to train hard and aim high for the Olympics.”

Clavicle (Collarbone) Fractures – Dr. Groh

Introduction

Shoulder Fractures are among the most common breaks of the human skeleton. Fractures may occur at any of the bones which constitute the shoulder, but the clavicle (collarbone) is the most commonly injured. The second most common area injured in the shoulder is the proximal portion of the humerus. Fortunately, most fractures of the clavicle respond to treatment without surgery.

Anatomy

The shoulder serves as a connection between the chest and arm. The clavicle functions as a strut connected to the shoulder bone (scapula). The scapula articulates with the humerus and accounts for approximately 70% of shoulder motion (the remaining motion occurs between the scapula and the thorax). Your shoulder is made up of three bones: your upper arm bone (humerus), your shoulder blade (scapula), and your collarbone (clavicle).

A right shoulder viewed from the front showing the clavicle, humerus and scapula.

The motion between the shoulder blade and scapula is a stable gliding surface over bursal structures and not prone to dislocation. However, the articulation between the humerus and scapula has little bony stability. This is because the ball of the humerus is large and the socket is small on the scapular side—think of the small amount of stability a golf ball has on a tee.

The inside layer of muscles gives the shoulder stability and motion above shoulder height and is called the rotator cuff—a series of 4 muscles

The muscles underlying the deltoid—the rotator cuff viewed from the back and front

Diagnosis

Symptoms

Patients with fractures of the shoulder complain of pain, bruising, and often deformity. The weight of gravity on the arm causes increased discomfort.

Surgeon Examination

After reviewing the patient’s symptoms, a review of their pertinent medical history and family history is obtained. The range of motion of the shoulder is measured in multiple planes. The strength of the shoulder in resisting motions is tested. The location of the deformity is determined and a neurologic and vascular exam of the extremity completed. Patients with shoulder fractures may have neurological dysfunction arising from nerve bruising at the time of injury

Imaging Studies

X-rays of the shoulder are typically utilized for evaluation. Although x-rays do not image the soft tissue of the rotator cuff, they can add information regarding the presence of arthritis, fracture or dislocation. Often x-rays may be the only study required for evaluating shoulder fractures.

X-ray of a left clavicle viewed from the front demonstrating a midshaft clavicle fracture that is markedly displaced (blue arrow). Injuries with this much displacement often require surgical treatment

Advanced imaging can add additional information in understanding the pattern of a fracture. CT examination is most often used as it gives better delineation of bone than MRI. MRI is utilized if suspicion of additional soft tissue is warranted.

A routine frontal view of a comminuted (many pieces) fracture of the right shoulder in the middle segment (mid-shaft).  The image is from a CT scan (computerized tomogram) which has been formatted as a 3-D Image.

Treatment

Nonoperative

As discussed in the image above, most shoulder fractures which are non-displaced or minimally displaced do not require surgery. These injuries are immobilized for comfort and once comfort is obtained a rehabilitation program is begun. Patients are instructed in range of motion and progress to add work on strength. These programs can often be performed at home. Recovery and return to sport varies but ranges from 8-16 weeks.

A left distal one third minimal y displaced clavicle fracture without comminution. These fractures can often be treated without surgery.

Operative Treatment

Clavicle fractures with marked displacement or comminution (many pieces) are less likely to heal when treated nonoperatively. Many of these fractures are treated operatively—usually with the application of plates and screws, although other intramedullary devices (clavicle pins) have also reported excellent results.

X-ray of a displaced midshaft right clavicle (Fig A). X-ray after application of plates and screws to the fracture (Fig B).

WATCH AN ANIMATED SURGICAL VIDEO OF TREATING A CLAVICLE FRACTURE


Surgery is typically performed with a nerve block and supplemental anesthesia.  Surgery typically requires less than two hours and the risks of blood transfusion are 1% in most studies.  The need for medical prevention of deep vein clots after surgery is controversial and ranges from none, to aspirin, to mechanical compression to blood thinning agents.  Other standard risks associated with surgery are applicable to these types of procedures.

Rehabilitation

After surgery the arm is immobilized in a sling to allow for wound healing. Patients report pain after surgery, but the pain generally improves and the utilization of multimodal pain techniques have been shown to improve outcomes for patients. Night pain is typically the most problematic—but multimodal pain programs, heat, and sleeping elevated can improve this difficulty.

Many studies have shown that patients can successfully rehabilitate their shoulder on their own at home. Patients are typically guided through a therapy program and weaned from their sling over the first 8-12 weeks. Bone healing typically requires 6-10 weeks. Ingrowth of the tendon typically requires 4 months and patients, although direct ligament repair may occur somewhat sooner. Continued work on motion and strength allows form improvement for up to 1 year after surgery.

Dr. Groh is an expert shoulder surgeon

  • Named top 60 Shoulder Surgeon in the USA by Becker’s Orthopedics
  • Active member of the American Shoulder and Elbow Surgeons
  • Written 50 Articles and Textbooks on Shoulder Injuries
  • Holds patents and developed multiple shoulder implants and devices

Collarbone Fracture Sydney | Osteoporosis Randwick

What is a Collarbone?

The clavicle, which is commonly known as the collarbone, is the bone found on both sides of the chest that connects the sternum or breastbone to both shoulders. It is the strut providing shoulder offset.

The clavicle sits above several important nerves and blood vessels.


 

What is a Collarbone Fracture?

A fractured clavicle is the medical term used when the collarbone is broken.

The clavicle is the most commonly fractured bone in the body. The principal cause of a broken collarbone is trauma (sports injuries, car accidents, falls). Rare causes include diseases that weaken the collarbone such as osteoporosis or cancer.

Collarbone fracture symptoms

Fractured collarbone sufferers have the following symptoms:

  • Pain
  • Sagging shoulder (down and forward)
  • Inability to lift the arm because of pain
  • A grinding sensation if an attempt is made to raise the arm
  • A deformity or “bump” over the break
  • Bruising, swelling, and tenderness over the collarbone

Diagnosis of Collarbone Fracture

Diagnosis is made with a consultation – During the consultation Dr Harper will:

  • take a medical history : specifically assessing the amount of energy absorbed in the trauma. Commonly associated injuries such as scapula, rib fractures and/or haemothorax will be explored.
  • perform a physical examination: looking for clavicular deformity, scapula asymmetry and bruising. Range of motion is limited and may be associated with crunching at the fracture site.
  • Imaging tests -X-rays – an x-ray will define the break: the number of pieces and the degree of separation of the fragments. X-rays of the shoulder will be done to check for additional injuries (eg. scapula fracture).

While not all of these approaches or tests are required to confirm the diagnosis, this diagnostic process will also allow Dr Harper to review any possible risks or existing conditions that could interfere with the fracture management or its outcome.

Treatment for Collarbone Fracture.

If the broken ends of the bones have not shifted out of place and line up correctly, the patient is treated non-operatively. Broken collarbones have a high healing rate without surgery. If the patient’s bones are displaced, surgery may be appropriate to align the bones and hold them in position while they heal. This can improve shoulder function after recovery.

Non Surgical Treatment can include:

  • Arm support
  • Medication
  • Physical Therapy

 

The patient will need to see your doctor until the fracture heals. The fracture can move out of place before it heals. If the bone heals in the wrong position, called a “malunion”, it can affect the patient’s shoulder function..

Collarbone Fracture Surgery

Plates and screws can be used to reposition and hold the bones into their normal alignment. The anatomic S shaped metal plates are applied to the upper surface of the bone.


 

Non-Operative treatment of Collarbone Fracture Risks

A Collarbone Fracture is not life threatening but can impact a patient’s quality of life and function.

Collarbone Fractures can lead in the

  • Short Term – to pain, sleep disturbance and disability.
  • Long Term – to malunion or non-union, that can result in ongoing pain and loss of function .

 


CT scan showing non-union of the clavicle.

Surgery Risks

As with any major surgery there are potential risks involved. The decision to proceed with the surgery is made because the advantages of surgery outweigh the potential disadvantages.

It is important that the patient is informed of these risks before the surgery takes place.

Complications can be general or specific to collarbone fracture surgery.

General complications include those of the anesthetic and your general well being. Almost any medical condition can occur so this list is not complete. Complications include:

  • Allergic reactions to medications or anaesthetic.
  • Complications from nerve blocks are rare but can include nerve damage that usually resolves.
  • Blood Clots (Deep Venous Thrombosis) – occur very rarely after shoulder surgery. Blood clots can form in the arm or leg muscles and can travel to the lung (Pulmonary embolism). These can occasionally be serious and even life threatening. If the patient suffers arm pain, redness or swelling, or have shortness of breath at any stage, contact Dr Harper, your GP or your local hospital.

Serious medical problems can lead to ongoing health concerns, prolonged hospitalisation or rarely death.

Specific complications for surgery are rare but may include:

  • Infection – Infections can occur superficially at the incision or deep and involve the plate. Infection rates for clavicle surgery are
  • Shoulder Stiffness – Shoulder stiffness with loss of range of motion is a common complication that can be minimized with adequate analgesia and adherence to your therapy program prescribed by your surgeon.
  • Damage to nerves of Blood Vessels – The surgical incision required to insert a plate divides some small skin nerves over the front of the shoulder causing a numb patch that improves over 18 months but may never reach the same sensitivity as the non-operated side. It is very rare to injure a nerve that can lead to weakness or loss of movement in part of the arm. Damage to blood vessels may require further surgery if bleeding is ongoing.

 

Preparation for Collar Bone Surgery

If surgery is selected as the treatment of choice, preparation is necessary to achieve the best results and recovery.

Preparing mentally and physically for surgery is an important step toward a successful result.

  • Dr Harper will outline the treatment plan and
  • patients will need to understand the process and their participation.

Dr Harper will also discuss:

  • any medications being taken, to see which ones should be stopped before surgery
  • fasting times: do not eat or drink anything, including water, for 6 hours before surgery
  • stop taking aspirin, warfarin, anti-inflammatory medications or drugs that increase the risk of bleeding one week before surgery to minimise bleeding
  • stop or cut down smoking to reduce your surgery risks and improve your recovery

Report any infections (dental, skin, chest, urinary) to Dr Harper prior to surgery as the procedure cannot be performed until all infections have cleared up.

Post Surgery

The patient will wake up in the recovery room and then be transferred back to their hospital room after about 45minutes.

  • Pain medication will be provided to keep the patient comfortable.
  • A bandage will be around the operated shoulder and the arm will be in a sling or brace.
  • The sling will be worn for comfort only.

Dr Harper will see the patient prior to discharge and explain the findings of the operation and what was done during surgery.

  • The bandage will usually be removed before discharge and waterproof dressings applied.
  • It is normal for the shoulder to swell after the surgery. Placing Ice-Packs on the shoulder will help to reduce swelling. Ice packs should be applied to the area for 20 min 3-4 times a day until swelling has reduced.

The patient should keep a pillow under their elbow while lying in bed.

  • The patient will not be allowed to lift anything over your head or anything greater than 1 kilo for the first 6 weeks.
  • 10- 14 days after surgery Dr Harper will see the patient to monitor their progress and remove the sutures.

It is recommended that the patient not drive while wearing a sling due to safety reasons.

The patient will be given specific instructions regarding activity and a rehabilitation program of exercise and strengthening.

Eating a healthy diet and not smoking will promote healing.

Clavicle Fractures Broken Collarbone | Dr Marcus Chia

What are clavicle fractures?

Clavicle fractures are broken collarbones. The collarbone connects the breastbone and the shoulder.

What causes clavicle fractures?

The collarbone can become fractured from a direct blow or a fall onto the shoulder. This is a common injury in athletes, especially rugby players and cyclists.

Clavicle fractures can occur anywhere along the collarbone and have many different forms. They can also involve the joints at either end, the acromioclavicular (AC) joint and the sternoclavicular joint.

What are the symptoms of clavicle fractures?

Most people who have a clavicle fracture will notice pain, swelling and deformity (a lump over the collarbone) shortly after a fall on the shoulder.

The skin over the fractured area may be tenting (this is when the bone fragment pushes the skin into a ‘tent’ formation).

There may be bruising or a graze over the shoulder. Your shoulder movements will be painful, particularly if you move your arm above shoulder level. Rarely, clavicle fractures are associated with damage to the blood vessels and nerves that supply the arm.

How do I know if I have a clavicle fracture?

If you have had a fall or injury to the shoulder and are experiencing some symptoms of a clavicle fracture, you will need an X-ray. An X-ray will assess the severity of your injury and help your specialist determine the best treatment approach.

Depending on the type of fracture you have, you may also need a CT scan.

What are the treatment options for clavicle fractures?

The treatment options for clavicle fractures include rest and surgery.

Rest

Most clavicle fractures heal over time with a sling and avoiding activities for around six to ten weeks. You can use ice and pain-relieving medications to reduce pain and swelling. When the fracture has healed, there may be a noticeable bump.

Surgery

You may need surgery if your clavicle fracture does not line up well or is in multiple fragments. Surgery does not make the fracture heal faster; it ensures that the bone heals correctly.

During surgery, Dr Chia will fix your fracture with a plate and screws. Surgery with a plate and screws is minimally invasive with a small skin incision just below the clavicle.

After surgery, you will need to wear a sling for comfort. You can use ice to relieve pain and swelling. You’ll also need to avoid any activities above shoulder level are for six weeks.

Once bony union has occurred, you can return to contact sports. This usually takes ten weeks. As Dr Chia uses new pre-contoured, low profile plates, you don’t need to have the plate removed after your fracture has healed.

Cowboys Tony Romo Out with Clavicle Fracture

Written by Selene Parekh, M.D. on . Posted in News

In the second quarter of tonight’s Monday Night Football game, Tony Romo was hit by Giants linebacker Michael Boley.  Landing directly on his left shoulder, Romo was taken out of the game with a left clavicle fracture.  Will we see him back this year?

ANATOMY

The shoulder is made up of three bones: the humerus (arm bone), the scapula (shoulder blade), and the clavicle (collar bone).   The clavicle is a long, skinny bone, which is shaped as an “s”, as it travels from the sternum (breast bone) to the shoulder.

CAUSES

Clavicle fractures are common, occurring usually in children and athletes.  The clavicle can break with a direct blow to the bone. This can occur from a blow to the front or outer part of the clavicle.

SYMPTOMS

Individuals with a broken collarbone will have immediate pain swelling and perhaps a black and blue mark.  The shoulder and arm will be difficult to move.  There may be an abnormal bump in the location where the bone is broken.   An x-ray is usually needed to get a better idea of the location and “shift” (displacement) of the break.  A good physical exam will be needed to ensure that the blood vessels and nerves that travel near the clavicle are not damaged.

TREATMENTS

Depending on the location of the break, the clavicle can be treated with or without surgery.  In the non surgical option, the arm is kept in a sling, in order to rest the shoulder.  The patient is allowed to come out of the sling every few hours to do some basic range of motion exercises and keep the shoulder from stiffening.  The bone will take 8 to 10 weeks to heal.  Surgery is selected if: the bone is pushing up too much on the skin, the broken area of bone is very tender, or in the case of an athlete.  There are a variety of ways to treat clavicle fractures with surgery, including the application of a plate and screws or a screw or device that goes in the center of the bone and stabilizes the break. The advantage of surgery is that physical therapy and exercises can begin more quickly.

WHEN TO SEEK MEDICAL CARE

If you suspect that you have sustained a clavicle fracture or break of your collarbone, you should seek medical attention within a few hours to days.

RETURN TO ACTIVITIES/OUTCOMES

Most throwing athletes treated without surgery will be out of throwing activities for 8 to 10 weeks.  With surgery, this can be shortened to 6 to 8 weeks.

VIDEO/ANIMATION

For a video animation of “Collarbone Fractures”, please see the “Education” tab of my website.  Click orthopaedics, then shoulder, then conditions, then fractures of the collarbone.

Given Romo’s new injury, it is very unlikely that he will return this season.

Dr. P

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All material published through this blog/website is for informational and entertainment purposes only. Readers are encouraged to confirm the information contained herein with other sources. Patients and consumers should review the information carefully with their professional health care provider. The information is not intended to replace medical advice offered by physicians. Dr. Parekh and Duke University will not be liable for any direct, indirect, consequential, special, exemplary, or other damages arising from the discussions in this blog.

 

Selene Parekh, M.D.

Selene Parekh, M.D. (also known as the “Fantasy Doctor”) is an orthopaedic surgeon and foremost expert on sports injuries who’s fast becoming the go-to expert for the multibillion dollar fantasy sports industry.

90,000 What does an X-ray of the clavicle show?

X-ray of the clavicle: what is it, features

X-ray today is the most demanded diagnostic procedure, which can be used to assess the condition of any bone or joint of a person. This article will discuss in detail about the X-ray of the clavicle.

The clavicle, being part of the human musculoskeletal system, plays a major role in the functioning of the shoulder girdle. Moreover, this bone is highly fragile and quite often suffers from mechanical damage.Also, the possibility of congenital clavicle pathology or the occurrence of inflammatory processes is not excluded.

It is possible to identify all of the above pathologies with the help of X-ray examination , which can be done in almost any public or private clinic.

Indications for X-ray of the clavicle

Clavicle X-ray is performed only as directed by a doctor and if the patient has the following indications:

  • Violation of the functioning of the shoulder girdle.With the help of an X-ray, it is necessary to find out if the clavicle has any defects (for example, congenital abnormalities).
  • Pain in the shoulder girdle. They can be caused by a fracture, crack, dislocation, which in turn are most often the result of bruises, blows, falls.
  • Pain in the clavicle, accompanied by redness of the skin and inflammation of the lymph nodes, is most often a sign of osteomyelitis. X-rays will help clarify the diagnosis.
  • Increased fragility of the clavicle, due to which its fractures enter the system, gives reason to suspect the patient has osteoporosis.Its signs can also be seen on x-rays.

Clavicle X-rays may be prescribed to assess the dynamics of bone recovery after fracture. The doctor assesses how correctly the fracture was assembled and how quickly the healing proceeds.

What does an X-ray of the clavicle show?

An X-ray of the clavicle visualizes the bone tissue quite well, which allows it to be examined for cracks, fractures, and other damage. Also in the picture you can see bone osteophytes and other neoplasms, including even those that originate from soft tissues.

With the help of X-rays, it is possible to identify congenital defects or anomalies in the structure of the clavicular-acromial joint.

Preparation for the procedure

X-ray examination does not require special preparation. This also applies to the study of the collarbone. The patient should take off his collarbone clothing, metal jewelry and accessories and warn the doctor if there are any foreign bodies in the shoulder girdle (fixing medical bolts, for example).

In some cases, when there was a serious injury to the bones of the shoulder girdle, it is allowed to carry out an X-ray in clothes, if it is not possible to remove it.

How is the clavicle X-ray performed?

The patient lies in the center of the X-ray machine table on his back or abdomen. If he cannot maintain a lying position, for example, due to a serious injury, the examination can be carried out while standing. A snapshot of the clavicle is performed only in frontal projection.The patient needs to remain still during the exposure.

If the first shot is not quite accurate, the shot can be repeated, making it more aimed.

Contraindications for

Clavicle X-rays are not recommended for pregnant women or nursing mothers. If possible, it is better to postpone this diagnostic procedure to a later date, when lactation is completed.

Also, X-rays are not prescribed to patients in serious condition, not transportable patients.

Care should be taken to prescribe x-rays to children under 15 years of age. Until this moment, an active growth of the body takes place, which can be influenced by X-rays – to provoke a pathological degeneration of cells.

Interpretation of results

To decipher the results of an X-ray, a specialist assesses the condition of the clavicle according to several indicators:

  • Location in relation to the other bones of the shoulder girdle.This is how dislocations, displacements, congenital pathologies of the location of the bone are revealed.
  • Size, presence of thickening on the bone or, conversely, thinning.
  • Integrity, density and structure. By evaluating these criteria, it is possible to identify the presence of neoplasms, foci of necrosis, osteoporosis and other pathologies.
  • The size of the interarticular gap. A deviation of this indicator from the norm indicates the presence of arthritis or arthrosis in the patient.

Normal X-ray readings

X-ray of the clavicle of a healthy person, as in the photo, should demonstrate the correctness of the bone shape and size appropriate for the patient’s age.There should be no darkening on the bone, its contours should be clear and continuous, and the structure should be homogeneous and dense.

90,000 How often can an adult be x-rayed and how many images can be taken at a time

One X-ray examination is not enough to monitor the course of treatment, and the doctor may prescribe additional procedures. At the same time, many patients begin to worry about their health, because it has long been known that excessive radiation can cause serious harm to the body.We will tell you how many times you can actually be examined without harm and dispel some of the myths about X-ray examination.

Examination doses

The radiation used in the examination is measured in X-rays, but the radiation that the patient receives is in Sieverts or milliSieverts, abbreviated as mSv. The radiation doses depend on the specific type of examination.

How can X-rays be dangerous?

X-rays are electromagnetic waves in the range between ultraviolet and gamma radiation. Accordingly, the X-ray machine is a source of ionizing radiation, a serious overdose of which leads to the destruction of the integrity of the DNA and RNA chains. They are not always restored, because the ability of the DNA molecule to withstand the negative effects of ionizing radiation is limited. Therefore, the annual effective dose approved by SanPin is determined based on the rapid recovery of DNA and RNA molecules, as well as the amount of radiation at which the damage will be insignificant.

Possible consequences of abuse of the procedure:

  • cancer of any system or organ;
  • radiation sickness;
  • 90,017 mutations;

  • genetic changes, etc.

The consequences can be unpleasant and even terrible, but all this becomes possible only with huge overdose of ionizing radiation, which simply cannot be obtained in modern digital X-ray machines.Moreover, if you are being examined on the recommendation of a doctor.

The average annual dose of natural radiation is 2.4 mSv per person, and 1 hour in an airplane costs 0.003 mSv.

And now, for a better understanding, we will give the radiation doses that the patient receives during X-ray:

  • chest X-ray – 0.03 mSv;
  • mammography – 0.05 mSv;
  • intraoral radiography – 0.02 mSv;
  • cervical spine – 0.03 mSv;
  • fluorography – 0.03 mSv;
  • X-ray of the skull – 0.04 mSv;
  • X-ray of the intestine – 0.02 mSv.

Obviously, X-ray studies on modern digital devices are completely safe and do not give a significant radiation load on the human body. This increases the chances of detecting a serious disease at an early stage and prescribing the most effective treatment.

How many times can X-rays be taken?

If we are talking about analog devices, then experts recommend a break between exposures of 3 weeks and take one picture per visit.However, it happens that it is necessary to increase the number of studies, then they are carried out at intervals of a couple of days, minimizing the negative impact as much as possible. Several x-rays on an analog device on the same day can be bad for your health.

The invention of digital equipment made it possible to greatly reduce risks and conduct more frequent X-ray examinations. You no longer need to look for compromises between harm and health benefits, doctors prescribe as many procedures as necessary to effectively track the progress of treatment.

How is the load reduced during an X-ray?

The medical record contains all information about the performed radiation examinations, their number and radiation dose. If a critical dose is reached in total for a year, then the appointment of another X-ray is highly undesirable.

To control the load, the radiologist must have maximum information, therefore it is important to report all previous examinations and possible contraindications.

To protect the body, three main methods of protection are used:

  1. Distance protection.The X-ray tube is placed in a special protective casing. It does not allow X-rays to pass through, which are directed at the patient through a special “window”. In addition, an X-ray diaphragm is installed at the exit of the beams from the tube, with the help of which the irradiation field is increased or decreased.
  2. Time protection. The patient should be irradiated for as short a time as possible (short exposure times for pictures), but not to the detriment of diagnostics. In this sense, images give less radiation exposure than transmission.
  3. Shielding protection. Parts of the body that cannot be photographed are covered with sheets, aprons-skirts made of leaded rubber. Particular attention is paid to the protection of the genitals and the thyroid gland, as the most sensitive to X-ray radiation.

How to restore the body after the X-ray procedure?

After performing radiation diagnostics, the body recovers itself, because the radiation doses received during medical research are negligible.You can help him with the right diet: it is recommended to increase the amount of foods containing vitamins A, C and E.

You also need to add to the diet:

  • dairy products – cottage cheese, sour cream;
  • 90,017 whole grain bread;

  • red wine;
  • vegetables – garlic, beets, carrots, tomatoes;
  • olives, prunes, walnuts;
  • 90,017 bananas;

  • oatmeal;
  • green tea.

To accelerate the recovery of the body, it is important to observe the drinking regime : 1.5 – 2 liters of clean filtered water per day, in addition to tea, coffee and other liquids.

We invite you to undergo an X-ray examination at the Admiralty Shipyards Medical Center. Professional X-ray technicians, highly qualified doctors, expert-class digital equipment – all this allows you to minimize the negative effect of the procedure on the body, while maintaining the correctness and accuracy of the diagnostic results.If, based on the results of an X-ray examination, you need additional diagnostics (ultrasound, CT, MRI) in our medical center, you can undergo the necessary procedures on the same day.

Call the phone number listed on the website, or leave a request in the feedback form. Specialists of the medical center “Admiralty Shipyards” will answer your questions and make an appointment at a convenient date and time.

Remember, a disease that is not noticed in time can lead to serious consequences! Let’s take care of your health together!

Make an X-ray of the clavicle in St. Petersburg

The clavicle is the most important component of the skeletal system of the human body, which performs the function of fastening the upper limb to the skeleton.The bone has a rather fragile structure and is constantly exposed to stress, therefore, it is possible to notice its damage only during an X-ray. This allows the doctor not only to visually assess the integrity of the bone tissue, but also to examine the condition of the tissues surrounding the clavicle.

Reasons for contacting the X-ray room

Fracture and damage to the bone tissue of the clavicle is the main, but not the only reason for visiting the diagnostic room of the Osnova Deti clinic. This procedure is able to detect the initial signs of bone lesions in the shoulder area.The main reasons for the appointment of the survey are:

  • Dislocation of the clavicle joint;
  • Subluxation of the head of the humerus;
  • Fracture of the neck of the bone;
  • Decrease in motor activity of the shoulder joint;
  • Arthritis and osteoarthritis;
  • Congenital pathologies.

Technique for X-ray examination of the shoulder joint

Before the start of the procedure, all unprotected parts of the child’s body that fall into the irradiation zone are covered with a special apron, which has a built-in lead plate, which excludes the effect of ionizing radiation on the child.The methods of obtaining a diagnostic image depend on the type of pathology. If a fracture is suspected, the image is taken from the front in a direct projection.

To obtain a diagnostic picture of the bone structure of the clavicle, an X-ray is performed from the back, also in a direct projection. We would like to draw the attention of parents to the fact that outdated X-ray equipment gives a more tangible radiation load on the fragile body of a child. The X-ray room of the Osnova Deti clinic is equipped with the most modern innovative equipment, which guarantees a more accurate and complete examination result.

X-ray results

In 10-15 minutes after the completion of the procedure, the image will be ready and examined by a specialist-radiologist for the presence of traumatic injuries and possible pathologies of the joints of the shoulder area. Based on the results of the X-ray data, the final diagnosis will be established. If a fracture is diagnosed, the shoulder should be fixed with a plaster cast, and the arm is tied to the neck in order to completely immobilize the shoulder girdle.

Advice on care for parents during fracture healing

If the child continues to experience pain, continue using ice packs to relieve pain symptoms.Use a pillow as support for pain while lying down. Avoid any physical activity for up to 3 months after the injury. After a mandatory consultation with a doctor, it is possible to take anti-inflammatory drugs (ibuprofen, collagen-ultra). During the recovery period, we recommend doing simple exercises for the hands in order to increase muscle tone and flexibility of the clavicle. For minor fractures, even before removing the bandage, it is good to perform light massage sessions. During the recovery period, parents should pay special attention to nutrition.Foods consumed by a child must contain a sufficient amount of calcium, and vitamin D is needed for its absorption. All these ingredients are found in sufficient quantities in foods such as cottage cheese, milk, fresh berries, and fish.

Recording for X-ray of the clavicle for children

You can sign up for the X-ray procedure at any time convenient for you by calling the specified phone number of the administrator on duty or place an application online on our website.

X-ray of the clavicle in Moscow – prices and an appointment for diagnostics online on Meds.ru

X-ray examination of the clavicle allows the doctor to see not only possible injuries, the structure of the bones of the shoulder girdle, possible foreign inclusions (including neoplasms). X-ray of the clavicle demonstrates abnormalities of the acromial joint, the main cause of pain and limitation of hand movement.

What the radiograph can show

X-rays of the shoulder girdle and clavicle are performed for diagnostic and prophylactic purposes.The procedure allows the doctor to identify obvious pathologies, for example, a fracture, a crack after an injury, the initial stage of diseases of the musculoskeletal system. X-ray examination is recommended in patients prone to damage to the bones of the clavicle and shoulder joints. X-rays can be used to determine the severity of bone disease.

The snapshot obtained during the medical examination allows us to establish:

  • Clavicle bone density;
  • severity of damage to the clavicle and acromial joint;
  • oncological pathologies.

The procedure allows the physician to evaluate surgical and / or medical treatment. An X-ray is indicated for a patient with systemic connective tissue diseases to assess the condition of the bones of the clavicle and joints.

Indications and limitations

The procedure can be carried out in an urgent and standard manner. Clavicle images are urgently needed to determine the severity of the injury, such as a possible fracture. In this case, the examination in the medical clinic and the paperwork for the patient is carried out without waiting in line according to the price in the price list.Sometimes, contraindications to the procedure are also neglected to diagnose a fracture.

The doctor performs an x-ray of the shoulder girdle and clavicle at:

  • the spread of the infectious process to the bone;
  • arthritis, regardless of the cause of the pathology;
  • congenital deformities of the bones of the clavicle and joints of the shoulder girdle.

The procedure allows you to identify the consequences of an injury, especially if a fracture, dislocation, subluxation, etc. is likely.e. Obtaining an X-ray during the examination allows the doctor to determine the cause of pain in the clavicle area, stiffness of hand movements.

Limitations

Pregnancy is a contraindication to the procedure, but in compliance with the protection conditions, X-rays are taken if a fracture is suspected. Children under 15 years old need strict indications for the procedure.

Preparation and course of manipulation

A prerequisite for obtaining an X-ray is a referral from a doctor.To make an appointment in the clinic, you need a presumptive diagnosis, a description of the projections of the image. Most hospitals that take x-rays of the shoulder girdle and collarbone offer a preliminary examination of the patient by an orthopedist or traumatologist. In the clinic, it is possible to make a home call to a doctor, and the service of obtaining an x-ray at home with a mobile x-ray is available.

To obtain a high-quality image during the procedure, the patient is asked to undress to the waist and remove all metal products.It is possible to eliminate errors during the examination by maintaining a stationary position. When calling a doctor and performing an X-ray service at home, it will take 10-15 minutes to obtain an image and interpret the results. When examined in a medical clinic, the procedure will take about half an hour. The price of an X-ray of the clavicle depends on the conditions of the procedure.

Write order

On the website meds.ru , the patient has the opportunity to choose a medical center convenient for its location, view the price list, clarify the possibility of X-rays in case of a collarbone fracture, and call a doctor at home.You can also make an appointment online, leaving your phone number or make an appointment by phone +7 (499) 685-18-13 .

Removal of the plate after fusion of the fracture

In the first few hours after the fracture, osteosynthesis is possible – fixation of bone fragments using special structures. The purpose of the process is to ensure immobility and create conditions for the bones to fuse in the correct position.

If screws, metal plates or other fixing structures were used to heal the fracture, then after the splice they must be removed.The reason is that foreign bodies in the body can provoke the formation of cysts and rejection.

Technical features of installation and removal of clips

With the correct installation of the external structure, the removal of the pins after a fracture is not difficult – the pins are simply removed. If the fixation is intraosseous, inside the joint, using nails and screws, then a full-fledged operation is required.

Pin fixation is used to connect the joints of the limbs and fingers.It can be carried out externally, when the end of the spoke rises above the surface, or internally, when the entire structure is under the skin. The technique is used as a temporary measure. In some cases, if patellar fractures, clavicular or elbow injuries are fixed, stable fixation and a longer time for fusion are required.

In case of a hand fracture, osteosynthesis techniques are used – metal structures, knitting needles, and the Ilizarov apparatus is installed. They are removed only after complete healing.

Plates can be used to fix any bone. This is a convenient and reliable method. Today, many variants of such plates are used, differing in size, shape, functionality. The plate is used for fractures of the lower leg and ankle, when there is a need to fix bone fragments. Its removal takes place in a planned manner. The time of the operation is determined by the doctor.

Tubular bones are fixed with intraosseous rods (pins) – for example, in case of a collarbone or leg fracture.Such operations are performed quickly, their feature is minimal trauma. After fixing, the load is allowed literally in a few days.

Removal of the structure is carried out in half an hour, if the installation was carried out correctly. If there is damage to the threads or screws, it becomes necessary to drill out the elements.

Indications for the removal of fixing structures

On the one hand, removal is an operation, but on the other hand, a foreign body can cause unwanted reactions in the body.The structure is installed for the time during which the bones are fused. The fact of adhesion is confirmed by an X-ray. The therapeutic technique provides for the removal of metal structures after a fracture, so that the likelihood of developing deforming osteoarthritis is minimal.

Contraindications to removal

If the structure is located close to the nerve endings, then access to it during the operation will be difficult. The risk of getting undesirable consequences in this case outweighs the benefits of removing the implant.A reasonable solution would be to refuse the removal operation. If there is such a need (for neurological disorders), then the surgical intervention involves the participation of a microsurgeon. The decision on this matter is made individually, taking into account the results of the X-ray examination.

The operation to remove the fixing structure is less traumatic than its installation.

Rehabilitation

This is the most important stage in the treatment of fractures, since prolonged immobilization leads to atrophy and impaired blood circulation. Complications may develop – thrombosis, venous stasis and lymphostasis.

The recovery period begins shortly after the operation and consists of two stages.

  • Stationary. The patient is taking medications, and after the pain stops, he is prescribed movement therapy and exercise therapy.
  • The outpatient period begins after the patient is discharged home and can last up to a year. It depends on the severity of the fracture and the chosen method of treatment. There are no universal advice here, since each patient has his own rehabilitation program.Common goals are:
    • Restoration of blood circulation;
    • Elimination of muscle atrophy;
    • Restoration of motor function.

An effective way of successful rehabilitation is reasonable physical activity. This process helps to overcome the patient’s somewhat constrained independent movements. Their positive effect is obvious. Each patient needs to be engaged, gradually gradually increasing the load, so that the exercises do not cause discomfort.

90,000 The collarbone is broken, the operation is refused – a review of the insurance company Absolut Insurance from “StarLord”

While in Indonesia, I decided to insure my health. The support service of the polis812.ru website recommended that I buy Polis Oxygen Premium, they guaranteed the maximum insurance coverage.

At night 05/08/2020 I stumbled and fell down the stairs. After the fall, I realized that something was wrong with the shoulder. I could not go to the hospital immediately after the incident, because.k. was on a small island.

In the morning of the next day, the temperature rose, there was severe pain. I was confused, did not understand what to do. For two days I was delirious, but hoped that the temperature would subside and my condition would improve.

11.05.2020 my temperature dropped a little and I turned to the insurance company. After the notification, I received an email from assistance, and later their representative wrote via WhatsApp, who referred me to a hospital on a neighboring island.

05/18/2020 I managed to visit this hospital, where they made an X-ray and was told that my collarbone was broken. The hospital sent the X-ray to the insurance company in order to obtain approval for the examination of the orthopedist. In the evening, they contacted me from the hospital, and said that they had received the approval of the insurer and invited me to an appointment with an orthopedist.

05/19/2020 I arrived at the hospital and was examined by an orthopedist, who informed about the need for an urgent surgical intervention in order to put the broken bone in place and fix it with a titanium plate, i.e.Because if this is not done, then the bone can come out through the skin. The hospital sent the conclusion of the orthopedist for the operation to the insurance company, and asked me to wait for a response from the insurer. However, the insurer, through the assistance company, informed me by e-mail that the operation was denied to me, because it is not considered an emergency due to the fact that I went to the hospital after 24 hours after the injury.

At the moment I am in Indonesia with a broken collarbone, which tightens the skin more and more every day.I have no money for the operation, the insurance company refuses to pay for the operation. I don’t know what to do.

photo links:
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Radiography, fluorography (FLG) in Tver at the Russian Railways-Medicine clinic

X-ray examination is a valuable diagnostic method today.

It is a well-known fact: 80% of primary diagnoses are established with its help.

X-ray department of the NUZ “Departmental clinical hospital at the station. Tver Russian Railways conducts all types of research. Let’s talk briefly about each of them and the features of training.

FLUOROGRAPHY

Fluorography – mass screening study. It is recommended to perform it at least once a year. Today, the fluorographic method is used to study the organs of the chest. It is carried out during complex examinations, in the preoperative period, during preventive examinations, during the passage of commissions.

The modern fluorograph of the clinic has digital processing, which greatly facilitates the work of the doctor and significantly reduces the radiation exposure to the patient.

Types of fluorography:
  • Preventive – performed once a year for early detection of chest diseases.

  • Diagnostic – to clarify the location and nature of lesions of the chest organs in the presence of symptoms of diseases.

Objective: Diagnosis of diseases of the chest organs.

Contraindications: inability to find the patient in an upright position.

Preparation for the procedure:
  1. The medical staff must explain to the patient (family members) the course and necessity of the upcoming examination.

  2. On the day of the study, you should limit yourself to a light breakfast.And if you suffer from constipation, then it makes sense to take a mild laxative (Regulax, Bisacodyl, Senade) the night before.

  3. Before the examination, the patient must fill out two statistical coupons with passport data and go to the fluorography office.

  4. In the dressing room, the patient must free the upper body (up to the waist) from clothing, remove jewelry that is at the examination level.

  5. The patient should inform the medical staff of the fluorography office about the past diseases, operations on the chest organs, about the presence of foreign bodies in the study area.

Performing Procedure:
  1. In the fluorography office, the patient is taken from 1 to 3 images in different projections (depending on the purpose of the study).

  2. The result of fluorography is usually performed the next day.In the presence of acute diseases of the chest organs (pneumonia, pneumothorax, etc.), the result of fluorography is given immediately to the patient’s hands, followed by consultation with a specialist doctor. In case of detection of oncological pathology, tuberculosis, it is necessary to conduct an additional examination at the place of medical care.

CHEST ORGANS X-RAY

Chest X-ray is one or more chest images in frontal and / or lateral projections, allowing to assess the presence and degree of pathological changes in the lung tissue, indirectly assess changes in the heart and blood vessels, and identify concomitant changes in the bone frame of the chest.Radiography can be performed while the patient is standing, sitting or lying down, depending on the prescribed study. Metal jewelry or fasteners should not get into the irradiation area, which will be visible on an x-ray and distort the results.

X-RAY OF BONES AND JOINTS

X-ray of bones and joints is one of the leading methods for diagnosing disorders of the osteoarticular apparatus. The study helps to make a diagnosis, carry out differential diagnostics, identify complications, determine the tactics of treatment, and monitor its success.X-ray of bones and joints allows diagnosing fractures, bone fractures, dislocation and subluxation of joints, injuries of the ligamentous apparatus.

Hip joints – one of the largest and most complex joints in the human body. Diseases in this area are numerous and occur at any age.

X-ray of the hip joint reveals the following diseases: congenital pathology (dislocation, dysplasia in the hip joints), acquired dislocations and fractures, primary tumors in the joint, osteoporosis, arthrosis, inflammatory lesions in the joint.

X-ray of the knee joint is the simplest, fastest and most affordable method for diagnosing pathological conditions of the knee joint. Knee joints experience considerable stress due to the large range of motion, so diseases and injuries in the knee area are common and often occur. Indications for radiography of the knee joint can be any damage and trauma, knee pain at rest and during movement, joint swelling, discoloration of the skin above the knee, limitation of mobility, knee deformity.

X-ray of the knee is of great diagnostic value for traumatic injuries: bone fractures, fractures, subluxations and dislocations of the joint, injuries of the ligamentous apparatus, hemorrhages in the knee joint, injuries of the menisci and patella.

X-ray of the foot is a commonly used diagnostic method in traumatology and orthopedics. Foot X-rays can be performed in multiple projections, depending on the diagnostic needs, with and without stress.

This allows you to get a more accurate idea of ​​the structure of osteoarticular formations, make a diagnosis, determine the tactics of treatment and monitor its effectiveness.

X-RAY OF THE LUMBAR SPINE

Informativeness of the study: allows you to identify the state of the vertebrae – fracture, their displacement, the presence of osteophytes, the distance between the vertebral bodies, bends of the spine.

Disadvantages of the method:
  • intervertebral discs and soft tissues are not visible (therefore, X-ray does not diagnose diseases such as intervertebral hernias, sprains of ligaments and muscles).

  • exposure of the body to x-ray (ionizing) radiation.

Research objectives:
  1. Determination of the cause of frequent back or limb pain, feeling of weakness, numbness.

  2. Diagnosis of pathological changes in the joints of the intervertebral discs, arthritis (for example, X-ray of the cervical spine).

  3. Identification of various spinal injuries, fractures, subluxations of intervertebral discs (for example, the treatment of a compression fracture is impossible without radiography).

  4. Diagnostics of inflammatory processes, osteochondrosis, tumors.

  5. Diagnostics of various forms of spinal curvature.

  6. Identification of congenital pathologies of the spine in newborns.

  7. Study of the vertebral arteries in the postoperative period, complications after dislocations and fractures (for example, the consequences of a compression fracture).

Contraindications to research:

pregnancy (X-rays can negatively affect the development of the fetus), X-ray examination with barium suspension during the last four days, the patient’s inability to be immobile even for a short period of time, obesity (images with excessive body weight are uninformative and indistinct).

Preparation for the procedure:
  1. Medical staff should educate the patient and his family members in preparation for the study.

  2. Before the examination, it is necessary to cleanse the intestines (intestinal gases are layered and do not allow X-rays to pass; as a result, the overall image is blurred; it is especially important if an X-ray of the lumbar spine is planned: preparation includes a cleansing enema).

  3. A few days before the X-ray, follow a certain diet that excludes gas-forming products; it is additionally recommended to take enzyme preparations (festal, mezim, etc.), activated carbon after meals.

  4. The study should be carried out on an empty stomach.

  5. Before the diagnosis, the patient must take off all the jewelry he has, undress to the waist.

Performing Procedure:

As a rule, X-ray examination is carried out in frontal and lateral projections. Tilt shots are much less common. In this case, the radiation source is in relation to the body at an angle of forty-five degrees. If the pathology is associated with the stability of the spinal column, then an X-ray of the lumbar spine is taken in the position of tilting back and tilting forward. In the process of life, such simple movements press on the spine, as a result of which the vertebrae can be displaced.

To make an X-ray of the lumbosacral spine to study the condition of the hip and sacroiliac joints, the patient is placed on the table of the X-ray machine.

Typically, three to five x-rays are taken. During this time, the patient should not move so that the images are clear and not blurry.

In general, the entire procedure takes about fifteen minutes. Moreover, the study is absolutely painless for a person.Thus, X-ray of the spine is very informative for the diagnosis of fractures and tumors.

X-RAY SCOPE OF THE STOMACH

X-ray method for examining the esophagus, stomach, duodenum, which allows to identify a wide range of disorders of the gastrointestinal tract: peptic ulcer, neoplasms of various types, protrusion of the esophagus wall, stomach and duodenum, hernia of the esophageal opening of the diaphragm.

Preparation for fluoroscopy of the stomach:
  1. Fluoroscopy of the stomach is performed on an empty stomach.No food should be taken 6-8 hours before the procedure. Shortly before the study, one should not take medications, alcoholic beverages, or smoke.

  2. Persons suffering from diseases of the digestive tract, and the elderly are pre-prescribed a diet for 2-3 days, which helps to reduce the formation of gases in the intestines.

    The following foods should be excluded from the diet:
  • dairy and fermented milk;
  • sweets;
  • sparkling water;
  • bread;
  • cabbage.

Immediately before the procedure, the physician will ask the patient to remove all metal objects that may give a contrasting shadow on the X-ray images.

How is the fluoroscopy of the stomach performed:
  1. First, a plain abdominal X-ray is usually done in a standing position. It helps to immediately identify gross violations of the functioning of the gastrointestinal tract.

  2. When carrying out a gastric fluoroscopy with barium, the patient during the examination fractionally drinks 200 ml of a contrast agent, which has the color and consistency of sour cream, and the taste of chalk.

  3. Then take pictures. The patient is asked to take different positions: standing, lying on his back, on his stomach, on the right and left side (if necessary, at the discretion of the doctor).

Examination time: 20-40 minutes.

ATTENTION!

HAVE A REFERENCE FOR EXAMINATION AND EXAMINATION BY YOUR DOCTOR.

IRRIGOSCOPY

For bowel cleansing you need:

1) Diet

Exclude foods that ferment for 2-4 days:
  • black bread

  • potato,

  • peas,

  • buckwheat,

  • cabbage,

  • fruits, vegetables, juices

  • milk and other products that are individually poorly tolerated by the patient

In case of severe flatulence, the intake of activated carbon for 2 days.


Leave boiled meat, fish, soups, eggs, cheese, butter, semolina, etc. on the menu.


2) Laxatives: Fortrans

To cleanse the intestines, depending on its condition, it is necessary to use 2-4 sachets of the drug (with persistent chronic constipation – 4, with moderate – 3, with small – 2).

Before use, the contents of each package should be dissolved in 1 liter of cool boiled water (the solution should be taken in a dosage of 1 liter per 15–20 kg of body weight, which approximately corresponds to 3-4 liters.). The patient should drink each liter of this solution evenly within 1 hour (1 glass in 15 minutes). Reception hours starting at 15 o’clock the day before.

Contraindications to the use of “Fortrans” are the severe general condition of the patient, severe heart failure, dehydration, a tendency to develop intestinal obstruction.

3) 18-00 light dinner + 10 tab. activated carbon


With any option , light breakfast is required on the eve of study (for example, a small amount of semolina on the water).

YOU HAVE:
  • waterproof disposable diapers – 2 pcs,

  • slippers,

  • toilet paper,

  • T-shirt,

  • towel,

  • referral for research,

  • conclusion on sigmoidoscopy (RRS)

MAMMOGRAPHY

Women under 40 years old are supposed to do mammary glands ultrasound once a year , after 40 years – mammography.

Diagnostics is carried out according to the prescription of the attending physician. The research results are ready within 10 minutes on the day of treatment.

For paid treatment, please contact the Department of Paid Medical Services: +7 (4822) 45-23-25 ​​

IN THE DEPARTMENT OF X-RAY DIAGNOSTICS, leading specialists, radiologists, advise patients, help prepare for the examination, and conduct all the necessary examinations.