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How Do You Know If You Broke Your Shoulder Blade?
Ascapular fractureis the break of the shoulder bone ( shoulder bone ) . The shoulder blade is the heavy flat bone , work as a triangle and located on each side of the upper part of the back . A scapular fracture also affects other office of the body , particularly the collarbone , thehumerus , the lungs , and the thorax .
Fractures of the shoulder blade are very infrequent ; they represent 1 % of the total fractures and 5 % of those regard the berm stays . rigorously anatomic reasons explain the scummy incidence of these wound , the thoracic cavity protect it from the front and a copious mesomorphic environment from behind . On the other hand , the mobility of the shoulder blade on the thorax allows it to dissipate and cushion the traumatic forces .
Fractures of the scapula are make by high - energytrauma , mostly from accident on public route .
This determines that more than 80 % of the example have associated lesions of diverse considerateness , especially serious thoracic psychic trauma .
Approximately 90 % of patients suffer associated wound due to the trauma violence . The most unwashed tie-up of injury admit ipsilateral upper extremity and chest . Associations :
-Costal fractures : 25 - 45 % of vitrine
-Pulmonary injuries : 15 - 55 %
-Humerus shift : 12 %
– Brachial plexus injury : 5 - 10 %
-Vascular injury : 10 - 12 %
– Traumatic brain injury : 25 %
-Abdominal trauma : 8 %
fix of the Fracture :
consistence and acantha : 50 % ( the most frequent ) , cervix : 25 % , Glenoid cavity : 10 % ,
Acromion and coracoides : 7.5 % .
crack of the glenoid can present in two form : one when the forces are transmit direct and the other indirectly .
Often they are not diagnose in their initial presentation because they just show bulge or disfiguration if they are not displaced .
They are often discern late ; remain out of sight in the chest radiographs by the principle of superposition of thoracic social organization . However , they are usually identified in conventional thorax radiographs in polytraumatized patient .
Strict anteroposterior , lateral and alar scapular projections should be prevail for systematical rating of the body , the shoulder blade pricker , the apophysis ( acromial process , coracoides and glenoids ) and the joints ( scapulothoracic , glenohumeraland acromio - clavicular ) .
Signs and Symptoms:
-Pain , tenderness , swelling , bruising , or a gibbosity on the offend area .
-Difficulty moving your berm and arm .
-Weakness , numbness and a tinglingsensation in the shoulder and arm .
-A need to underpin your branch with the other hand to reduce pain .
Treatment
Indications of Surgery
-Large displacement of the fracture
-“Floating shoulder ”
-Fracture of the glenoid ridgepole and articulary Earth’s surface if there is incongruence or subluxation of the humeral head teacher .
You may bleed or get aninfectionif you have surgical procedure . You may have a blood clot in your arm . The clot may break off and move around to your heart or brain and produce deadly danger problem , such as a heart attack or stroke .
How can you Relieve the Symptoms?
-Ice : Ice helps to fall ignition and pain . ice rink can also help prevent tissue paper damage . Use an ice pack or put crush ice in a plastic bag . insure the bag with a towel and place it on your shoulder bone for 15 to 20 minutes every hour or as steer .
-Rest : Rest when you sense it is necessary . Start doing a little more day by daytime . Return to your daily activity as directed .
Conclusion
A shoulder blade crack may occur when you fall with the extended handwriting outward or over the articulatio humeri . A direct blow to the shoulder or upper back can also cause a scapular fracture . This could happen during a scrap , acar accidentor in any inter-group communication variation , such as American football or ice hockey .
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