Indirekte Gewalteinwirkung bei Freizeit- und Sportunfällen, wie z. B. der Sturz auf
den ausgestreckten oder adduzierten Arm, ist der häufigste Unfallmechanismus bei Schlüsselbeinfrakturen.
Neben der gezielten klinischen Untersuchung muss die entsprechende Bildgebung eingeleitet
werden, um die richtige Diagnose zu stellen und anschließend eine geeignete Therapiemethode
anzuwenden. Die konservative Therapie war lange Zeit das Standardverfahren, heute
kommt dank der Weiterentwicklung der chirurgischen Verfahren häufig die operative
Therapie zum Einsatz.
Abstract
Clavicle fractures are one of the most common injuries of the shoulder girdle. In
addition to the targeted clinical examination, the appropriate imaging must be initiated
to formulate the
correct diagnosis and subsequently apply an appropriate therapeutic method. Indirect
force impact in recreational and sports accidents, such as falling on the outstretched
or adducted arm,
is the most common accident mechanism. The prevalence shows a bipartite clustering.
On the one hand, there are young male patients and, on the other hand, female patients
from the age of 65.
Thus, a heterogeneous patient population with different complication profiles and
different functional demands presents itself.
The demand for a stable and, as far as possible, anatomical restoration after clavicle
fracture results from its function as the sole connection between the shoulder joint
and the sternum.
Conservative therapy was the standard procedure for a long time, but due to further
development of surgical therapy is now frequently used. Pediatric clavicle fracture
remains the domain of
conservative therapy. Early functional exercise of the shoulder girdle is essential
for outcome in both surgical and conservative therapy.
Schlüsselwörter
Schlüsselbein - Fraktur - Behandlung
Keywords
clavicle - fracture - treatment
