Yu dɔn brok yu kɔlabɔn bak? (Clavicle Fracture) Lɛ wi tɔk bɔt dis ditayli!

Oh, sɔntɛnde ivin smɔl fɔdɔm kin mek bɔku pen na di sholda eria, nɔto so? If na so i bi, yu kolabon, dat na di lכng bon we de kכmכt na di bכs pat na di nεk to di sכlda, we wi kכl ``Clavicle`` insay Inglish, kin dכn brok. Dis na sɔntin we kin rili apin to bɔku pipul dɛn, mɔ di yɔŋ pikin dɛn. So tide, mek wi lan εksakכt bכt dis kכlabon frakshכn ``(Clavicle Fracture)``.

Wetin na klavikul fraktrɔs?

Fɔ tɔk am simpul wan, kɔlabɔn we brok na we wan pan di tu bon dɛn we de na yu kɔlabɔn brok. dis tu bon dεm de na di כp pat na yu chεst, we de kכmכt frכm di tכp pat pan yu bכdi (sternum) te to di bכs pat pan yu sכlda bled (scapula). yu kolabon εn di sכlda bled de kam togeda fכ mek di sכlda jכyn. So, if sɔntin nak yu sholda tranga wan, ɔ if yu gɛt aksidɛnt, dis kɔlabɔn kin brok izi wan.

Wetin na di kayn kɔla bon dɛm we brok?

We yu go to dɔktɔ, dɛn kin yuz difrɛn wɔd dɛn fɔ tɔk bɔt dis frakshɔn. Dɛn kin tɔk bɔt am lɛk dis:

• Singular ɔ Comminuted Fracture: Yu kɔlabon kin brok na jɔs wan ples, ɔ i kin brok insay bɔku say dɛn. If i brok na mɔ pas wan ples, dɛn kin kɔl am comminuted fracture.
• If di brok brok pat dεm dεn dכn displace כ nכ de (`Displaced/Nondisplaced`): sכmtεm, pan ɔl we di kכlabon brok, di brok brok pat dεm kin de εksεkt usay dεn bin de. כltu, if di pis dεm dεn displεs frכm dεn כrijinal posishכn, dεn kכl am ``Displaced fracture``.

Yu dɔktɔ kin yuz spɛshal klasification system (lɛk Neer in klasification) fɔ klas yu frakshɔn. dis klasification dεm de tek in kכntכm usay di frakshכn de εn if כda tisu dεm dεm dεm dεm. Dɛn klasification system ya kin ɛp yu dɔktɔ fɔ asɛs yu injury ɛn no di bɛst tritmɛnt.

Aw i kɔmɔn fɔ mek di kɔla bon dɛn brok?

Kɔlabɔn we brok na injury we nɔ kin apin so ɔltɛm. i de mek bitwin 5% εn 10% pan כl di frakshכn dεm . i sɔprayz se i tu tεm pas di wan dεm we de kכmכn pan pikin dεm – i de mek bitwin 10% εn 15% pan כl di frakshכn dεm na pikin dεm. Ɔl togɛda, na di fraktrɔs we kin kɔmɔn pas ɔl we i smɔl. na di frakshכn bak we kin kכmכn pan pikin dεm we dεn bכn dεm. bitwin 1% εn 2% pan di pikin dεm go brok dεn kכlabon dis we.

Wetin na di sayn dɛm we de sho se yu kɔla bon brok?

Kɔlabɔn we brok kin mek yu gɛt sɔm sayn dɛn lɛk dis:

• Bɔn pen: If yu kɔla bon brok, dat kin mek yu fil bad bad wan . Dipen pan di say we di bɔdi brok, yu kin fil di pen na di sholda, nia di say we di nɛk de, ɔ na di midul pat pan di bon.
• I nɔ izi fɔ muv di bɔdi:Yu kin fil se yu sholda ɔ yu an stif, ɔ yu kin fil pen mɔ we yu tray fɔ muv am. Yu go yɛri sawnd we de klik we yu de muv am, ɔ i go tan lɛk se di bon dɛn de krak .
• Swel: We ɛni bon brok, di sɔft tisu we de rawnd am kin swel. Bikɔs di kɔlabon de nia di skin, bɔku tɛm yu kin si ɛn fil di swɛlin.
• Wan visible deviation/change: Yu kin notis se sɔntin na yu skel dɔn shift frɔm usay i bin de. Yu sholda dɛn kin luk lɛk se yu nɔ gɛt wanwɔd, ɔ yu kɔlabɔn nɔ kin luk simɛtrik na ɔl tu di say dɛn.
• Brus: If di bon fragmεnt dεm we brok de muv rawnd, i kin mek di sכft tisu injuri, i kin mek yu fil pen we yu prεs am εn sכmtεm i kin brus. Yu kin notis se di skin de dak ɔ di kɔlɔ de chenj along di kɔlabon.
• Skin Tenting: Insay wan displaced fracture, di bon we brok kin kכmכt na di skin lεk tεnt pol dεm sכmtεm. Dis kin tan lɛk wan lump ɔnda di skin.

Wetin na di men tin dɛn we kin mek pɔsin in kɔla bon brok?

Kכlabon kin brok bay aksidεnt, dat na ``Trauma''. Di tin dɛn we kin mek pɔsin gɛt dis sik na:

• Fɔdɔm: Fɔ fɔdɔm na yu sholda ɔ fɔ stret yu an na kɔmɔn tin we kin mek yu kɔla bon brok. Tink bɔt am lɛk we yu nak yu sholda we yu de dayv we yu de ple kriket, ɔ we yu slip na bafa ɛn wund yu sholda.
• Kɔlishin: Sɔlda kɔlishin na kɔmɔn injuri we pɔsin de du spɔt. Ivin smɔl pikin dɛn kin mit dɛnsɛf we dɛn de ple.
• Kar aksidɛnt: We motoka aksidɛnt, yu bɔdi kin bang di dashbɔd, ɔ di aybag kin de wok, ɛn dis kin mek yu wund.
• Trauma we dɛn bɔn pikin: di pikin dɛn kin brok dɛn kɔla bon if dɛn krɔs dɛn sholda we dɛn de bɔn.

Aw yu go no fɔ tru if di kɔla dɔn brok?

If yu tink se yu kɔlabɔn dɔn brok, i rili impɔtant fɔ go to dɔktɔ wantɛm wantɛm. Dɔktɔ go du dɛn tin ya:

• A de wɔnda wetin apin to yu.
• I tɔch di say we i wund ɛn chɛk am.
• Dɛn kin du ɛkstrem rayt fɔ no if di bɔdi brok.

X-ray kin sho usay yu brok brok, us kayn i brok, ɛn if ɔda bon dɛn dɔn brok. If yu gɛt mɔ kɔmpleks injuri, ɔ if yu gɛt pas wan injuri, yu dɔktɔ kin ɔda bak fɔ mek dɛn tek CT skan (Computed Tomography scan) fɔ si mɔ tin dɛn.

Wetin na di tritmɛnt fɔ pɔsin we brok kɔlabɔn?

Mɔs pan di kɔlabɔn fraktrɔs kin wɛl fayn wit simpul tritmɛnt. Na smɔl pasɛnt nɔmɔ dɛn nid fɔ du ɔpreshɔn.

Di standad tritmɛnt fɔ brok kɔlabɔn na:

• Immobilization: Bɔku kolabon fraktrɔs kin wɛl fɔ dɛnsɛf.Pan ɔl we i kin wɛl, i rili impɔtant fɔ mek di bon we dɔn brok nɔ muf te i wɛl. Yu dɔktɔ go gi yu wan sling ɔ wan tin we de mek yu nɔ ebul fɔ muv na yu sɔl. Yu go nid fɔ wɛr dis fɔ sɔm wiks.
• Pen relief: Yu kin nid prɛskrishɔn pen relief fɔ di fɔs tu wiks we yu wɛl. Afta dat, yu kin yuz ɔva-di-kɔnta (OTC) mɛrɛsin fɔ mek yu nɔ fil pen bak, lɛk aspirin, ibuprofen, ɛn asetaminofɛn. I kin ɛp bak fɔ put ays pan di say we di bɔdi brok fɔ lɛk 20 minit wan tɛm.
• Monitoring: Yu dɔktɔ go kɔntinyu fɔ wach yu frakshɔn te i wɛl. Dɛn go tek ɛkstrem rayt fɔ mek shɔ se i de wɛl fayn fayn wan. dis imכtant biכs sכmtεm di bon kin nכ hεl kכmplit (nonunion). If dis apin, yu dɔktɔ go nid fɔ ɛp yu.
• Fizik tritmɛnt: We di bon bigin fɔ wɛl, yu dɔktɔ go gi yu sɔm ɛksesaiz dɛn fɔ du smɔl smɔl. Dis go ɛp fɔ mek di sɔft tisu dɛn nɔ tayt tumɔs we yu an nɔ de muv. We di bon dɔn wɛl, yu kin bigin fɔ mek di mɔsul dɛn gɛt trɛnk bak.

Ɔpreshɔn

Yu kin nid fɔ du ɔpreshɔn if di bon pat dɛn de fa frɔm dɛnsɛf (we di klavikul brok bad bad wan) ɔ if ɔda tisu dɛn lɛk di tɛndon, di ligamɛnt, di blɔd vesel, ɔ di nɛv dɔn pwɛl.

Di ɔpreshɔn we dɛn kin du fɔ mek pɔsin brok kɔlabon, na fɔ (1) put di pat dɛn we brok bak togɛda ɛn (2) dɛn kin fiks dɛn wit pin, plet, ɛn skru fɔ mek dɛn nɔ muf. dכkta dεn kכl dis (1) "open rεdukshכn" εn (2) "intanεt fikseshכn."

Wetin kin apin if dɛn nɔ trit di kɔlabɔn we brok?

Pan ɔl we yu nɔ go nid ɔpreshɔn if yu brok yu kɔlabɔn, i stil impɔtant fɔ mek yu gɛt kwalifay dɔktɔ fɔ chɛk yu injuri. I go want fɔ mek shɔ se yu bon dɛn we dɔn brok de wɛl ɛn nɔ ɔda injury de insay we nid tritmɛnt.

I go advays yu bak bɔt aw fɔ kia fɔ yusɛf na os. Dis na impɔtant tin fɔ mek yu wɛl. If yu sholda nɔ de muv fayn, i kin mek yu nɔ ebul fɔ wɛl. if yu nכ du di εksεsayz dεm fayn, yu sכlda kin stif εn fכs (a `frozen sholda`). If yu nɔ go chɛk-ap wit yu dɔktɔ, yu nɔ go notis ɛni prɔblɛm.

Mɛmba se ilɛksɛf i tan lɛk se na smɔl tin, i kin kam wit prɔblɛm leta if dɛn nɔ trit am fayn.

Aw lɔng i kin tek fɔ mek kɔlabɔn wɛl?

Di tɛm we i kin tek fɔ mek di kɔlabon wɛl kin difrɛn. I dipen pan aw yu frakt bad bad wan ɛn aw yu ol. Pikin dɛn, we dɛn bon dɛn stil de gro, kin wɛl kwik pas big pipul dɛn.Tipikli, fɔ wɛl kin tek dis tɛm:

• Fɔ big pipul dɛn: 8 to 12 wiks.
• Fɔ yɔŋ pikin dɛn: 6 to 8 wiks.
• Fɔ pikin dɛn we nɔ rich 8 ia yet: 3 to 6 wik.
• Fɔ pikin we dɛn jɔs bɔn: lɛk 2 wik.

Yu dɔktɔ go tɛl yu ustɛm yu kin bigin fɔ du tin dɛn we yu kin du ɔltɛm.

Ustɛm a go bigin fɔ ple bak?

Bɔrku pipul kin kam bak to spɔt wans dɛn kɔlabon dɔn wɛl ɛn nɔr kin fil pen we dɛn de muv dɛn bɔdi. Bɔt if yu de ple kɔntakt spɔt, i kin tek sɔm tɛm fɔ mek yu trɛnk kam bak. Bifo dɛn klia yu, yu dɔktɔ go tek ɔda ɛkstrem rayt ɛn chɛk yu.

Kɔlabɔn we brok kin mek yu gɛt prɔblɛm dɛn we go de fɔ lɔng tɛm?

Mɔs pan di kɔlabɔn fraktrɔs kin wɛl kɔmplit wan we nɔ gɛt kɔmplikeshɔn. Bɔt if yu frakt nɔ wɛl fɔ insɛf (nɔ union), yu kin kɔntinyu fɔ gɛt pen te dɔktɔ ebul fɔ mek am bak wit ɔpreshɔn. If di bon pat dɛn nɔ wɛl, yu kin lɛf wit wan bon we yu kin si. If yu frakt de nia di sכlda jכint, sכmtεm di bon fragmεnt dεm kin pwεl di katilej na di jכint, we kin mek di jכyn pen leta.

Wan lump usay di bon dɔn wɛl (`Bone callus`) .

Sɔm pipul dɛn, mɔ di pikin dɛn, kin gɛt wan swɛlin na dɛn bon afta we di bon dɔn wɛl. dis dεn kכl am ``Bכn kכlכs''. I tan lɛk skata na di skin. I nɔ bad ɛn i go shɔtin as tɛm de go. I kin dɔn afta lɛk wan ia so, bɔt sɔntɛnde, smɔl smɔl tin kin lɛf.

Wetin yu fɔ du ɛn nɔ fɔ du we yu kɔla bon dɔn brok ɛn i dɔn wɛl?

If yu de wɛl frɔm yu kɔlabɔn we dɔn brok, fala dɛn advays ya:

Tin dɛn fɔ du:

• Kip yu an sling ɔ immobilizer pan ɔl de ɛn nɛt. Na we yu de shaw nɔmɔ yu kin pul am.
• Yuz pen kil as nid de, bɔt na jɔs lɛk aw yu dɔktɔ tɛl yu.
• Shek yu sholda, yu an, ɛn an smɔl ɛvride lɛk aw dɛn tɛl yu fɔ du am.
• Go to ɛvri chɛk-ap wit yu dɔktɔ.

Tin dɛn we yu nɔ fɔ du:

• If yu dɔktɔ advays yu fɔ du dat, nɔ miks mɛrɛsin dɛn we de mek yu fil pen.
• Nɔ tek mɔ pas di doz we dɛn se yu fɔ tek.
• If yu stil nid sling ɔ immobilizer, nɔ drayv.
• Nɔ es, push, ɔ pul ɛnitin wit yu an te yu dɔktɔ gi yu di rayt fɔ du dat.

Ustɛm yu fɔ go to dɔktɔ?

If yu gɛt ɛni wan pan dɛn nyu ɔ nɔmal sayn ya , go to dɔktɔ wantɛm wantɛm:

• I nɔ kin izi fɔ yu fɔ blo.
• Di an ɛn fut dɛn kin swɛla ɔ nɔ kin fil fayn.
• We yu wik ɔ yu nɔ gɛt bɛtɛ maynd.
• Nyu ɔ pen we de wɔs.

Yu kolabon nɔr kin tan lɛk say we yu kin gɛt injury, bɔt i kin bi bikɔs i kɔnɛkt to yu sholda. Eni signifyant fos we hit yu sholda kin transfa to yu kolabon. Bikɔs ɔf dis, kɔlabɔn kin brok pas aw yu go tink, mɔ pan pikin dɛn. Bɔrku pan di kɔlabɔn fraktrɔs kin wɛl ɛn nɔr gɛt ɛni prɔblɛm. Fɔ fala yu dɔktɔ in instrɔkshɔn fɔ mek yu wɛl as smol as yu ebul.

Fɔ dɔn, mɛsej we yu kin kɛr go na os:

So, kolabon we brok (Clavicle Fracture) nɔto sɔntin fɔ fred, bɔt na sɔntin we dɛn fɔ pe atɛnshɔn to ɛn trit am akɔdin to di dɔktɔ in instrɔkshɔn. Ɛspɛshali if yu gɛt bad bad pen na di say we yu sholda, yu swel, ɔ i nɔ izi fɔ muv yu an afta yu dɔn fɔdɔm ɔ aksidɛnt, nɔ ignore am ɛn sho am to dɔktɔ.

• Fɔ rɛst fayn ɛn fɔ mek yu nɔ muv fayn fayn wan rili impɔtant.
• Du di ɛgzampul dɛn we di dɔktɔ tɛl yu fɔ du.
• Go fɔ chɛk-ap di rayt tɛm.

If yu du dɛn tin ya kɔrɛkt wan, yu go wɛl kwik ɛn yu go ebul fɔ du di tin dɛn we yu bin de du ɔltɛm. Mɛmba se yu wɛlbɔdi de na yu an!

` Klavikul Frakshכn, Sכlda injuri, Bon fraktכs, Bon frakshכn, Klavikul Frakshכn, Sכlda injuri