Aw, i collarbone pawh i tichhia em? (Clavicle Fracture) Hlau suh, he thu hi han sawi ila!

I tlu a, i kekawrteah natna nasa tak i nei tawh em? A nih loh leh infiamna i khelh laiin i kekawrte i vuak a, ‘Ouch!’ tia i au chhuah lai kha i hre reng em? I ke ruh, i kekawrte leh i rilru inzawmtu ruh te tak te chu i tikehsawm tawh mai thei. Hei hi damdawi lam hawi chuan clavicle fracture kan tih chu a ni. Hei hi a takah chuan thalai leh infiamna khel thinte zingah a awm fo thin. Chuvangin vawiinah hian chipchiar zawkin sawi ila, kan sawi dawn em ni?

Clavicle chu eng nge ni? Engvangin nge a pawimawh em em?

A awlsam zawngin sawi ila, clavicle hi kan shoulder blade-a ‘handle’ te tak te ang mai a ni. I kut i kawr hnuaiah, i kephah sir lamah i dah chuan he ruh hi i hre mai ang. Sap tawngin ‘collarbone’ an ti bawk. Heng ruh chi hnih – pakhat dinglamah, pakhat veilam – hi kan rilru chunglam ruh lian tak (breastbone emaw sternum an tih) leh shoulder blade (scapula an tih) te nen an inzawm a ni. Bridge ang maiin han ngaihtuah teh. Hei hian kan kut kan phar thei a, kan rotate thei a, hna hrang hrang kan thawk thei a ni. Tin, he ruh hian kan kut lama kal thisen kalna leh nerve pawimawh tak takte tan venhimna engemaw chen a pe bawk. Chuvangin, a te angin lang mahse, hna ropui tak a thawk a ni, i hrethiam em?

Engtin nge he collarbone hi a fracture? Naupang tête chungah pawh a thleng thei ang em?

Tunah chuan he kawr ruh hi engtin nge a chhe, a nih loh leh `(Fracture)` hi i en ang u. A tam zawkah chuan hei hi tlak nasat vang a ni. Ngaihtuah teh, i fa chu inkhelhna hmunah tlan leh inkhelh laiin a kekawrte chungah a tlu nghal a, emaw, i bike-ah i tlu a, leiah i kut i phar a, i innghah a nih chuan, chutiang hunah chuan he kawr ruh hi a chhe thei a ni. Kawng dang chu:

• Direct blow: Thil pakhatin a ke ruh a rawn deng nghal a nih chuan. Rugby ang game-a mi lo kal a, a rawn vuak che ang maiin.
• Nau piang lai: A chang chuan he ruh hi nausen piang tharah a chhe thei a, a bik takin nau piang harsa a nih chuan. Mahse a dam thuai thin.
• Lirthei accident: Lirthei accident-a shoulder a tlak chuan.

Dik tak chuan he collarbone fracture hi naupang leh thalai zingah a awm fo thin . A chhan chu tlan, zuang, leh infiamna an khelh reng vang a ni. Chuvang chuan an tlu duh zawk a ni. Mahse kum upa zawk tan chuan hetiang hi a neih theih loh a ni lo, a bik takin an ruh hi tlem a chak lo a nih chuan.

Collarbone a tliak hian eng symptoms nge a neih?

Okay, tunah chuan zawhna i nei ta, ‘Engtin nge ka ruh ruh a chhe tih chiang taka ka hriat theih ang?’. Heng natna lan chhuah dan tur thenkhat chu hetiang hi a ni:

• Natna nasa tak: A ruh tliakna hmunah hian natna nasa tak a awm a, a bik takin kekawrte tihchet emaw, kut chawi sang tum emaw hian a na hle.
• Swelling leh bruising: Fracture hmun hi a hring thei a, blue/purple angin a lang thei bawk.
• Tenderness : I kut hmanga i khawih chuan a na hle .
• Distortion emaw knot emaw:A châng chuan ruh tliak chu vun chung lamah lump angin a lang thei a, a nih loh leh kekawrte pianzia chu a sir lehlamah a danglam thei bawk.
• ‘Grinding’ sound: I kut chet i tum hian ruh tliak te chu an inhnim khawm rualin ‘grinding’ sound (Grinding or crepitus) i hre thei emaw, i hre thei bawk. Mahse, hei hi hmuh tumin tumruh taka kut chelh tum suh, a natna a tizual mai dawn a ni.
• Kut chawi sang thei lo: Kut chawi sang leh kekawrte hman a harsa hle.
• Shoulder drooping appearance: A natna lam a shoulder chu a tlahniam deuh a, hmalam a hawi angin a lang thei.
• Naupang a nih chuan: Naupang tê a nih chuan an tap chu an bansan lo mai thei a, chumi lamah chuan an kut chelh lovin an ṭhu thei bawk.

Heng symptoms pakhat emaw a aia tam emaw i neih chuan doctor lam pan nghal a tha ber.

Engtin nge doctor chuan hei hi dik taka a hriat theih?

Heng symptoms neia doctor i pan hian a tih hmasak ber tur chu zawhna a zawt che a ni. Engtin nge a lo awm a, engtiang chiahin nge a na a, i kut chu i che thei em? Tichuan, doctor chuan i kephah leh i kawr ruh hmun (Physical Examination) uluk takin a enfiah ang. Chutiang chuan, a hring emaw, a na emaw, ruh chi hrang hrang a inher chhuak em tih emaw ngaihtuahna a nei thei a ni.

Mahse, ruh a tliak em tih te, khawiah nge a tliak tih te, engtin nge a tliak tih chiang taka hriat tur chuan X-ray neih a ngai tak zet a ni. Hei hian a chhe lai chu chiang takin a tarlang ang. A tam zawkah chuan he natna hi hriat theih nan X-ray hi a tawk.

Mahse, a tlem hle a, a ruh tliak chu a buaithlak hle a nih chuan, emaw, thisen kalna kawng emaw, nerve emaw tihchhiat rinhlelhna a awm chuan, doctor chuan test dang, CT scan ang chi chu a ti leh thei a ni. Mahse, hei hi a tul tlangpui lo.

Collarbone tliak hi eng enkawl nge ni ang?

Okay, tunah chuan he collarbone fracture hi doctor-te’n eng ang enkawlna nge an pek tih hi han en ila. Thu lawmawm tak chu a tam zawkah chuan hei hi operation tel lovin siamthat theih a ni!

Surgery ni lo Enkawlna

Mi tam tak chuan hengte hi an hmang thin:

• Arm Sling emaw Figure-of-Eight Brace emaw: Kut a tliak hnua a kawngah bun thin sling i hmu tawh mai thei. Hei hi sling chi khat hman tlanglawn ber a ni. Hei hian i kut ruh chunga i kut rit zawng a tihziaawm a, i kut chu a che nasa lutuk loh nan a pui bawk a, ruh tliak te chu a inmil theih nan a pui bawk. A chang chuan ‘figure-of-eight’ brace hmangin i kekawrte chu i hnungtawlh thei bawk. I doctor chuan eng brace nge i tan a tha tih a rel ang. Ni engzat nge i hak tur tih pawh a hrilh ang che.
• Natna tihziaawmna:Doctor chuan natna tihziaawmna turin ``Paracetamol`` ang chi damdawi a pe thei che a ni. Tin, a natna tihziaawmna turin ``Ibuprofen`` ang chi damdawi a pe thei bawk. Mahse damdawi chu doctor-in a sawi ang chiah, a sawi zat ang chiaha ei a tha ber.
• Ice Packs: Ni hnih emaw ni thum emaw chhung chu a ruh tliak laiah ice hnawih hian a hring leh a natna a tiziaawm thei a ni. Mahse, ice chu vunah direct-in dah suh. Puanin khuh la, minute 15-20 vel dah la. Ni khatah vawi eng emaw zat hetiang hian ti thin ang che.
• Chawlh hahdam: Hei hi a pawimawh hle. I kut chawlh hahdam chuan ruh chu a dam chak zawk ang. I doctor-in a tih hma loh chuan i kut chungah rit phurh emaw, hna hahthlak tak tak emaw ti suh.

Eng dinhmunah nge operation tih a ngai?

Mi zawng zawng hian operation an mamawh vek lo a, mahse doctor chuan heng thil thlengah hian operation tih a rel thei a ni:

• Significantly displaced: Ruh tliak pahnih chu an inhlat a, an inzawm khawm lo ang tih a hriat chuan.
• Ruh chi hrang hrangte hian vun a tikehsawm a nih chuan (open fracture): Hei hi natna khirh zawk a ni a, a chhan chu hliam atang hian natna hrik a lut thei a ni.
• Thisen kalna kawng emaw, nerve emaw a chhiat chuan: Hetiang hi a lo thleng tawh a nih chuan siamthat nan operation neih a ngai mai thei.
• Comminuted fracture: Ruh chu a te te tam takah a inthen a nih chuan a inzawm leh theih nan operation neih a ngai mai thei.
• Infiammi tan: Infiammi thenkhat chuan dam thuai a, inkhelh leh tura kir leh an duh avangin operation an thlang mai thei.
• I kut dang i hman theih loh chuan: Entîr nân, i kut lehlamah rualbanlo i neih chuan, he kut hi tihdam thuai a pawimawh avângin zai tûra ngaihtuah theih a ni.

Surgery-ah chuan ruh tliak tawhte chu siam ṭhat lehin, thir plate te tak te leh screw hmanga siam ṭhat a ngai a ni. Chungte chu taksa chhungah dah a ni. A tam zawkah chuan zai a ngai lova, mahse a chang chuan doctor-in a rel mai thei.

Eng chen nge tihdam a ngaih? In lamah eng nge ka tih ang? (Damdawi leh In lama Enkawlna) .

Tunah chuan, ‘Aw, hei hi eng chen nge a dam theih ang?’ tih hi i ngaihtuah a ni mai thei. Kum a zirin dam hun a inang lo. Naupang tête ruh chu a dam thuai \hin. Kar 3 atanga kar 6 vel chhungin an ruh ruh (collarbone) chu a dam kim thei a ni. Mahse puitling tan chuan kar 6 atanga kar 12 vel, a aia rei pawh a daih thei.

In lamah chuan hengte hi i enkawl tur a ni:

• I doctor-in a tih ang chiah khan sling/brace chu hmang rawh. Hun bituk a tawp hma chuan la chhuak suh (i doctor-in phalna a pek loh chuan, shower i lak lai ang chi).
• Natna chu thunun rawh. Doctor-in damdawi a pek chu a hun takah ei tur a ni. Natna a reh hunah chuan i rilru a hahdam ang.
• I kut chu zawi zawiin hmang tan rawh. I doctor chuan engtikah nge i kut chu tlem tal i tiharh tan tur leh hna tenau te i tih tan tur tih a hrilh ang che. Vawi khatah weights lifting tan suh.
• Physiotherapy: Ruh a lo set tawh chuan physiotherapy emaw physical therapy exercise emaw hi a pawimawh hle a, chu chuan shoulder movement dik tak neih leh theih nan leh taksa ruhte tichak turin a pawimawh hle. I doctor chuan physiotherapist hnenah a refer ang che emaw, exercise tih tur a zirtir ang che. Hengte hi dik taka tih chuan i kekawrte chu harsatna awm lovin i hmang leh thei ang.
• Ei leh in hrisel ei rawh: Ruh hrisel atan calcium leh vitamin D tamna ei tur hi a pawimawh hle. I eitur ah hian bawnghnute, yogurt, cheese, green vegetables, leh egg te ang chi ei tur te pawh telh bawk ang che.

A pawimawh ber chu Doctor thupek dik taka zawm hi a ni. Chumi hnuah chauh chuan rang tak leh tluang takin i dam thei ang.

Ruh a dam hnuah ruh tliakna hmunah hian bump te tak te i hmu mai thei. Hei hi hun kal zelah a bo fo ang a, mahse a bo vek lo mai thei. Hei hian a tlangpuiin natna a thlen lo va, i kut hman a ti harsa lo bawk. A lan dan mai mai a ni.

Hlauh tur complication a awm em?

A tam zawkah chuan kawr ruh tliak chu harsatna awm lovin a dam leh thin. Mahse, harsatna awm lo tlemte, lo awm thei te hriat a tha. Thil ngaihtuah tur a awm lo, hengte hi a tlem hle.

• Nonunion emaw Malunion emaw: A chang chuan ruh tliak te chu a in fit tha thei lo (Nonunion) emaw, a in fit lo thei (Malunion). A awlsam zawngin, ruh chu a in fit tawk lo. Chutiang a nih chuan a na reng reng thei a, kut hman pawh a harsa thei bawk. Tichuan doctor i pan leh a ngai mai thei a, operation pawh i nei thei bawk.
• Shoulder Stiffness: I kut i hman rei loh chuan emaw, physiotherapy tha taka tih a nih loh chuan i kekawrte chu a nghet thei hle. Chuvang chuan exercise hi a pawimawh a ni.
• Thisen kalna kawng emaw, nerve emaw a chhiat: Hei hi a tlem hle. Ruh tliak te hian a bul hnaia thisen kalna kawng emaw, nerve emaw a tichhe thei a ni. Hei hian kut chu a ti na thei a, a chak lo thei a, a rawng pawh a tidanglam thei bawk. Hetiang thil hi i hriat chuan doctor hnenah i hrilh nghal tur a ni.
• Lung Injury: Hei pawh hi a tlem hle hle a, a bik takin ruh chu rilru chhung thuk takah a chhe a nih chuan.

Mahse ka sawi nawn leh a, hengte hi thil awm lo tak a ni. Doctor thupek zawm a, inenkawlna mumal tak i hmuh chuan hetiang thil hi ngaihtuah buai a ngai lo.

Collarbone fracture ven dan tur a awm em? (Invenna) 1.1.

Collarbone tliak hi 100% velin ven theih a ni lo a, beisei loh hunah accident a thleng thei a ni. Mahse, a hlauhawmna tihtlem nan thil tlemte kan tih theih a awm a:

• Sports khelh hunah invenna hmanrua ha la:A bik takin rugby leh hockey ang chi contact sports khelh hunah shoulder pad hman hian venhimna engemaw zat a pe a ni.
• Tlu lakah fimkhur rawh: I in chhunga hmun hnim hringte chu fimkhur rawh. Naupang tê tê an inkhelh laiin en reng ang che.
• I ruhte kha nghet takin vawng reng rawh: Calcium leh vitamin D tamna chaw ei hian i ruh a tichak a, tlem te te i tlak hnuah pawh a chhe thei lo.
• I balance siam that: Exercise i tih a, i balance siam that hian i tlu tlem zawk thin.

Chûngte chu thil tê tê ni mah se, accident hlauhawmna tihtlem nân a ṭanpui thei a ni.

A tawi zawngin, kan hriat reng tur thilte chu hetiang hi a ni (Take-Home Message):

Okay, chuvangin kan sawiho atang khan clavicle fracture chungchangah hian ngaihdan tha tak i neih ka beisei. A tawp berah chuan, hriat reng tur pawimawh thenkhat chu hetiang hi a ni:

• Collarbone fracture hi naupang leh thalai active zingah a awm fo thin.
• Hei hi tlu, infiamna lama accident, leh direct blow ang chi thil vang a ni thei.
• I ke ruh na nasa tak, i hring, emaw, i kut i che thei lo ang chi symptoms i neih chuan doctor pan nghal rawh.
• In most cases , hei hi operation tel lovin tihdam theih a ni a, kut leh chawlhna tur support a awm bawk.
• Kum a zirin dam hun hi a inang lo. Tleirawl zawkte chu an dam rang zawk.
• Doctor thupek dik taka zawm leh exercise dik tak tih hi dam thuai leh kim taka dam theihna turin a pawimawh hle.
• A tlangpuiin harsatna awm lovin a dam tha hle a, chuvangin hlau suh, mahse ngaihthah bawk suh.

Hetiang thil hi nangmah emaw, i hriatte emaw chungah a thleng a nih chuan a tha ber chu hlauthawng lo la, damdawi lam thurawn la nghal mai hi a ni. Mi zawng zawng hriselna tha neih duhsakna kan hlan e!

` Clavicle Fracture, Shoulder Pain, Naupan laia Accident, Sports Accident, Fracture Enkawlna, Arm Sling