![]() Most youngsters, broken bones are either “greenstick” fractures, in which the bone bends like green wood and breaks only on one side, or “torus” fractures, in which the bone is buckled, twisted, and weakened but not completely broken. They usually just need to be kept free of movement, most often through the use of a molded cast. Children’s fractures rarely require surgical repair. Falls cause most of the fractures in this age group, but the most serious bone breaks usually result from car crashes.Ī broken bone in a child is different from one in an adult, because young bones are more flexible and have a thicker covering, which makes them better able to absorb shock. In fact, they are the fourth most common injury among children under age six. As you probably remember from your own childhood, fractures are very common. because of the sensation of a screw under the skin, we might choose to take it out, but only after several months has passed the fracture had fully healed.How can I tell if my child has broken a bone?Īlthough the term fracture may sound serious, it is just another name for a broken bone. Very occasionally, if the metal work were to cause irritation, e.g. I’m often asked, is it necessary to remove the metalwork after the fracture surgery? As a rule of thumb, we typically leave the metalwork undisturbed. It is possible that the healing might be delayed or happen in a poor position, or not at all, and in these very unusual situations there is still plenty that can help rectify the situation. ![]() Most patients are not bothered by this at all. The nerves that supply the skin on the upper part of the chest wall are very small and must be divided to access the fracture site, so you may have an area of numbness in this region. In theory there is a very small potential risk of damage to nerves or blood vessels – again very rare. For instance, the risk of getting an infection is less than 1%. Thankfully, poor outcomes from surgery are rare. Whilst everyone is an individual and recoveries differ, you may need to allow 3-4 months before returning to contact sport. You may be wondering when you could expect to return to sport. Physiotherapy will be needed to get you back to moving well. X-rays will be taken to make sure all is going well, you’re healing, and the alignment is excellent. We’ll meet again in clinic at 10 days to remove the dressings and then again at 6 weeks. ![]() Having surgery won’t speed up the time of getting you back to being fully active (you can’t cheat the healing process), but it’s likely to get you feeling comfortable much more quickly. I’m really fussy about the neatness of the skin closure, and I want you to have the best cosmetic outcome possible. I secure them in place using a slender metal plate and screws. I fix the ends of collarbone into their correct position, so they’re in good alignment. You’ll have a light general anaesthetic, and what’s called a nerve block, which helps numb the area, ensuring you’re pain free after the operation.ĭuring the operation, I make an incision over the area where the collarbone is broken, and I clear any debris or damaged tissue. Occasionally, an overnight stay may be needed if surgery is carried out later in the day. Surgery to repair your broken collarbone will usually happen as a day case procedure, which means you come into hospital in the morning, and go home by the end of the day.
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