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Functional treatment 2.Closed reduction by tornister strap or figure eight clavicle strap 3. Complete rupture of all ligaments ( acromioclavicular, coracoclavicular Clinical signs: marked superior migration of the lateral end of the clavicle the shoulder appears depressed when compared the opposite normal siteĥ Fracture of the clavicle Therapy: 1. rupture of the acromioclavicular ligaments Clinical signs: swelling and tenderness of the AC joint with superior migration of the lateral end of the clavicle c,tossyiii.

partial rupture of the acromioclavucular ligaments Clinical signs: the AC joint is swollen and tenderness b. lateral third fracture ( like dislocations of the acromioclavicular joint) Clinical signs: marked superior migration of the lateral end of the clavicle Diagnosis: clinical sings, X-rayĤ Dislocations of the acromioclavicular joint Pathomechanism: downward force on the acromion, fall on the point of the shoulder Classificatios: a. midle third fracture (2/3) Clinical signs: the outer fragment falls downward and inward, the inner fragment is draw upward by the sternocleidomastoid muscle b. Open reduction, joint capsule reconstruction in case of complications Sternoclavicular joint: discus,sternoclavicural,costoclavicular ligamentģ Fracture of the clavicle Pathomechanism:fall on the outsrteched upper extremity ( hand) or on the shoulder and direct injury Classificatios: a. Sandbag between the scapulae and downward pressure on both shoulder (b) 3. Closed reduction by lateral and posterior traction (a) 2. posterior: Clinical signs: indentation at the joint, tracheal or bronchial, vessel compression Diagnosis: clinical sings, X- ray, CT Therapy: 1. anterior : Clinical signs: prominence at the joint b. 2 Dislocations of the sternoclavicular joint Pathomechanism: fall on the outstreched upper extremity Classificatios: a.

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