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Clavicle Fracture In Children

WHAT YOU NEED TO KNOW:

A clavicle fracture is a crack or break in the clavicle (collarbone). A clavicle fracture is the most common bone fracture in children.

Shoulder Anatomy

WHILE YOU ARE HERE:

Informed consent

is a legal document that explains the tests, treatments, or procedures that your child may need. Informed consent means you understand what will be done and can make decisions about what you want. You give your permission when you sign the consent form. You can have someone sign this form for you if you are not able to sign it. You have the right to understand your child's medical care in words you know. Before you sign the consent form, understand the risks and benefits of what will be done to your child. Make sure all of your questions are answered.

Emotional support:

Stay with your child for comfort and support as often as possible while he is in the hospital. Ask another family member or someone close to the family to stay with your child when you cannot be there. Bring items from home that will comfort your child, such as a favorite blanket or toy.

An IV

is a small tube placed in your child's vein that is used to give him medicine or liquids.

Medicines:

  • Antibiotics: This medicine is given to help prevent or treat an infection caused by bacteria.
  • Pain medicine: Your child may need medicine to take away or decrease pain. Know how often your child should get the medicine and how much. Watch for signs of pain in your child. Tell caregivers if his pain continues or gets worse. To prevent falls, stay with your child to help him get out of bed.
  • Tetanus shot: This is medicine to keep your child from getting tetanus if the fracture also has an open wound. It is given as a shot. Your child should have a tetanus shot if he has not had one in the past 5 to 10 years. Your child's arm can get red, swollen, and sore after getting this shot.

Tests:

  • A bone scan takes pictures of your child's bones. Your child may be given contrast liquid to help the pictures show up better. Tell a healthcare provider if your child has ever had an allergic reaction to contrast liquid.
  • Computerized tomography scan: This is also called a CT or CAT scan. A special x-ray machine uses a computer to take pictures of your child's clavicle. He may be given dye before the pictures are taken. The dye is usually given in his vein (IV). The dye may help your child's healthcare provider see the pictures better. People who are allergic to iodine or shellfish (lobster, crab, or shrimp) may be allergic to some dyes. Tell your child's healthcare provider if he is allergic to iodine or shellfish, or if he has other allergies or medical conditions.
  • Magnetic resonance imaging scan: This test is also called an MRI. An MRI uses magnetic waves to take pictures of your child's clavicle, chest bone, and shoulder areas. During an MRI, pictures are taken of his bones, muscle, joints, or blood vessels. He will need to lie still during an MRI. Never enter the MRI room with an oxygen tank, watch, or any other metal objects. This may cause serious injury.
  • X-rays: Your child may need x-rays of his clavicle, chest bone, and shoulder to check for broken bones or other problems. X-rays of both his injured and uninjured clavicles may be taken.

Treatment:

  • Splint or sling: Your child may need to wear a splint or sling to allow his clavicle to heal.
  • Surgery: A severe clavicle fracture may need surgery to return the bones to their normal position. A metal plate with screws may be used to help hold the bones in place.

RISKS:

Medicines may cause your child to have nausea, vomiting, or stomach ulcers. He may bleed or get an infection if he has surgery or an open wound. If left untreated, the bones may not heal properly. Your child may have problems with arm movement or decreased grip strength.

CARE AGREEMENT:

You have the right to help plan your child's care. Learn about your child's health condition and how it may be treated. Discuss treatment options with your child's caregivers to decide what care you want for your child.

© 2016 Truven Health Analytics Inc. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. All illustrations and images included in CareNotes® are the copyrighted property of A.D.A.M., Inc. or Truven Health Analytics.

The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

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