Greenstick Fracture of Clavicle

 

A greenstick fracture of the clavicle, or collarbone, is a relatively common injury in children. The management of this type of fracture typically involves the following steps:

Initial Assessment: As with any injury, begin by assessing the child's condition to ensure there are no other injuries or complications. Examine for any signs of neurovascular compromise, such as loss of sensation or circulation, and assess for any open wounds.


Immobilization: The primary goal in managing a greenstick fracture of the clavicle is to immobilize the fracture to allow for proper healing. This is often achieved with a figure-eight or sling immobilizer, which helps to support the shoulder and keep the clavicle in the correct position. The figure-eight splint or brace should be applied in a way that prevents excessive movement of the clavicle.


Pain Management: Provide pain relief for the child as needed. Over-the-counter pain relievers like acetaminophen or ibuprofen can be used under the guidance of a healthcare professional.


Follow-up Care: Schedule regular follow-up appointments with a healthcare provider to monitor the healing progress. During these appointments, they will assess whether the fracture is healing properly and whether any adjustments to the immobilization are needed.


Activity Restriction: Advise the child to restrict activities that could put stress on the healing clavicle. This includes avoiding heavy lifting, contact sports, or any activities that may involve the use of the injured arm.


Physical Therapy: After the initial healing phase, the child may benefit from physical therapy. A physical therapist can help the child regain strength and range of motion in the affected shoulder and arm.


Education: Parents and caregivers should be educated about cast care, the importance of proper immobilization, and the signs of complications or inadequate healing.

Greenstick fractures in children often heal well with proper care and follow-up. The prognosis is generally good, and the child can typically return to normal activities after the bone has fully healed. It's important to follow the guidance of a healthcare professional to ensure the best possible outcome.