? Treatment of clavicle fracture by traditional Chinese medicine bonesetting manipulation

Clavicle fracture, also known as clavicle fracture, is a very common fracture, which is mostly caused by falling. Because the clavicle is transverse S-shaped and shallow, the local swelling, pain and tenderness after fracture are obvious, the shoulder joint is limited, and it is easy to touch the displaced fracture end, so the diagnosis is not difficult. Clinically, it can be seen that children are mostly green branch fractures, while adults are mostly transverse, oblique or comminuted fractures. This kind of fracture can be treated by traditional Chinese medicine bone-setting manipulation and achieved very satisfactory results.

Traditional Chinese medicine emphasizes the treatment principle of "combining static and dynamic, paying equal attention to both bones and muscles, treating both internal and external problems, and cooperating with doctors and patients". Correct application of bone-setting manipulation can achieve the effects of fast fracture healing, good functional recovery, short treatment time, less pain for patients, low cost and fewer complications. The vast majority of clavicle fractures can be treated by non-surgical methods without pursuing anatomical reduction. Even if some shrinkage is not ideal, it can generally heal without affecting the function. Therefore, it conforms to the concept of functional recovery of traditional Chinese medicine and is also very popular with patients.

If there is a displaced clavicle fracture, manual reduction must be done first. In the Ming Dynasty, Zhu Su's "Puji Square Folds the Door" recorded in detail the essentials of ancient orthopedic surgery, that is, when resetting, let the patient sit on the stool, hold his chest out, put his hands on his hips, stand behind the patient, hold the center of the patient's back with his knees, and hold the outside of the patient's shoulder with his hands, and slowly and forcefully extend backward, so that he can stretch his shoulder after holding his chest to correct the shortened displacement, so that the fractured end can be used by doctors upward, backward and upward respectively.

Clavicle fracture is unstable, and reliable fixation after reduction is very important. There are two fixing methods: one is the inverted eight-shaped bandage fixing method, in which a thick cotton pad is placed under the armpits, and the bandage bypasses the patient's armpit from the back and the upper part of the shoulder, then returns to the healthy armpit through the back, then crosses the healthy shoulder and returns to the affected armpit, and so on, with 8~ 12 layers; The other is the double circle method, which can sew two towels into a double circle of appropriate size, put them under the armpits, and then tie them tightly with bandages before and after. The author has been a doctor for more than 20 years, and has achieved good results in fixing children with eight-character bandages and fixing adults with double circles.

In addition, for those with obvious displacement, a pressure pad can be placed at the fracture to fix it, and the effect is better, and then the affected limb can be suspended with a triangular towel. Children are fixed for 3~4 weeks, and adults are fixed for about 6~8 weeks. Pay special attention to matters after fixation, and closely observe the blood circulation of fingers. Adjust the tightness for routine follow-up visit the next day, and then follow-up visit every three days 1 time.

Pay attention to functional exercise after reduction and fixation, and do functional exercise of joints such as fingers, wrists and elbows at an early stage; In the middle stage, you can do chest expansion activities and stretch your shoulders. After the fixation is released, you can gradually do various activities of the shoulder joint.