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Home :: Collarbone Area Strain, Deltoid Muscle
Collarbone Area Strain, Deltoid Muscle
Injury to the deltoid muscle or tendon that attaches to the collarbone (clavicle). Muscle, tendon and bone comprise a unit. The unit stabilizes the shoulder and allows its motion. A strain occurs at the unit's weakest part. Strains are of 3 types:
- Mild (Grade I) - Slightly pulled muscle without tearing of muscle or tendon fibers. There is no loss of strength.
- Moderate (Grade II) - Tearing of fibers in the muscle, tendon or at the attachment to bone. Strength is diminished.
- Severe (Grade III) - Rupture of the muscle-tendon-bone attachment with separation of fibers. Severe strain requires surgical repair.
BODY PARTS INVOLVED
- Deltoid muscle and deltoid tendon in the collarbone area.
- Collarbone (clavicle).
- Soft tissue surrounding the strain, including nerves, periosteum (covering to bone), blood vessels and lymph vessels.
Causes
- Prolonged overuse of the deltoid muscle-tendon unit.
- Single violent injury or force applied to the collarbone area.
Signs & Symptoms
- Pain with motion or stretching, particularly throwing.
- Muscle spasm.
- Swelling in the collarbone area.
- Loss of strength (moderate or severe strain).
- Crepitation ("crackling") fooling and sound when the injured area Is pressed with fingers.
- Calcification of the muscle or tendon (visible with X-rays).
- Inflammation of the tendon sheath.
Treatment
Follow your doctor's instructions. These instructions are supplemental.
- Use ice massage 3 or 4 times a day for 15 minutes at a time. Fill a large Styrofoam cup with water and freeze. Tear a small amount of foam from the top so ice protrudes. Massage firmly over the injured area in a circle about the size of a baseball.
- After the first 24 hours, apply heat instead of ice, if it feels better. Use heat lamps, hot soaks, hot showers, heating pads, or heat liniments
and ointments.
- Massage gently and often to provide comfort and decrease swelling.
Home Diet
Eat a well-balanced diet that includes extra protein, such as meat, fish, poultry, cheese, milk and eggs. Increase fiber and fluid intake to prevent constipation that may result from decreased activity.
Prevention
- Participate in a strengthening and conditioning program appropriate for your sport.
- Warm up before practice or competition.
- Use proper protective equipment,such as shoulder pads, when appropriate.
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