Objective: The purpose of this article is to present the case of an 18-month-old child who sustained a trauma and presented to a chiropractic office. It addresses co-management strategies for a fractured clavicle between a chiropractor and orthopedist. The co-management strategies were based on the normal fine motor development of the trunk and shoulder girdle.
Design: A case study
Setting: Private practice
Patient: 18-month-old toddler
Methods: Orthopedic treatment consisted of a simple arm sling for approximately 3-4 weeks and lengthening shoulder stabilizing muscles. Co-treatment initially consisted of diversified chiropractic adjustments of C2 and myofascial release of the sternocleidomastoid and levator scapulae muscles for 6 weeks with a 6 and 12 month follow up. Results: Chiropractic care addressed the altered segmental and extremity motion. The patient responded well to care. The fractured site reunited without overlap between the medial and lateral components of the clavicle. There was no palpable mass upon visual inspection and palpation.
Conclusion: The neurological developmental age of the child is critical in determining the appropriate strategies for influencing normal remodeling of bone.
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