SlideShare uma empresa Scribd logo
1 de 26
CLAVICLE FRACTURES Kevin R. Stone, M.D. The Stone Clinic, San Francisco, CA
CLAVICLE FRACTURES  prevalence ,[object Object],[object Object],[object Object]
1/3 rd  CLAVICLE FRACTURES  Clinical Findings and Questions ,[object Object],[object Object],[object Object],[object Object]
CLAVICLE FRACTURES  Clinical Findings and Questions ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CLAVICLE FRACTURES  published outcome studies ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CLAVICLE FRACTURES operative indications ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
OPERATIVE TECHNIQUE   Intra-medullary fixation  (modified from Cave 1958) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
OPERATIVE TECHNIQUE   Intra-medullary fixation  (continued) ,[object Object],[object Object],[object Object],[object Object]
OPERATIVE TECHNIQUE   Intra-medullary fixation
OPERATIVE TECHNIQUE   Intra-medullary fixation
OPERATIVE TECHNIQUE   Intra-medullary fixation
OPERATIVE TECHNIQUE   Intra-medullary fixation
OPERATIVE TECHNIQUE   Intra-medullary fixation
CLAVICLE FRACTURE Open reduction with IM Fixation: problems ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CLAVICLE FRACTURES Patient Example: SF ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CLAVICLE FRACTURES Patient Example: SF ,[object Object],[object Object],[object Object]
Patient Example: SF ,[object Object],[object Object],Post-op X-ray, day 1 Post-op X-ray, 4 weeks
CLAVICLE FRACTURES Patient Example: JC ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CLAVICLE FRACTURES Patient Example: JC Pre-op x-ray
CLAVICLE FRACTURES Patient Example: JC Post-op x-ray Open reduction and internal fixation Problem - Proud Screw
Patient Example: JC 2 Mo. Post-op x-ray Hardware Removal 8 Mo. Post-op
CLAVICLE FRACTURES Patient Example: MM ,[object Object],[object Object],[object Object]
CLAVICLE FRACTURES Patient Example: MM X-ray Immediately Post Trauma Non-operative care or operative fixation??? AP Oblique
CLAVICLE FRACTURES Patient Example: MM 1 Mo. Post Trauma X-ray Non-operative care Oblique AP
CLAVICLE FRACTURES Summary ,[object Object],[object Object],[object Object],[object Object]
Thank you

Mais conteúdo relacionado

Mais procurados

Distal Humerus Fracture Management- Rejul
 Distal Humerus Fracture Management- Rejul Distal Humerus Fracture Management- Rejul
Distal Humerus Fracture Management- RejulRejul Raj
 
Subtrochanteric fractures
Subtrochanteric fracturesSubtrochanteric fractures
Subtrochanteric fracturesHiren Divecha
 
Distal end of radius fractures dr.harish
Distal end of radius fractures dr.harishDistal end of radius fractures dr.harish
Distal end of radius fractures dr.harishHarishVKRatna
 
ACROMIOCLAVICULAR JOINT INJURY
ACROMIOCLAVICULAR JOINT INJURYACROMIOCLAVICULAR JOINT INJURY
ACROMIOCLAVICULAR JOINT INJURYSuman Subedi
 
Humerus fracture
Humerus fractureHumerus fracture
Humerus fracturevaruntandra
 
Poller or blocking screw
Poller or blocking screwPoller or blocking screw
Poller or blocking screwAvik Sarkar
 
Fractures of distal end radius
Fractures of distal end radiusFractures of distal end radius
Fractures of distal end radiusMahak Jain
 
Ligamentotaxis principle in the treatment of intra articular fractures of dis...
Ligamentotaxis principle in the treatment of intra articular fractures of dis...Ligamentotaxis principle in the treatment of intra articular fractures of dis...
Ligamentotaxis principle in the treatment of intra articular fractures of dis...Sitanshu Barik
 
Superior Shoulder Suspensory Complex injuries (SSSC)
Superior Shoulder Suspensory Complex injuries (SSSC)Superior Shoulder Suspensory Complex injuries (SSSC)
Superior Shoulder Suspensory Complex injuries (SSSC)Jaganmohan Sontyana
 
Fracture of Distal End Humerus.
Fracture of Distal End Humerus.Fracture of Distal End Humerus.
Fracture of Distal End Humerus.Dr.Anshu Sharma
 
Thoraco Lumbar Spine Injury
Thoraco Lumbar Spine InjuryThoraco Lumbar Spine Injury
Thoraco Lumbar Spine InjuryKevin Ambadan
 
Assessent and radiology of distal end radius fracture
Assessent and radiology of distal end radius fractureAssessent and radiology of distal end radius fracture
Assessent and radiology of distal end radius fractureSusanta85
 
Proximal Femur Fractures with NOF & IT
Proximal Femur Fractures with NOF & ITProximal Femur Fractures with NOF & IT
Proximal Femur Fractures with NOF & ITKunal Mondal
 
Bennetts Fracture
Bennetts FractureBennetts Fracture
Bennetts Fracturejfreshour
 
Total hip arthroplasty, dislocation
Total hip arthroplasty, dislocationTotal hip arthroplasty, dislocation
Total hip arthroplasty, dislocationAbdul Basit
 

Mais procurados (20)

Ac joint
Ac jointAc joint
Ac joint
 
Distal Humerus Fracture Management- Rejul
 Distal Humerus Fracture Management- Rejul Distal Humerus Fracture Management- Rejul
Distal Humerus Fracture Management- Rejul
 
Subtrochanteric fractures
Subtrochanteric fracturesSubtrochanteric fractures
Subtrochanteric fractures
 
Distal end of radius fractures dr.harish
Distal end of radius fractures dr.harishDistal end of radius fractures dr.harish
Distal end of radius fractures dr.harish
 
ACROMIOCLAVICULAR JOINT INJURY
ACROMIOCLAVICULAR JOINT INJURYACROMIOCLAVICULAR JOINT INJURY
ACROMIOCLAVICULAR JOINT INJURY
 
Humerus fracture
Humerus fractureHumerus fracture
Humerus fracture
 
Poller or blocking screw
Poller or blocking screwPoller or blocking screw
Poller or blocking screw
 
Fractures of distal end radius
Fractures of distal end radiusFractures of distal end radius
Fractures of distal end radius
 
Tendon injury by dr yash
Tendon injury by dr yashTendon injury by dr yash
Tendon injury by dr yash
 
Ligamentotaxis principle in the treatment of intra articular fractures of dis...
Ligamentotaxis principle in the treatment of intra articular fractures of dis...Ligamentotaxis principle in the treatment of intra articular fractures of dis...
Ligamentotaxis principle in the treatment of intra articular fractures of dis...
 
Superior Shoulder Suspensory Complex injuries (SSSC)
Superior Shoulder Suspensory Complex injuries (SSSC)Superior Shoulder Suspensory Complex injuries (SSSC)
Superior Shoulder Suspensory Complex injuries (SSSC)
 
Fracture of Distal End Humerus.
Fracture of Distal End Humerus.Fracture of Distal End Humerus.
Fracture of Distal End Humerus.
 
Thoraco Lumbar Spine Injury
Thoraco Lumbar Spine InjuryThoraco Lumbar Spine Injury
Thoraco Lumbar Spine Injury
 
Distal Humerus Fractures.pptx
Distal Humerus Fractures.pptxDistal Humerus Fractures.pptx
Distal Humerus Fractures.pptx
 
Subtrochanteric fracture
Subtrochanteric fractureSubtrochanteric fracture
Subtrochanteric fracture
 
Olecranon fracture
Olecranon fractureOlecranon fracture
Olecranon fracture
 
Assessent and radiology of distal end radius fracture
Assessent and radiology of distal end radius fractureAssessent and radiology of distal end radius fracture
Assessent and radiology of distal end radius fracture
 
Proximal Femur Fractures with NOF & IT
Proximal Femur Fractures with NOF & ITProximal Femur Fractures with NOF & IT
Proximal Femur Fractures with NOF & IT
 
Bennetts Fracture
Bennetts FractureBennetts Fracture
Bennetts Fracture
 
Total hip arthroplasty, dislocation
Total hip arthroplasty, dislocationTotal hip arthroplasty, dislocation
Total hip arthroplasty, dislocation
 

Destaque (9)

Clavicle fractures-Management
Clavicle fractures-ManagementClavicle fractures-Management
Clavicle fractures-Management
 
Clavicle
ClavicleClavicle
Clavicle
 
Clavicle Fractures & ACJ Injuries
Clavicle Fractures & ACJ InjuriesClavicle Fractures & ACJ Injuries
Clavicle Fractures & ACJ Injuries
 
Clavicle fractures
Clavicle fractures Clavicle fractures
Clavicle fractures
 
Distal Clavicle Fractures
Distal Clavicle Fractures Distal Clavicle Fractures
Distal Clavicle Fractures
 
Fracture clavicle
Fracture clavicleFracture clavicle
Fracture clavicle
 
Fracture Clavicle
Fracture ClavicleFracture Clavicle
Fracture Clavicle
 
Clavicle fracture
Clavicle fractureClavicle fracture
Clavicle fracture
 
Clavicle fracture
Clavicle fractureClavicle fracture
Clavicle fracture
 

Semelhante a Clavicle fractures

Results of Mini-Open Latarjet Procedure in Failed in Arthroscopic Bankart Rep...
Results of Mini-Open Latarjet Procedure in Failed in Arthroscopic Bankart Rep...Results of Mini-Open Latarjet Procedure in Failed in Arthroscopic Bankart Rep...
Results of Mini-Open Latarjet Procedure in Failed in Arthroscopic Bankart Rep...TheRightDoctors
 
Ac dislocation
Ac dislocationAc dislocation
Ac dislocationsukesh a n
 
MANAGEMENT_OF_CLAVICLE_FRACTURE_AND_ACROMIOCLAVICULAR_INJURY 2.pptx
MANAGEMENT_OF_CLAVICLE_FRACTURE_AND_ACROMIOCLAVICULAR_INJURY 2.pptxMANAGEMENT_OF_CLAVICLE_FRACTURE_AND_ACROMIOCLAVICULAR_INJURY 2.pptx
MANAGEMENT_OF_CLAVICLE_FRACTURE_AND_ACROMIOCLAVICULAR_INJURY 2.pptxmaneesh64
 
U01 clavicle ac_sc_joints1
U01 clavicle ac_sc_joints1U01 clavicle ac_sc_joints1
U01 clavicle ac_sc_joints1drthuraikumar
 
clavicle fracture new -1.pptx
clavicle fracture new -1.pptxclavicle fracture new -1.pptx
clavicle fracture new -1.pptxNamanSharda2
 
Ant cruciate ligament injuries
Ant cruciate ligament injuriesAnt cruciate ligament injuries
Ant cruciate ligament injuriesGaurav Singh
 
Femur Fracture power point gagahagwhagahahaha
Femur Fracture power point gagahagwhagahahahaFemur Fracture power point gagahagwhagahahaha
Femur Fracture power point gagahagwhagahahahapublicnewbie
 
Rotator cuff Tear and its management
Rotator cuff Tear and its managementRotator cuff Tear and its management
Rotator cuff Tear and its managementRohan Vakta
 
JC Acromioclavicular joint injuries.pptx
JC Acromioclavicular joint injuries.pptxJC Acromioclavicular joint injuries.pptx
JC Acromioclavicular joint injuries.pptxNiraj Raj
 
Anulex presentation to central florida case manager society 03.24.2011
Anulex presentation to central florida case manager society 03.24.2011Anulex presentation to central florida case manager society 03.24.2011
Anulex presentation to central florida case manager society 03.24.2011buddhaben
 
Updated PCL, PLC and Knee Dislocation for Postgraduate Orthopaedic Course in ...
Updated PCL, PLC and Knee Dislocation for Postgraduate Orthopaedic Course in ...Updated PCL, PLC and Knee Dislocation for Postgraduate Orthopaedic Course in ...
Updated PCL, PLC and Knee Dislocation for Postgraduate Orthopaedic Course in ...Professor Deiary Kader
 
Hip Joint anatomy, surgical approches & AVN review
Hip Joint anatomy, surgical approches & AVN reviewHip Joint anatomy, surgical approches & AVN review
Hip Joint anatomy, surgical approches & AVN reviewdocortho Patel
 
Clavicle Fracture
Clavicle FractureClavicle Fracture
Clavicle Fracturelaggergirl
 
Anotomic-Biological Reconstruction of Acromio-Clavicular Joint Injuries-Dr. U...
Anotomic-Biological Reconstruction of Acromio-Clavicular Joint Injuries-Dr. U...Anotomic-Biological Reconstruction of Acromio-Clavicular Joint Injuries-Dr. U...
Anotomic-Biological Reconstruction of Acromio-Clavicular Joint Injuries-Dr. U...TheRightDoctors
 

Semelhante a Clavicle fractures (20)

Results of Mini-Open Latarjet Procedure in Failed in Arthroscopic Bankart Rep...
Results of Mini-Open Latarjet Procedure in Failed in Arthroscopic Bankart Rep...Results of Mini-Open Latarjet Procedure in Failed in Arthroscopic Bankart Rep...
Results of Mini-Open Latarjet Procedure in Failed in Arthroscopic Bankart Rep...
 
Ac dislocation
Ac dislocationAc dislocation
Ac dislocation
 
MANAGEMENT_OF_CLAVICLE_FRACTURE_AND_ACROMIOCLAVICULAR_INJURY 2.pptx
MANAGEMENT_OF_CLAVICLE_FRACTURE_AND_ACROMIOCLAVICULAR_INJURY 2.pptxMANAGEMENT_OF_CLAVICLE_FRACTURE_AND_ACROMIOCLAVICULAR_INJURY 2.pptx
MANAGEMENT_OF_CLAVICLE_FRACTURE_AND_ACROMIOCLAVICULAR_INJURY 2.pptx
 
U01 clavicle ac_sc_joints1
U01 clavicle ac_sc_joints1U01 clavicle ac_sc_joints1
U01 clavicle ac_sc_joints1
 
Shoulder instability
Shoulder instabilityShoulder instability
Shoulder instability
 
clavicle fracture new -1.pptx
clavicle fracture new -1.pptxclavicle fracture new -1.pptx
clavicle fracture new -1.pptx
 
Case discussion 10
Case discussion 10Case discussion 10
Case discussion 10
 
Ant cruciate ligament injuries
Ant cruciate ligament injuriesAnt cruciate ligament injuries
Ant cruciate ligament injuries
 
Femur Fracture power point gagahagwhagahahaha
Femur Fracture power point gagahagwhagahahahaFemur Fracture power point gagahagwhagahahaha
Femur Fracture power point gagahagwhagahahaha
 
Rotator cuff Tear and its management
Rotator cuff Tear and its managementRotator cuff Tear and its management
Rotator cuff Tear and its management
 
ACL Recon.pptx
ACL Recon.pptxACL Recon.pptx
ACL Recon.pptx
 
JC Acromioclavicular joint injuries.pptx
JC Acromioclavicular joint injuries.pptxJC Acromioclavicular joint injuries.pptx
JC Acromioclavicular joint injuries.pptx
 
ACL INJURIES
ACL INJURIESACL INJURIES
ACL INJURIES
 
Anulex presentation to central florida case manager society 03.24.2011
Anulex presentation to central florida case manager society 03.24.2011Anulex presentation to central florida case manager society 03.24.2011
Anulex presentation to central florida case manager society 03.24.2011
 
Updated PCL, PLC and Knee Dislocation for Postgraduate Orthopaedic Course in ...
Updated PCL, PLC and Knee Dislocation for Postgraduate Orthopaedic Course in ...Updated PCL, PLC and Knee Dislocation for Postgraduate Orthopaedic Course in ...
Updated PCL, PLC and Knee Dislocation for Postgraduate Orthopaedic Course in ...
 
Hip anatomy, approaches & AVN
Hip anatomy, approaches & AVN Hip anatomy, approaches & AVN
Hip anatomy, approaches & AVN
 
Hip Joint anatomy, surgical approches & AVN review
Hip Joint anatomy, surgical approches & AVN reviewHip Joint anatomy, surgical approches & AVN review
Hip Joint anatomy, surgical approches & AVN review
 
Clavicle Fracture
Clavicle FractureClavicle Fracture
Clavicle Fracture
 
Anotomic-Biological Reconstruction of Acromio-Clavicular Joint Injuries-Dr. U...
Anotomic-Biological Reconstruction of Acromio-Clavicular Joint Injuries-Dr. U...Anotomic-Biological Reconstruction of Acromio-Clavicular Joint Injuries-Dr. U...
Anotomic-Biological Reconstruction of Acromio-Clavicular Joint Injuries-Dr. U...
 
Knee osteoarthritis basics to reconstruction to replacement dr.sandeep c agr...
Knee osteoarthritis  basics to reconstruction to replacement dr.sandeep c agr...Knee osteoarthritis  basics to reconstruction to replacement dr.sandeep c agr...
Knee osteoarthritis basics to reconstruction to replacement dr.sandeep c agr...
 

Mais de sfkneerobot

Meniscus Transplant
Meniscus TransplantMeniscus Transplant
Meniscus Transplantsfkneerobot
 
Biologic Knee Replacement Presentation
Biologic Knee Replacement PresentationBiologic Knee Replacement Presentation
Biologic Knee Replacement Presentationsfkneerobot
 
Meniscus Transplant and Replacement
Meniscus Transplant and ReplacementMeniscus Transplant and Replacement
Meniscus Transplant and Replacementsfkneerobot
 
Rehabilitation after Meniscus Transplant
Rehabilitation after Meniscus TransplantRehabilitation after Meniscus Transplant
Rehabilitation after Meniscus Transplantsfkneerobot
 
Osteochondritis dissecans
Osteochondritis dissecansOsteochondritis dissecans
Osteochondritis dissecanssfkneerobot
 
Achilles tendon repair
Achilles tendon repairAchilles tendon repair
Achilles tendon repairsfkneerobot
 

Mais de sfkneerobot (8)

Meniscus Transplant
Meniscus TransplantMeniscus Transplant
Meniscus Transplant
 
Biologic Knee Replacement Presentation
Biologic Knee Replacement PresentationBiologic Knee Replacement Presentation
Biologic Knee Replacement Presentation
 
Meniscus Transplant and Replacement
Meniscus Transplant and ReplacementMeniscus Transplant and Replacement
Meniscus Transplant and Replacement
 
Rehabilitation after Meniscus Transplant
Rehabilitation after Meniscus TransplantRehabilitation after Meniscus Transplant
Rehabilitation after Meniscus Transplant
 
Osteochondritis dissecans
Osteochondritis dissecansOsteochondritis dissecans
Osteochondritis dissecans
 
Ankle injuries
Ankle injuriesAnkle injuries
Ankle injuries
 
Achilles tendon repair
Achilles tendon repairAchilles tendon repair
Achilles tendon repair
 
Meniscus repair
Meniscus repairMeniscus repair
Meniscus repair
 

Último

The Most Attractive Hyderabad Call Girls Kothapet 𖠋 9332606886 𖠋 Will You Mis...
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 9332606886 𖠋 Will You Mis...The Most Attractive Hyderabad Call Girls Kothapet 𖠋 9332606886 𖠋 Will You Mis...
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 9332606886 𖠋 Will You Mis...chandars293
 
Top Rated Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...
Top Rated  Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...Top Rated  Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...
Top Rated Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...chandars293
 
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Russian Call Girls Service Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Gir...
Russian Call Girls Service  Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Gir...Russian Call Girls Service  Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Gir...
Russian Call Girls Service Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Gir...parulsinha
 
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any TimeTop Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any TimeCall Girls Delhi
 
Call Girls Bangalore Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Bangalore Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Bangalore Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Bangalore Just Call 8250077686 Top Class Call Girl Service AvailableDipal Arora
 
Call Girls Siliguri Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Siliguri Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Siliguri Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Siliguri Just Call 8250077686 Top Class Call Girl Service AvailableDipal Arora
 
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...Arohi Goyal
 
Call Girls Guntur Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Guntur  Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Guntur  Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Guntur Just Call 8250077686 Top Class Call Girl Service AvailableDipal Arora
 
Call Girls Jabalpur Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Jabalpur Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Jabalpur Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Jabalpur Just Call 8250077686 Top Class Call Girl Service AvailableDipal Arora
 
Call Girls Faridabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Faridabad Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Faridabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Faridabad Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...astropune
 
Premium Call Girls In Jaipur {8445551418} ❤️VVIP SEEMA Call Girl in Jaipur Ra...
Premium Call Girls In Jaipur {8445551418} ❤️VVIP SEEMA Call Girl in Jaipur Ra...Premium Call Girls In Jaipur {8445551418} ❤️VVIP SEEMA Call Girl in Jaipur Ra...
Premium Call Girls In Jaipur {8445551418} ❤️VVIP SEEMA Call Girl in Jaipur Ra...parulsinha
 
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Top Rated Bangalore Call Girls Ramamurthy Nagar ⟟ 9332606886 ⟟ Call Me For G...
Top Rated Bangalore Call Girls Ramamurthy Nagar ⟟  9332606886 ⟟ Call Me For G...Top Rated Bangalore Call Girls Ramamurthy Nagar ⟟  9332606886 ⟟ Call Me For G...
Top Rated Bangalore Call Girls Ramamurthy Nagar ⟟ 9332606886 ⟟ Call Me For G...narwatsonia7
 
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service Available
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service AvailableCall Girls Gwalior Just Call 8617370543 Top Class Call Girl Service Available
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service AvailableDipal Arora
 
Call Girls Service Jaipur {9521753030} ❤️VVIP RIDDHI Call Girl in Jaipur Raja...
Call Girls Service Jaipur {9521753030} ❤️VVIP RIDDHI Call Girl in Jaipur Raja...Call Girls Service Jaipur {9521753030} ❤️VVIP RIDDHI Call Girl in Jaipur Raja...
Call Girls Service Jaipur {9521753030} ❤️VVIP RIDDHI Call Girl in Jaipur Raja...Sheetaleventcompany
 
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426
Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426
Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426jennyeacort
 

Último (20)

The Most Attractive Hyderabad Call Girls Kothapet 𖠋 9332606886 𖠋 Will You Mis...
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 9332606886 𖠋 Will You Mis...The Most Attractive Hyderabad Call Girls Kothapet 𖠋 9332606886 𖠋 Will You Mis...
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 9332606886 𖠋 Will You Mis...
 
Top Rated Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...
Top Rated  Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...Top Rated  Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...
Top Rated Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...
 
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
 
Russian Call Girls Service Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Gir...
Russian Call Girls Service  Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Gir...Russian Call Girls Service  Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Gir...
Russian Call Girls Service Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Gir...
 
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any TimeTop Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time
 
Call Girls Bangalore Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Bangalore Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Bangalore Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Bangalore Just Call 8250077686 Top Class Call Girl Service Available
 
Call Girls Siliguri Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Siliguri Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Siliguri Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Siliguri Just Call 8250077686 Top Class Call Girl Service Available
 
Call Girls in Gagan Vihar (delhi) call me [🔝 9953056974 🔝] escort service 24X7
Call Girls in Gagan Vihar (delhi) call me [🔝  9953056974 🔝] escort service 24X7Call Girls in Gagan Vihar (delhi) call me [🔝  9953056974 🔝] escort service 24X7
Call Girls in Gagan Vihar (delhi) call me [🔝 9953056974 🔝] escort service 24X7
 
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
 
Call Girls Guntur Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Guntur  Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Guntur  Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Guntur Just Call 8250077686 Top Class Call Girl Service Available
 
Call Girls Jabalpur Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Jabalpur Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Jabalpur Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Jabalpur Just Call 8250077686 Top Class Call Girl Service Available
 
Call Girls Faridabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Faridabad Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Faridabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Faridabad Just Call 9907093804 Top Class Call Girl Service Available
 
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
 
Premium Call Girls In Jaipur {8445551418} ❤️VVIP SEEMA Call Girl in Jaipur Ra...
Premium Call Girls In Jaipur {8445551418} ❤️VVIP SEEMA Call Girl in Jaipur Ra...Premium Call Girls In Jaipur {8445551418} ❤️VVIP SEEMA Call Girl in Jaipur Ra...
Premium Call Girls In Jaipur {8445551418} ❤️VVIP SEEMA Call Girl in Jaipur Ra...
 
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service Available
 
Top Rated Bangalore Call Girls Ramamurthy Nagar ⟟ 9332606886 ⟟ Call Me For G...
Top Rated Bangalore Call Girls Ramamurthy Nagar ⟟  9332606886 ⟟ Call Me For G...Top Rated Bangalore Call Girls Ramamurthy Nagar ⟟  9332606886 ⟟ Call Me For G...
Top Rated Bangalore Call Girls Ramamurthy Nagar ⟟ 9332606886 ⟟ Call Me For G...
 
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service Available
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service AvailableCall Girls Gwalior Just Call 8617370543 Top Class Call Girl Service Available
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service Available
 
Call Girls Service Jaipur {9521753030} ❤️VVIP RIDDHI Call Girl in Jaipur Raja...
Call Girls Service Jaipur {9521753030} ❤️VVIP RIDDHI Call Girl in Jaipur Raja...Call Girls Service Jaipur {9521753030} ❤️VVIP RIDDHI Call Girl in Jaipur Raja...
Call Girls Service Jaipur {9521753030} ❤️VVIP RIDDHI Call Girl in Jaipur Raja...
 
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
 
Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426
Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426
Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426
 

Clavicle fractures