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Functional outcomes of conservatively treated clavicle fractures

OBJECTIVE: The main aim of the study was to analyze the outcomes of clavicle fractures in adults treated non-surgically and to evaluate the clinical effects of displacement, fracture patterns, fracture location, fracture comminution, shortening and fracture union on shoulder function. METHODS: Seven...

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Autores principales: Bajuri, Mohd Yazid, Maidin, S, Rauf, A, Baharuddin, M, Harjeet, S
Formato: Texto
Lenguaje:English
Publicado: Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo 2011
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3093795/
https://www.ncbi.nlm.nih.gov/pubmed/21655759
http://dx.doi.org/10.1590/S1807-59322011000400019
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author Bajuri, Mohd Yazid
Maidin, S
Rauf, A
Baharuddin, M
Harjeet, S
author_facet Bajuri, Mohd Yazid
Maidin, S
Rauf, A
Baharuddin, M
Harjeet, S
author_sort Bajuri, Mohd Yazid
collection PubMed
description OBJECTIVE: The main aim of the study was to analyze the outcomes of clavicle fractures in adults treated non-surgically and to evaluate the clinical effects of displacement, fracture patterns, fracture location, fracture comminution, shortening and fracture union on shoulder function. METHODS: Seventy clavicle fractures were non-surgically treated in the Orthopedics Department at the Tuanku Ja'afar General Hospital, a tertiary care hospital in Seremban, Malaysia, an average of six months after injury. The clavicle fractures were treated conservatively with an arm sling and a figure-eight splint for three weeks. No attempt was made to reduce displaced fractures, and the patients were allowed immediate free-shoulder mobilization, as tolerated. They were prospectively evaluated clinically and radiographically. Shoulder function was evaluated using the Constant scoring technique. RESULTS: There were statistically significant functional outcome impairments in non-surgically treated clavicle fractures that correlated with the fracture type (comminution), the fracture displacement (21 mm or more), shortening (15 mm or more) and the fracture union (malunion). CONCLUSION: This article reveals the need for surgical intervention to treat clavicle fractures and improve shoulder functional outcomes.
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spelling pubmed-30937952011-05-17 Functional outcomes of conservatively treated clavicle fractures Bajuri, Mohd Yazid Maidin, S Rauf, A Baharuddin, M Harjeet, S Clinics (Sao Paulo) Clinical Science OBJECTIVE: The main aim of the study was to analyze the outcomes of clavicle fractures in adults treated non-surgically and to evaluate the clinical effects of displacement, fracture patterns, fracture location, fracture comminution, shortening and fracture union on shoulder function. METHODS: Seventy clavicle fractures were non-surgically treated in the Orthopedics Department at the Tuanku Ja'afar General Hospital, a tertiary care hospital in Seremban, Malaysia, an average of six months after injury. The clavicle fractures were treated conservatively with an arm sling and a figure-eight splint for three weeks. No attempt was made to reduce displaced fractures, and the patients were allowed immediate free-shoulder mobilization, as tolerated. They were prospectively evaluated clinically and radiographically. Shoulder function was evaluated using the Constant scoring technique. RESULTS: There were statistically significant functional outcome impairments in non-surgically treated clavicle fractures that correlated with the fracture type (comminution), the fracture displacement (21 mm or more), shortening (15 mm or more) and the fracture union (malunion). CONCLUSION: This article reveals the need for surgical intervention to treat clavicle fractures and improve shoulder functional outcomes. Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo 2011-04 /pmc/articles/PMC3093795/ /pubmed/21655759 http://dx.doi.org/10.1590/S1807-59322011000400019 Text en Copyright © 2011 Hospital das Clínicas da FMUSP http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Clinical Science
Bajuri, Mohd Yazid
Maidin, S
Rauf, A
Baharuddin, M
Harjeet, S
Functional outcomes of conservatively treated clavicle fractures
title Functional outcomes of conservatively treated clavicle fractures
title_full Functional outcomes of conservatively treated clavicle fractures
title_fullStr Functional outcomes of conservatively treated clavicle fractures
title_full_unstemmed Functional outcomes of conservatively treated clavicle fractures
title_short Functional outcomes of conservatively treated clavicle fractures
title_sort functional outcomes of conservatively treated clavicle fractures
topic Clinical Science
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3093795/
https://www.ncbi.nlm.nih.gov/pubmed/21655759
http://dx.doi.org/10.1590/S1807-59322011000400019
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