Cargando…
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...
Autores principales: | , , , , |
---|---|
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 |
_version_ | 1782203499334860800 |
---|---|
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. |
format | Text |
id | pubmed-3093795 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2011 |
publisher | Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo |
record_format | MEDLINE/PubMed |
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 |
work_keys_str_mv | AT bajurimohdyazid functionaloutcomesofconservativelytreatedclaviclefractures AT maidins functionaloutcomesofconservativelytreatedclaviclefractures AT raufa functionaloutcomesofconservativelytreatedclaviclefractures AT baharuddinm functionaloutcomesofconservativelytreatedclaviclefractures AT harjeets functionaloutcomesofconservativelytreatedclaviclefractures |