Cargando…
Correlation of the degree of clavicle shortening after non-surgical treatment of midshaft fractures with upper limb function
BACKGROUND: Despite the use of non-surgical methods to treat for the majority of midshaft fractures of the clavicle, it is remains controversial whether shortening of this bone following non-surgical treatment of a middle third fracture affects upper limb function. METHODS: We conducted a cohort stu...
Autores principales: | , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2015
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4470076/ https://www.ncbi.nlm.nih.gov/pubmed/26080806 http://dx.doi.org/10.1186/s12891-015-0585-3 |
_version_ | 1782376702116102144 |
---|---|
author | Figueiredo, Gustavo Santiago de Lima Tamaoki, Marcel Jun Sugawara Dragone, Bruno Utino, Artur Yudi Netto, Nicola Archetti Matsumoto, Marcelo Hide Matsunaga, Fábio Teruo |
author_facet | Figueiredo, Gustavo Santiago de Lima Tamaoki, Marcel Jun Sugawara Dragone, Bruno Utino, Artur Yudi Netto, Nicola Archetti Matsumoto, Marcelo Hide Matsunaga, Fábio Teruo |
author_sort | Figueiredo, Gustavo Santiago de Lima |
collection | PubMed |
description | BACKGROUND: Despite the use of non-surgical methods to treat for the majority of midshaft fractures of the clavicle, it is remains controversial whether shortening of this bone following non-surgical treatment of a middle third fracture affects upper limb function. METHODS: We conducted a cohort study by sequentially recruiting 59 patients with a fracture of the middle third of the clavicle. All patients were treated nonsurgically with a figure-of-eight bandage until clinical and radiological findings indicated healing of the fracture. Functional outcome was assessed using the Disability of Arm, Hand and Shoulder (DASH) score revalidated for the Portuguese language, other outcomes assessed included: pain measured by visual analogue scale (VAS); radiographies to measure the degree of shortening, fracture consolidation and fracture malunion. Information were also collected regarding the mechanism of injury, patient’s daily activities level and epidemiological features of the patient cohort. The results of our findings are expressed as the comparison of the functional outcome with the degree of shortening. RESULTS: Patients were assessed six weeks and one year after injury. In the first evaluation, the mean DASH score was 28.84 and pain measured by VAS was 2.57. In the second evaluation (one year after injury) the mean DASH score was 8.18 and pain was 0.84. The mean clavicle shortening was 0.92 cm, ranging from 0 to 3 cm (SD = 0.64). There were no correlation between the degree of shortening and DASH score after six weeks and one year (p = 0.073 and 0.706, respectively). When only patients with of shortening greater than 2 cm were assessed for correlation, the result did not change. CONCLUSION: We conclude that clavicle shortening after nonsurgical treatment with a figure-of-eight bandage does not affect limb function, even when shortening exceeds 2 cm. TRIAL REGISTRATION: ISRCTN85206617. Registered 12 May 2014 |
format | Online Article Text |
id | pubmed-4470076 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-44700762015-06-18 Correlation of the degree of clavicle shortening after non-surgical treatment of midshaft fractures with upper limb function Figueiredo, Gustavo Santiago de Lima Tamaoki, Marcel Jun Sugawara Dragone, Bruno Utino, Artur Yudi Netto, Nicola Archetti Matsumoto, Marcelo Hide Matsunaga, Fábio Teruo BMC Musculoskelet Disord Research Article BACKGROUND: Despite the use of non-surgical methods to treat for the majority of midshaft fractures of the clavicle, it is remains controversial whether shortening of this bone following non-surgical treatment of a middle third fracture affects upper limb function. METHODS: We conducted a cohort study by sequentially recruiting 59 patients with a fracture of the middle third of the clavicle. All patients were treated nonsurgically with a figure-of-eight bandage until clinical and radiological findings indicated healing of the fracture. Functional outcome was assessed using the Disability of Arm, Hand and Shoulder (DASH) score revalidated for the Portuguese language, other outcomes assessed included: pain measured by visual analogue scale (VAS); radiographies to measure the degree of shortening, fracture consolidation and fracture malunion. Information were also collected regarding the mechanism of injury, patient’s daily activities level and epidemiological features of the patient cohort. The results of our findings are expressed as the comparison of the functional outcome with the degree of shortening. RESULTS: Patients were assessed six weeks and one year after injury. In the first evaluation, the mean DASH score was 28.84 and pain measured by VAS was 2.57. In the second evaluation (one year after injury) the mean DASH score was 8.18 and pain was 0.84. The mean clavicle shortening was 0.92 cm, ranging from 0 to 3 cm (SD = 0.64). There were no correlation between the degree of shortening and DASH score after six weeks and one year (p = 0.073 and 0.706, respectively). When only patients with of shortening greater than 2 cm were assessed for correlation, the result did not change. CONCLUSION: We conclude that clavicle shortening after nonsurgical treatment with a figure-of-eight bandage does not affect limb function, even when shortening exceeds 2 cm. TRIAL REGISTRATION: ISRCTN85206617. Registered 12 May 2014 BioMed Central 2015-06-17 /pmc/articles/PMC4470076/ /pubmed/26080806 http://dx.doi.org/10.1186/s12891-015-0585-3 Text en © Figueiredo et al. 2015 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Research Article Figueiredo, Gustavo Santiago de Lima Tamaoki, Marcel Jun Sugawara Dragone, Bruno Utino, Artur Yudi Netto, Nicola Archetti Matsumoto, Marcelo Hide Matsunaga, Fábio Teruo Correlation of the degree of clavicle shortening after non-surgical treatment of midshaft fractures with upper limb function |
title | Correlation of the degree of clavicle shortening after non-surgical treatment of midshaft fractures with upper limb function |
title_full | Correlation of the degree of clavicle shortening after non-surgical treatment of midshaft fractures with upper limb function |
title_fullStr | Correlation of the degree of clavicle shortening after non-surgical treatment of midshaft fractures with upper limb function |
title_full_unstemmed | Correlation of the degree of clavicle shortening after non-surgical treatment of midshaft fractures with upper limb function |
title_short | Correlation of the degree of clavicle shortening after non-surgical treatment of midshaft fractures with upper limb function |
title_sort | correlation of the degree of clavicle shortening after non-surgical treatment of midshaft fractures with upper limb function |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4470076/ https://www.ncbi.nlm.nih.gov/pubmed/26080806 http://dx.doi.org/10.1186/s12891-015-0585-3 |
work_keys_str_mv | AT figueiredogustavosantiagodelima correlationofthedegreeofclavicleshorteningafternonsurgicaltreatmentofmidshaftfractureswithupperlimbfunction AT tamaokimarceljunsugawara correlationofthedegreeofclavicleshorteningafternonsurgicaltreatmentofmidshaftfractureswithupperlimbfunction AT dragonebruno correlationofthedegreeofclavicleshorteningafternonsurgicaltreatmentofmidshaftfractureswithupperlimbfunction AT utinoarturyudi correlationofthedegreeofclavicleshorteningafternonsurgicaltreatmentofmidshaftfractureswithupperlimbfunction AT nettonicolaarchetti correlationofthedegreeofclavicleshorteningafternonsurgicaltreatmentofmidshaftfractureswithupperlimbfunction AT matsumotomarcelohide correlationofthedegreeofclavicleshorteningafternonsurgicaltreatmentofmidshaftfractureswithupperlimbfunction AT matsunagafabioteruo correlationofthedegreeofclavicleshorteningafternonsurgicaltreatmentofmidshaftfractureswithupperlimbfunction |