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Preferences of orthopedic surgeons for treating midshaft clavicle fracture in adults

OBJECTIVE: To determine the current clinical practice in Latin America for treating midshaft clavicle fractures, including surgical and non-surgical approaches. METHODS: A cross-sectional study using a descriptive questionnaire. Shoulder and elbow surgeons from the Brazilian Society of Shoulder and...

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Autores principales: de Oliveira, Adilson Sanches, Roberto, Bruno Braga, Lenza, Mario, Pintan, Guilherme Figueiredo, Ejnisman, Benno, Schor, Breno, Carrera, Eduardo da Frota, Murachovsky, Joel
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Instituto Israelita de Ensino e Pesquisa Albert Einstein 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5823043/
https://www.ncbi.nlm.nih.gov/pubmed/29091151
http://dx.doi.org/10.1590/S1679-45082017AO4043
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author de Oliveira, Adilson Sanches
Roberto, Bruno Braga
Lenza, Mario
Pintan, Guilherme Figueiredo
Ejnisman, Benno
Schor, Breno
Carrera, Eduardo da Frota
Murachovsky, Joel
author_facet de Oliveira, Adilson Sanches
Roberto, Bruno Braga
Lenza, Mario
Pintan, Guilherme Figueiredo
Ejnisman, Benno
Schor, Breno
Carrera, Eduardo da Frota
Murachovsky, Joel
author_sort de Oliveira, Adilson Sanches
collection PubMed
description OBJECTIVE: To determine the current clinical practice in Latin America for treating midshaft clavicle fractures, including surgical and non-surgical approaches. METHODS: A cross-sectional study using a descriptive questionnaire. Shoulder and elbow surgeons from the Brazilian Society of Shoulder and Elbow Surgery and from the Latin American Society of Shoulder and Elbow were contacted and asked to complete a short questionnaire (SurveyMonkey(®)) on the management of midshaft fractures of the clavicle. Incomplete or inconsistent answers were excluded. RESULTS: The type of radiographic classification preferably used was related to description of fracture morphology, according to 41% of participants. Allman classification ranked second and was used by 24.1% of participants. As to indications for surgical treatment, only the indications with shortening and imminence of skin exposure were statistically significant. Conservative treatment was chosen in cortical contact. Regarding immobilization method, the simple sling was preferred, and treatment lasted from 4 to 6 weeks. Although the result was not statistically significant, the blocked plate was the preferred option in surgical cases. CONCLUSION: The treatment of midshaft clavicle fractures in Latin America is in accordance with the current literature.
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spelling pubmed-58230432018-02-23 Preferences of orthopedic surgeons for treating midshaft clavicle fracture in adults de Oliveira, Adilson Sanches Roberto, Bruno Braga Lenza, Mario Pintan, Guilherme Figueiredo Ejnisman, Benno Schor, Breno Carrera, Eduardo da Frota Murachovsky, Joel Einstein (Sao Paulo) Original Article OBJECTIVE: To determine the current clinical practice in Latin America for treating midshaft clavicle fractures, including surgical and non-surgical approaches. METHODS: A cross-sectional study using a descriptive questionnaire. Shoulder and elbow surgeons from the Brazilian Society of Shoulder and Elbow Surgery and from the Latin American Society of Shoulder and Elbow were contacted and asked to complete a short questionnaire (SurveyMonkey(®)) on the management of midshaft fractures of the clavicle. Incomplete or inconsistent answers were excluded. RESULTS: The type of radiographic classification preferably used was related to description of fracture morphology, according to 41% of participants. Allman classification ranked second and was used by 24.1% of participants. As to indications for surgical treatment, only the indications with shortening and imminence of skin exposure were statistically significant. Conservative treatment was chosen in cortical contact. Regarding immobilization method, the simple sling was preferred, and treatment lasted from 4 to 6 weeks. Although the result was not statistically significant, the blocked plate was the preferred option in surgical cases. CONCLUSION: The treatment of midshaft clavicle fractures in Latin America is in accordance with the current literature. Instituto Israelita de Ensino e Pesquisa Albert Einstein 2017 /pmc/articles/PMC5823043/ /pubmed/29091151 http://dx.doi.org/10.1590/S1679-45082017AO4043 Text en https://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
de Oliveira, Adilson Sanches
Roberto, Bruno Braga
Lenza, Mario
Pintan, Guilherme Figueiredo
Ejnisman, Benno
Schor, Breno
Carrera, Eduardo da Frota
Murachovsky, Joel
Preferences of orthopedic surgeons for treating midshaft clavicle fracture in adults
title Preferences of orthopedic surgeons for treating midshaft clavicle fracture in adults
title_full Preferences of orthopedic surgeons for treating midshaft clavicle fracture in adults
title_fullStr Preferences of orthopedic surgeons for treating midshaft clavicle fracture in adults
title_full_unstemmed Preferences of orthopedic surgeons for treating midshaft clavicle fracture in adults
title_short Preferences of orthopedic surgeons for treating midshaft clavicle fracture in adults
title_sort preferences of orthopedic surgeons for treating midshaft clavicle fracture in adults
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5823043/
https://www.ncbi.nlm.nih.gov/pubmed/29091151
http://dx.doi.org/10.1590/S1679-45082017AO4043
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