Cargando…

Simultaneous bilateral traumatic clavicle fractures: incidence, characteristics, and surgical outcomes

BACKGROUND: Although clavicle fractures are common injuries in adults, simultaneous bilateral clavicle fractures are rarely reported. The present report describes 13 patients with simultaneous bilateral traumatic clavicle fractures who were treated with surgical management and followed for more than...

Descripción completa

Detalles Bibliográficos
Autores principales: Feng, Dongxu, Jiang, Wuqiang, Kang, Xiaomin, Jiang, Yuxuan, Zhu, Yangjun, Zhang, Jun
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9912484/
https://www.ncbi.nlm.nih.gov/pubmed/36765310
http://dx.doi.org/10.1186/s12891-023-06228-w
_version_ 1784885216109658112
author Feng, Dongxu
Jiang, Wuqiang
Kang, Xiaomin
Jiang, Yuxuan
Zhu, Yangjun
Zhang, Jun
author_facet Feng, Dongxu
Jiang, Wuqiang
Kang, Xiaomin
Jiang, Yuxuan
Zhu, Yangjun
Zhang, Jun
author_sort Feng, Dongxu
collection PubMed
description BACKGROUND: Although clavicle fractures are common injuries in adults, simultaneous bilateral clavicle fractures are rarely reported. The present report describes 13 patients with simultaneous bilateral traumatic clavicle fractures who were treated with surgical management and followed for more than 12 months postoperatively. METHODS: This retrospective chart review involved skeletally mature patients with traumatic clavicle injuries. Patients with bilateral clavicle fractures who were followed up for at least 12 months after surgery were included. Data regarding the patients’ demographics, injury characteristics, fracture classification, comorbidities, concomitant injuries, and treatment strategies were collected. Each displaced fracture was managed with open reduction and internal fixation. Postoperative follow-up included radiographs for assessment of bone union; calculation of the Constant–Murley score for shoulder function; administration of the Disability of the Arm, Shoulder, and Hand questionnaire for upper limb function; determination of the visual analogue scale score for pain; and assessment of complications. RESULTS: From October 2013 to November 2021, 15 patients (10 men, 5 women) were diagnosed with bilateral clavicle fractures among 1542 patients with clavicle injuries (overall incidence of 1.0%). Of these 15 patients, this study included 13 patients (8 men, 5 women; mean age, 38.3 ± 15.3 years) who were followed up for more than 12 months postoperatively. Among the 13 patients, 10 (77.0%) had associated concomitant injuries, and 25 sides were fixed with internal plate fixation. After a follow-up period of 29.9 ± 28.5 months, all fractures achieved bone healing. Eleven patients attained excellent shoulder function on both sides and returned to their pre-injury daily activities, and the remaining two patients had unilateral shoulder dysfunction. No complications occurred. CONCLUSIONS: Bilateral clavicle fractures are extremely rare and associated with polytrauma. Open reduction and internal fixation is recommended for such patients, especially those with severe chest injuries, because osteosynthesis of the clavicle can improve respiratory function and reduce the duration of functional disability.
format Online
Article
Text
id pubmed-9912484
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher BioMed Central
record_format MEDLINE/PubMed
spelling pubmed-99124842023-02-11 Simultaneous bilateral traumatic clavicle fractures: incidence, characteristics, and surgical outcomes Feng, Dongxu Jiang, Wuqiang Kang, Xiaomin Jiang, Yuxuan Zhu, Yangjun Zhang, Jun BMC Musculoskelet Disord Research BACKGROUND: Although clavicle fractures are common injuries in adults, simultaneous bilateral clavicle fractures are rarely reported. The present report describes 13 patients with simultaneous bilateral traumatic clavicle fractures who were treated with surgical management and followed for more than 12 months postoperatively. METHODS: This retrospective chart review involved skeletally mature patients with traumatic clavicle injuries. Patients with bilateral clavicle fractures who were followed up for at least 12 months after surgery were included. Data regarding the patients’ demographics, injury characteristics, fracture classification, comorbidities, concomitant injuries, and treatment strategies were collected. Each displaced fracture was managed with open reduction and internal fixation. Postoperative follow-up included radiographs for assessment of bone union; calculation of the Constant–Murley score for shoulder function; administration of the Disability of the Arm, Shoulder, and Hand questionnaire for upper limb function; determination of the visual analogue scale score for pain; and assessment of complications. RESULTS: From October 2013 to November 2021, 15 patients (10 men, 5 women) were diagnosed with bilateral clavicle fractures among 1542 patients with clavicle injuries (overall incidence of 1.0%). Of these 15 patients, this study included 13 patients (8 men, 5 women; mean age, 38.3 ± 15.3 years) who were followed up for more than 12 months postoperatively. Among the 13 patients, 10 (77.0%) had associated concomitant injuries, and 25 sides were fixed with internal plate fixation. After a follow-up period of 29.9 ± 28.5 months, all fractures achieved bone healing. Eleven patients attained excellent shoulder function on both sides and returned to their pre-injury daily activities, and the remaining two patients had unilateral shoulder dysfunction. No complications occurred. CONCLUSIONS: Bilateral clavicle fractures are extremely rare and associated with polytrauma. Open reduction and internal fixation is recommended for such patients, especially those with severe chest injuries, because osteosynthesis of the clavicle can improve respiratory function and reduce the duration of functional disability. BioMed Central 2023-02-10 /pmc/articles/PMC9912484/ /pubmed/36765310 http://dx.doi.org/10.1186/s12891-023-06228-w Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Feng, Dongxu
Jiang, Wuqiang
Kang, Xiaomin
Jiang, Yuxuan
Zhu, Yangjun
Zhang, Jun
Simultaneous bilateral traumatic clavicle fractures: incidence, characteristics, and surgical outcomes
title Simultaneous bilateral traumatic clavicle fractures: incidence, characteristics, and surgical outcomes
title_full Simultaneous bilateral traumatic clavicle fractures: incidence, characteristics, and surgical outcomes
title_fullStr Simultaneous bilateral traumatic clavicle fractures: incidence, characteristics, and surgical outcomes
title_full_unstemmed Simultaneous bilateral traumatic clavicle fractures: incidence, characteristics, and surgical outcomes
title_short Simultaneous bilateral traumatic clavicle fractures: incidence, characteristics, and surgical outcomes
title_sort simultaneous bilateral traumatic clavicle fractures: incidence, characteristics, and surgical outcomes
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9912484/
https://www.ncbi.nlm.nih.gov/pubmed/36765310
http://dx.doi.org/10.1186/s12891-023-06228-w
work_keys_str_mv AT fengdongxu simultaneousbilateraltraumaticclaviclefracturesincidencecharacteristicsandsurgicaloutcomes
AT jiangwuqiang simultaneousbilateraltraumaticclaviclefracturesincidencecharacteristicsandsurgicaloutcomes
AT kangxiaomin simultaneousbilateraltraumaticclaviclefracturesincidencecharacteristicsandsurgicaloutcomes
AT jiangyuxuan simultaneousbilateraltraumaticclaviclefracturesincidencecharacteristicsandsurgicaloutcomes
AT zhuyangjun simultaneousbilateraltraumaticclaviclefracturesincidencecharacteristicsandsurgicaloutcomes
AT zhangjun simultaneousbilateraltraumaticclaviclefracturesincidencecharacteristicsandsurgicaloutcomes