Deficits Following Nonoperative Treatment of Displaced Midshaft Clavicular Fractures

McKee, Michael D.; Pedersen, Elizabeth; Jones, Caroline; Stephen, David; Kreder, Hans J.; Schemitsch, Emil H.; Wild, Lisa M.; Potter, Jeffrey

doi:10.2106/00004623-200601000-00005

Cited by 62 publications

(81 citation statements)

References 16 publications

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“…In this study fracture displacement was formed to be a predictor for nonunion in all but one publication reporting on this subject [8,9,10,11,12]. Shortening of the clavicle following a midshaft clavicle fracture has been found to be associated with inferior clinical outcome [13].…”

Section: Discussionmentioning

confidence: 89%

Treatment of clavicle fractures by Ilizarov technique

Bari¹,

Islam²,

Shetu³

et al. 2016

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Журнал клинической и экспериментальной ортопедии им. Г.А. Илизарова № 2, 2016 г. We treated 28 clavicle fractures with a mean age of 45 years (15-55) years with mini Ilizarov fixation from January 1999 to January 2015 at Bari-Ilizarov Orthopaedic Centre and NITOR, Dhaka. Out of 28 patients 20 were male and 8 female. We are presenting here the use of mini Ilizarov apparatus for fracture clavicle. Among the complications 2 wire track infections were observed from which all responded positively to local care. The mini Ilizarov apparatus and technique represents a useful method for the successful healing of fracture clavicle. Вопросы травматологии

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Section: Discussionmentioning

confidence: 89%

Treatment of clavicle fractures by Ilizarov technique

Bari¹,

Islam²,

Shetu³

et al. 2016

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“…Results of conservative management of fractures of the clavicle have been variable. A non-union rate of 0.1% for conservatively treated fractures was reported by Neer [1] , and non-union rate of 4.6% for operatively treated fractures.Unsatisfactory shoulder function due to nonunion with conservative treatment led to shortening [5,6] . This shortening of clavicle resulted in abnormal biomechanical stress on the shoulder as result of altered anatomical relationships [21] .…”

Section: Post-operative Images-restoration Of Length Discussionmentioning

confidence: 99%

“…Shortening of 10mm was shown to decrease shoulder function by atleast 50% of cases and with shortening > 20mm there was considerable deterioration. The position of glenoid fossa may also be altered which may affect glenohumeral mobility and scapular rotation which may lead to poor results especially in young and active patients [6] . Multiple controversy exists with regard to the techniques used for fixation of displaced middle third clavicle fractures and the implant used [1,10] .…”

Section: Post-operative Images-restoration Of Length Discussionmentioning

confidence: 99%

“…Recent studies indicated mid shaft fractures with 2 cm shortening have a 15% non-union rate [5] . Mal-union of clavicle fractures can occur upto 50% of cases [5,6] . Primary cause for poor outcome with conservative management include weakness, pain, displacement, or a bump [6] .…”

Section: Introductionmentioning

confidence: 99%

“…Mal-union of clavicle fractures can occur upto 50% of cases [5,6] . Primary cause for poor outcome with conservative management include weakness, pain, displacement, or a bump [6] . Somes indications for fixation of clavicle fracture include compound fractures, skin denting, damage to neurovascular structures and floating shoulder [7,8,9] .…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Does anatomic locking compression plate play a vital role in maintaining length of clavicle in comminuted fracture & enhance good functional outcome

A¹,

Manikandarajan²,

Kumar³

2018

Int. J. Orthop. Sci.

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Deformity following un-united and mal-united adult clavicle fractures is being increasingly recognised as the indications for operative treatment of displaced fractures of the clavicle. Various options include low contact dynamic compression plates, which are strong, but difficult to contour and cause soft tissue irritation. Recon plates are easier to contour, but lack sufficient mechanical strength. Anatomical Precontoured locking plates are now available, matching the shape of the adult clavicle. The purpose of this study is to assess the clinical and radiological outcome of a pre-contoured clavicle plate in the treatment of acute, displaced, mid-shaft clavicle fractures. This study presents the results of 26 patients treated with an anatomical congruent clavicle plate for acute displaced, mid-shaft fractures of the clavicle at a tertiary referral centre. All patients were managed with a precontured clavicle plate. The fracture united in all cases with no complication and high patient satisfaction on the Disability of the Arm and Shoulder (DASH) score and Pain Visual analogue score (VAS). The results were compareble with other published studies, and the pre contured clavicle plate represents one of the best operative management of these fractures.

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Pediatric Clavicle Fractures

Heyworth

Pandya

2021

Evidence‐Based Orthopedics

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Deficits Following Nonoperative Treatment of Displaced Midshaft Clavicular Fractures

Cited by 62 publications

References 16 publications

Treatment of clavicle fractures by Ilizarov technique

Treatment of clavicle fractures by Ilizarov technique

Does anatomic locking compression plate play a vital role in maintaining length of clavicle in comminuted fracture & enhance good functional outcome

Pediatric Clavicle Fractures

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