The Rising Incidence of Operative Treatment of Mid-shaft Clavicle Fractures

Micev, Alan J.

doi:10.4172/2161-0533.1000211

Cited by 3 publications

(5 citation statements)

References 26 publications

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“…The male-to-female ratio was 1. 5 In this study, fractures of the middle third of the clavicle were most common, accounted for 92.1% of cases (Table 2). According to Andermahr [9], mean cortical thickness was only 2.05 mm at the midpoint of the clavicle.…”

Section: Discussionmentioning

confidence: 53%

“…Through this study on 38 patients with clavicle fractures who were treated by ORIF at Hanoi Medical University Hospital, we found that: The ratio of male to female was 1. 5…”

Section: Resultsmentioning

confidence: 99%

“…They require more cosmetic scars via minimally invasive techniques and quick recovery of their shoulder function to return earlier to their normal daily activities. So nowadays, surgical treatment for clavicle fractures is becoming more common [5].…”

Section: Introductionmentioning

confidence: 99%

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Results of Surgical treatment for Clavicle Fractures in Vietnamese Adults

Dung¹,

Le²,

Van³

et al. 2017

Open J Orthop Rheumatol

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Objectives: To describe the pattern of clavicle fractures and to evaluate the results of surgical treatment for clavicle fractures. Patients and methods: This retrospective study included 38 cases of clavicle fractures who were treated by open reduction internal fi xation at Hanoi Medical University Hospital between January 2008 and June 2013. Results: The ratio of male to female was 1.5/1. Average age was 42.0 years. Simple fractures (no intermediate fragments) are most common with 65.8% of patients. Middle third fractures accounted for 92.1% of patients. Bone union rate was 100%. The surgical results were excellent in 94.7% and good in 5.3% of cases according to Constant Score. Conclusion: Open reduction internal fi xation of clavicle fractures had good results. All patients were satisfi ed with the results.

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Section: Discussionmentioning

confidence: 53%

“…Through this study on 38 patients with clavicle fractures who were treated by ORIF at Hanoi Medical University Hospital, we found that: The ratio of male to female was 1. 5…”

Section: Resultsmentioning

confidence: 99%

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Results of Surgical treatment for Clavicle Fractures in Vietnamese Adults

Dung¹,

Le²,

Van³

et al. 2017

Open J Orthop Rheumatol

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“…This corresponds to the evolving ratio of nonoperative to operative treatment of adolescent and pediatric clavicle fractures that has mirrored adult clavicle fracture trends over the past decade. A number of different research efforts, including large pediatric institutional studies in the United States, 26 database studies from California and New York State, 15 a Swedish hospital registry study, 6 and a Scandinavian survey study, 1 have confirmed this trend. In contrast, Kubiak and Slongo 8 reviewed 939 pediatric and adolescent patients with clavicle fractures over a 20-year period.…”

Section: Discussionmentioning

confidence: 84%

Descriptive Epidemiology of Adolescent Clavicle Fractures: Results From the FACTS (Function after Adolescent Clavicle Trauma and Surgery) Prospective, Multicenter Cohort Study

Ellis

Liu

Bae

et al. 2020

Orthopaedic Journal of Sports Medicine

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Background: The majority of previous investigations on operative fixation of clavicle fractures have been related to the adult population, with occasional assessments of the younger, more commonly affected adolescent population. Despite limited prospective data for adolescents, the incidence of operative fixation of adolescent diaphyseal clavicle fractures has increased. Purpose: To detail the demographic features and descriptive epidemiology of a large pooled cohort of adolescent patients with diaphyseal clavicle fractures presenting to pediatric tertiary care centers in the United States through an observational, prospective, multicenter cohort study (Function after Adolescent Clavicle Trauma and Surgery [FACTS]). Study Design: Cross-sectional study; Level of evidence, 4. Methods: Patients aged 10 to 18 years who were treated for a diaphyseal clavicle fracture between August 2013 and February 2016 at 1 of 8 geographically diverse, high-volume, tertiary care pediatric centers were screened. Treatment was rendered by any of the pediatric orthopaedic providers at each of the 8 institutions, which totaled more than 50 different providers. Age, sex, race, ethnicity, fracture laterality, hand dominance, mechanism of injury, injury activity, athletic participation, fracture characteristics, and treatment decisions were prospectively recorded in those who were eligible and consented to enroll. Results: A total of 545 patients were included in the cohort. The mean age of the study population was 14.1 ± 2.1 years, and 79% were male. Fractures occurred on the nondominant side (56%) more frequently than the dominant side (44%). Sport was the predominant activity during which the injury occurred (66%), followed by horseplay (12%) and biking (6%). The primary mechanism of injury was a direct blow/hit to the shoulder (60%). Overall, 54% were completely displaced fractures, defined as fractures with no anatomic cortical contact between fragments. Mean shortening within the completely displaced group was 21.9 mm when measuring the distance between fragment ends (end to end) and 12.4 mm when measuring the distance between the fragment end to the corresponding cortical defect (cortex to corresponding cortex) on the other fragment (ie, true shortening). Comminution was present in 18% of all fractures. While 83% of all clavicle fractures were treated nonoperatively, 32% of completely displaced fractures underwent open reduction and internal fixation. Conclusion: Adolescent clavicle fractures occurred more commonly in male patients during sports, secondary to a direct blow to the shoulder, and on the nondominant side. Slightly more than half of these fractures were completely displaced, and approximately one-fifth were comminuted. Within this large cohort, approximately one-third of patients with completely displaced fractures underwent surgery, allowing for future prospective comparative analyses of radiographic, clinical, and functional outcomes.

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“…Recently, there has been a paradigm shift; lending serious consideration for operative care in the setting of middle third clavicle fractures and leading to a noticeable increase in the incidence of surgically treated middle-third clavicle fractures. The number of patients presenting with mid-shaft clavicle fractures has remained relatively constant but the incidence of operative fixation of clavicle fractures has increased by as much as 368% [2].…”

Section: Introductionmentioning

confidence: 99%

The treatment of middle-third clavicle fractures: A paradigm shift

Bartley¹

2017

Surg Rehabil

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The Rising Incidence of Operative Treatment of Mid-shaft Clavicle Fractures

Cited by 3 publications

References 26 publications

Results of Surgical treatment for Clavicle Fractures in Vietnamese Adults

Results of Surgical treatment for Clavicle Fractures in Vietnamese Adults

Descriptive Epidemiology of Adolescent Clavicle Fractures: Results From the FACTS (Function after Adolescent Clavicle Trauma and Surgery) Prospective, Multicenter Cohort Study

The treatment of middle-third clavicle fractures: A paradigm shift

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