Clinical and Radiological Outcome after Surgical Treatment in Displaced Clavicular Midshaft Fracture
Clinics in Shoulder and Elbow
;
: 73-77, 2016.
Article
in English
| WPRIM
| ID: wpr-11096
ABSTRACT
BACKGROUND:
The first purpose of this study is to compare the clinical and radiological outcomes of surgical treatment for displaced midshaft clavicle fracture (Robinson type 2B1 vs. 2B2) with 3.5-mm low profile clavicular locking compression plate. The second purpose is to evaluate the difference of the results depending on the presence of accompanying injuries.METHODS:
Forty-nine patients who underwent an operation for the fractures were reviewed retrospectively. Fracture patterns were classified according to group 2B1 and 2B2 using Robinson's classification. For radiological outcome, time to union after operation was evaluated and for clinical outcome, American Shoulder and Elbow Society (ASES) score, University of California in Los Angeles (UCLA) score, visual analogue scale (VAS), and range of motion (ROM) were evaluated from preoperative period to last follow-up period.RESULTS:
The mean time for union was not significantly different in the 2B1 group and 2B2 group (p=0.062). No statistically significant difference in ASES score, UCLA score, and VAS was observed between 2B1 and 2B2 (p=0.619, p=0.896, p=0.856, respectively). In ROM, significant higher mean forward flexion and abduction was observed in 2B2 (p=0.025, p=0.017, respectively) and there was no difference in external rotation and external rotation at shoulder 90° abduction position (p=0.130, p=0.180, respectively). There was no significant difference in clinical outcomes according to the accompanying injuries.CONCLUSIONS:
There was no difference in clinical and radiological outcome between Robinson 2B1 and 2B2 type fracture after the operation. Accompanying injuries may not affect the clinical result of displaced midshaft clavicle fractures.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Shoulder
/
California
/
Retrospective Studies
/
Follow-Up Studies
/
Range of Motion, Articular
/
Treatment Outcome
/
Classification
/
Clavicle
/
Elbow
/
Preoperative Period
Type of study:
Observational study
/
Prognostic study
Limits:
Humans
Country/Region as subject:
North America
Language:
English
Journal:
Clinics in Shoulder and Elbow
Year:
2016
Type:
Article
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