Functional outcomes of conservatively treated clavicle fractures
Clinics
;
66(4): 635-639, 2011. graf
Artigo
em Inglês
| LILACS
| ID: lil-588916
ABSTRACT
OBJECTIVE: The main aim of the study was to analyze the outcomes of clavicle fractures in adults treated non-surgically and to evaluate the clinical effects of displacement, fracture patterns, fracture location, fracture comminution, shortening and fracture union on shoulder function. METHODS: Seventy clavicle fractures were non-surgically treated in the Orthopedics Department at the Tuanku Ja'afar General Hospital, a tertiary care hospital in Seremban, Malaysia, an average of six months after injury. The clavicle fractures were treated conservatively with an arm sling and a figure-eight splint for three weeks. No attempt was made to reduce displaced fractures, and the patients were allowed immediate free-shoulder mobilization, as tolerated. They were prospectively evaluated clinically and radiographically. Shoulder function was evaluated using the Constant scoring technique. RESULTS: There were statistically significant functional outcome impairments in non-surgically treated clavicle fractures that correlated with the fracture type (comminution), the fracture displacement (21 mm or more), shortening (15 mm or more) and the fracture union (malunion). CONCLUSION: This article reveals the need for surgical intervention to treat clavicle fractures and improve shoulder functional outcomes.
Texto completo:
DisponíveL
Índice:
LILACS (Américas)
Assunto principal:
Aparelhos Ortopédicos
/
Ombro
/
Amplitude de Movimento Articular
/
Clavícula
/
Fraturas Mal-Unidas
/
Fraturas Cominutivas
Tipo de estudo:
Estudo observacional
Limite:
Adulto
/
Humanos
País/Região como assunto:
Ásia
Idioma:
Inglês
Revista:
Clinics
Assunto da revista:
Medicina
Ano de publicação:
2011
Tipo de documento:
Artigo
País de afiliação:
Malásia
Instituição/País de afiliação:
International Medical University/MY
/
Tuanku Ja'afar General Hospital/MY
/
Universiti Kebangsaan Malaysia Medical/MY
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