Other reports suggesting that conservative treatments provided less short-term satisfaction to patients than surgical treatments after trauma have also been observed. reported that compared with surgical treatments, conservative treatments using a figure-of-eight bandage showed no significant difference in the functional outcome. Several other reports also exist on the short-term outcome of conservative treatments for midshaft clavicle fractures. Other studies have reported that surgical treatment reduced the incidence of nonunion compared with conservative treatments. Although midshaft clavicle fractures account for 69–82% of clavicle fractures and are treated conservatively and surgically, some reports said that the rate of nonunion after midshaft clavicle fracture treated conservatively was low. A clavicle fracture can be classified as a proximal, midshaft, or distal fracture. ![]() While over one-third of clavicle fractures in males occur between 13 and 20 years old, 20% occur in females at the same age. Moreover, several patients became symptomatic for fractures with a larger proportional change in clavicular length or displacement.Ĭlavicle fractures are common and comprise 2.6–10% of all bone fracture cases, with many of those occurring in young adults. The affected shoulder side was more symptomatic than the unaffected side 10 to 30 years after the trauma when midshaft clavicle fractures were treated conservatively. Furthermore, the symptomatic group's proportional changes in clavicular length and displacement were significantly larger than the asymptomatic group. The ASES scores of the affected side were significantly lower than those of the unaffected side, and the SPADI of the affected side was significantly higher than that of the unaffected side. Furthermore, plain radiographs measured proportional changes in clavicular length and displacement. We defined patients whose ASES and SPADI on the affected side were worse than the unaffected side as the symptomatic group. Afterward, the American Shoulder and Elbow Surgeons Shoulder (ASES) score and Shoulder pain and disability index (SPADI) on the affected and unaffected sides were calculated based on the filled questionnaires. The mean term after trauma was 17.0 years. Subsequently, a telephone survey was used to follow-up these patients, and 38 were successfully evaluated. ![]() Patients were treated conservatively for midshaft clavicle fractures with a figure-of-eight bandage between 10 and 30 years ago. Therefore, this study investigated the long-term outcome of this treatment in patients with midshaft clavicle fractures. Few reports exist on the long-term outcomes of midshaft clavicle fracture conservative treatments.
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |