Conservative treatment of fractures at the middle third of the clavicle: the relevance of shortening and clinical outcome

Journal of Shoulder and Elbow Surgery
Stefanos Lazarides, George Zafiropoulos

Abstract

Fractures of the clavicle are common and most often occur in the middle third. The clavicle has several important functions, each of which may be affected after fracture and malunion. In this retrospective study, we reviewed 132 patients with united fractures of the middle third of the clavicle after conservative management. Residual symptoms and overall patient satisfaction after treatment were assessed through a questionnaire. Clavicular shortening after union was calculated on a standardized anteroposterior chest radiograph. Intraobserver variability and interobserver variability of measurements by use of this method are insignificant. The mean follow-up was 30 months (range, 12-43 months). The mean modified Constant score was 84 (range, 62-100). Of the patients, 34 (25.8%) were dissatisfied with the result of their management. Final clavicular shortening of more than 18 mm in male patients and of more than 14 mm in female patients was significantly associated with an unsatisfactory result.

References

Jun 1, 1979·Acta Orthopaedica Scandinavica·A E Ljunggren
Feb 1, 1987·Acta Orthopaedica Scandinavica·K AndersenJ Lauritzen
Jan 1, 1987·Clinical Orthopaedics and Related Research·C R Constant, A H Murley
Jan 1, 1986·Archives of Orthopaedic and Trauma Surgery·A EskolaP Rokkanen
Jul 1, 1997·The Journal of Bone and Joint Surgery. British Volume·J M HillL A Crosby
Jun 10, 1998·The Journal of Bone and Joint Surgery. British Volume·C M Robinson
Sep 3, 1999·Journal of Shoulder and Elbow Surgery·K Y ChanR Marti
Feb 15, 2002·Journal of Shoulder and Elbow Surgery·Kimberley HayesGeorge A C Murrell
Mar 5, 1960·Journal of the American Medical Association·C S NEER

❮ Previous
Next ❯

Citations

Sep 13, 2011·Der Unfallchirurg·M DezulovicM Muenzberg
Aug 12, 2009·International Orthopaedics·Roberto PostacchiniFranco Postacchini
Nov 27, 2007·Surgical and Radiologic Anatomy : SRA·Eric HavetPierre Fréger
Nov 8, 2008·Archives of Orthopaedic and Trauma Surgery·Vinzenz SmekalDietmar Krappinger
Apr 25, 2012·Musculoskeletal Surgery·Gabriele CampochiaroFabio Catani
Aug 2, 2008·Journal of Orthopaedic Trauma·Vinzenz SmekalDietmar Krappinger
Nov 19, 2010·Journal of Orthopaedic Trauma·Darren S DrosdowechJames A Johnson
May 9, 2012·Journal of Orthopaedic Trauma·Clifford B JonesMartin F Hoffmann
Nov 26, 2009·Journal of Pediatric Orthopedics·Molly A McGrawCassie L Kirby
May 27, 2010·Journal of Pediatric Orthopedics·Kelly L Vander HaveFrances A Farley
Dec 15, 2010·Journal of Pediatric Orthopedics·Patrick M CarryJohn D Polousky
May 25, 2012·Journal of Pediatric Orthopedics·Michelle S Caird
Jun 12, 2013·Journal of Pediatric Orthopedics·Donald S BaePeter M Waters
Mar 14, 2013·Journal of Pediatric Orthopedics·Selina R SilvaMichelle S Caird
Oct 13, 2009·Orthopaedic Nursing·George MouzopoulosMathaios Tzurbakis
May 26, 2011·The Journal of Trauma·Elizabeth K PlocherPeter A Cole
Sep 9, 2011·BMC Research Notes·Silvana De GiorgiBiagio Moretti
Jan 29, 2013·Canadian Journal of Surgery. Journal Canadien De Chirurgie·Frans-Jasper G WijdicksOlivier A J Van der Meijden
Jan 1, 2011·ISRN Orthopedics·Shachar ShapiraMoshe Pritsch Perry
Jan 13, 2012·Archives of Orthopaedic and Trauma Surgery·Frans-Jasper G WijdicksR Marijn Houwert
Oct 30, 2013·Surgical and Radiologic Anatomy : SRA·Taweechok WisanuyotinPolasak Jeeravipoolvarn
Aug 29, 2014·Archives of Orthopaedic and Trauma Surgery·Ho-Seung JeongJeong-Pyo Lee
May 29, 2012·Journal of the Chinese Medical Association : JCMA·Hui-Kuang HuangTain-Hsiung Chen
Sep 13, 2015·The Kaohsiung Journal of Medical Sciences·Ying-Chun WangCheng-Chang Lu
Apr 9, 2013·Journal of Shoulder and Elbow Surgery·Frank MartetschlägerPeter J Millett
May 6, 2015·Journal of Orthopaedics and Traumatology : Official Journal of the Italian Society of Orthopaedics and Traumatology·Alex K GildeClifford B Jones
Nov 6, 2015·Archives of Orthopaedic and Trauma Surgery·Hendrik F S FuglesangStein E Utvåg
Jan 10, 2012·Clinical Biomechanics·Bipin PatelJames Jastifer
Jun 1, 2014·Journal of Orthopaedics and Traumatology : Official Journal of the Italian Society of Orthopaedics and Traumatology·Christopher Edward Hill
Apr 14, 2009·Journal of Shoulder and Elbow Surgery·Ian J GalleyGregory I Bain
Mar 8, 2013·Orthopedics·Brian P CunninghamRyan McLemore
Dec 17, 2009·Orthopedics·Jonathan T Bravman, Armando F Vidal
Sep 23, 2008·The Orthopedic Clinics of North America·Won Kim, Michael D McKee
Aug 3, 2012·The Journal of the American Academy of Orthopaedic Surgeons·Nirav K PandyaHarish S Hosalkar

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.