Distribution and treatment of clavicular fractures in monotrauma and polytrauma patients

Journal of Trauma Management & Outcomes
Steven FerreeLuke P H Leenen

Abstract

Although extensive research for the optimal treatment of clavicle fractures has been performed, comparative studies between monotrauma and polytrauma patients are lacking. To compare fracture distribution and treatment in monotrauma and polytrauma patients with a clavicle fracture. Single center retrospective cohort study. Fractures were classified by the Robinson classification. Monotrauma patients sustained only a clavicle fracture or a clavicle fracture plus a minor abrasion, hematoma, or superficial skin lesion leading to an Injury Severity Score (ISS) of 4 or 5 respectively. Polytrauma patients had an ISS ≥16 as a result of injury in 2 or more Abbreviated Injury Scale (AIS) regions. 154 monotrauma and 155 polytrauma patients with a clavicle fracture were identified. Monotrauma patients had a higher incidence of Type IIB fractures (displaced midshaft) compared to polytrauma patients (P = 0.002). No difference was observed regarding Type I (medial) and Type III (lateral) fractures. In monotrauma patients, Type IIB fractures were treated operatively more frequently (P = 0.004). The initial treatment for Type I and Type III fractures did not differ between monotrauma and polytrauma patients. Monotrauma patients had a higher in...Continue Reading

References

Jul 1, 1997·The Journal of Bone and Joint Surgery. British Volume·J M HillL A Crosby
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Citations

Apr 5, 2019·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Herman FrimaChristoph Sommer
Jul 3, 2019·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Tobias HelfenBen Ockert
Oct 13, 2018·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Herman FrimaChristoph Sommer
Mar 4, 2021·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Nina KabelitzChristian Michelitsch
Nov 6, 2021·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Mustafa Sinan BakirUNKNOWN TraumaRegister DGU

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Methods Mentioned

BETA
ISS
sedation

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