Estimating the risk of nonunion following nonoperative treatment of a clavicular fracture

The Journal of Bone and Joint Surgery. American Volume
C M RobinsonAlison E Wakefield

Abstract

Nonunion is a rare complication of a fracture of the clavicle, but its occurrence can compromise shoulder function. The aim of this study was to evaluate the prevalence of and risk factors for nonunion in a cohort of patients who were treated nonoperatively after a clavicular fracture. Over a fifty-one-month period, we performed a prospective, observational cohort study of a consecutive series of 868 patients (638 men and 230 women with a median age of 29.5 years; interquartile range, 19.25 to 46.75 years) with a radiographically confirmed fracture of the clavicle, which was treated nonoperatively. Eight patients were excluded from the study, as they received immediate surgery. Patients were evaluated clinically and radiographically at six, twelve, and twenty-four weeks after the injury. There were 581 fractures in the diaphysis, 263 fractures in the lateral fifth of the clavicle, and twenty-four fractures in the medial fifth. On survivorship analysis, the overall prevalence of nonunion at twenty-four weeks after the fracture was 6.2%, with 8.3% of the medial end fractures, 4.5% of the diaphyseal fractures, and 11.5% of the lateral end fractures remaining ununited. Following a diaphyseal fracture, the risk of nonunion was signi...Continue Reading

References

Jan 1, 1992·Injury·D J EdwardsM C Flannery
Jan 1, 1990·Journal of Orthopaedic Trauma·J KonaR L Rosseau
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
Mar 14, 2002·Injury·J Der TavitianJ J Dias
Oct 16, 2002·Journal of Shoulder and Elbow Surgery·Franco PostacchiniFrancesco Albo
May 3, 2003·The Journal of Bone and Joint Surgery. American Volume·Michael D McKeeEmil H Schemitsch
Dec 1, 1963·Archives of Surgery·E W JOHNSON, H R COLLINS
Mar 5, 1960·Journal of the American Medical Association·C S NEER

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Citations

Sep 27, 2006·JAAPA : Official Journal of the American Academy of Physician Assistants·Joseph J KotelnickiKevin G Mitts
May 1, 2007·British Journal of Hospital Medicine·Sam Oussedik
Sep 6, 2008·Current Sports Medicine Reports·George Guntur A Pujalte, Jeffrey A Housner
Mar 26, 2010·Journal of Orthopaedic Trauma·Jan BartonícekVladimír Pacovský
Jun 2, 2010·The Journal of Bone and Joint Surgery. British Volume·C M RobinsonB Olabi
Jun 26, 2010·Journal of Orthopaedic Trauma·George PartalDavid L Helfet
Nov 20, 2010·International Orthopaedics·Barry James O'NeillT Kenneth Kaar
Apr 6, 2011·Journal of Orthopaedic Trauma·Mehmet DemirhanAysin Kale
Jul 5, 2011·The Journal of the American Academy of Orthopaedic Surgeons·Rahul BanerjeeWilliam Robertson
Sep 10, 2011·Journal of Orthopaedic Trauma·Hilton P GottschalkAdam J Starr
May 7, 2013·International Orthopaedics·Guo-dong LiuJian-wen Gu
Feb 28, 2013·Journal of Orthopaedic Trauma·Michael M HusseyAnil K Dutta
Jun 7, 2013·The Cochrane Database of Systematic Reviews·Mário LenzaFlávio Faloppa
Oct 25, 2013·The Open Orthopaedics Journal·Thomas D DonnellyMohammad Waseem
Dec 12, 2013·Der Unfallchirurg·C EhrnthallerS Braun
Feb 28, 2014·The American Journal of Sports Medicine·Grant L JonesUNKNOWN MOON Shoulder Group
May 27, 2014·Journal of Orthopaedics and Traumatology : Official Journal of the Italian Society of Orthopaedics and Traumatology·Nidhi NarsariaR R S Seth
Jan 15, 2015·The American Journal of Sports Medicine·Julie Y BishopUNKNOWN MOON Shoulder Group
Jun 15, 2015·Archives of Orthopaedic and Trauma Surgery·Yong WangPanjun Zhang
Nov 6, 2015·Archives of Orthopaedic and Trauma Surgery·Hendrik F S FuglesangStein E Utvåg
Apr 22, 2016·Journal of Pediatric Orthopedics·Amy L McIntosh
Jul 1, 2016·Orthopedics·Douglas S WeinbergHeather A Vallier
Aug 29, 2016·Archives of Orthopaedic and Trauma Surgery·Jordan C VillaDavid S Wellman
Aug 10, 2016·Orthopaedic Journal of Sports Medicine·Steven Struhl, Theodore S Wolfson
Dec 3, 2016·Clinics in Orthopedic Surgery·Reza OmidEric White
Jan 20, 2017·Operative Orthopädie und Traumatologie·M MüllerT M Kraus
Apr 19, 2017·The Journal of International Medical Research·Minpeng LuZhengxue Quan
Jul 12, 2017·Journal of Orthopaedic Trauma·Erik M FritzPeter J Millett
Aug 13, 2017·Journal of Orthopaedic Surgery and Research·David AcklandMartin Richardson
Jul 14, 2017·Revista Brasileira De Ortopedia·Rajesh GovindasamyFawas Thonikadavath
Feb 6, 2018·Emergency Radiology·Claire K SandstromStephen A Kennedy
Dec 14, 2016·JBJS Essential Surgical Techniques·Edmund Ieong, Nicholas Antonio Ferran
Oct 13, 2018·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Herman FrimaChristoph Sommer
Jan 23, 2019·The Cochrane Database of Systematic Reviews·Mário LenzaFlávio Faloppa
Feb 2, 2019·Journal of Orthopaedic Surgery and Research·Yang Ruen ZhengChung Ting Liu
Apr 5, 2019·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Herman FrimaChristoph Sommer
Jul 12, 2019·World Journal of Stem Cells·Diane R WagnerJiliang Li

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