Is There a Deficit After Nonoperative Versus Operative Treatment of Shortened Midshaft Clavicular Fractures in Adolescents?

Journal of Pediatric Orthopedics
Joshua A ParryWilliam J Shaughnessy

Abstract

Recent clinical studies in adults have reported a higher incidence of symptomatic malunions and functional deficits in nonoperatively treated shortened midshaft clavicular fractures. We sought to determine whether functional or subjective deficits are found in adolescents after operative versus nonoperative treatment of clavicle fractures. Adolescents with displaced midshaft clavicle fractures, >15 mm of shortening, and a minimum of 9 months of follow-up were recruited. Exclusion criteria included concomitant upper extremity injuries or abnormalities that would affect biomechanical strength testing. Sixteen patients, equally divided between nonoperative and operative plate fixation, met inclusion criteria and consented to testing. The average age (±SD) at the time of injury was 14±2 years (range, 10 to 16 y), time from injury was 22±10 months (range, 10 to 41 mo), and shortening was 24±6 mm (range, 16 to 35 mm). Consenting subjects completed a QuickDASH Score, Constant Shoulder Score, and questions regarding satisfaction with treatment. Quantitative isometric strength, range of motion, and abduction fatigue testing was performed on the involved and uninvolved sides for comparison. Treatment groups did not differ in age, time fr...Continue Reading

References

Aug 1, 1986·Journal of Applied Physiology·B Bigland-RitchieJ J Woods
Jul 1, 1997·The Journal of Bone and Joint Surgery. British Volume·J M HillL A Crosby
May 15, 2003·Amyotrophic Lateral Sclerosis and Other Motor Neuron Disorders : Official Publication of the World Federation of Neurology, Research Group on Motor Neuron Diseases·Dara MeldrumOrla Hardiman
Jul 15, 2005·Journal of Shoulder and Elbow Surgery·Michael LedgerAllan Wang
Jan 5, 2006·The Journal of Bone and Joint Surgery. American Volume·Michael D McKeeJeffrey Potter
Jan 4, 2007·The Journal of Bone and Joint Surgery. American Volume·UNKNOWN Canadian Orthopaedic Trauma Society
Mar 17, 2007·Amyotrophic Lateral Sclerosis : Official Publication of the World Federation of Neurology Research Group on Motor Neuron Diseases·Dara MeldrumOrla Hardiman
Nov 23, 2007·Journal of Applied Physiology·Janet L Taylor, Simon C Gandevia
Aug 2, 2008·Journal of Orthopaedic Trauma·Vinzenz SmekalDietmar Krappinger
Nov 26, 2009·Journal of Pediatric Orthopedics·Charles T MehlmanWang Zhigang
Nov 26, 2009·Journal of Pediatric Orthopedics·Molly A McGrawCassie L Kirby
Jan 14, 2010·Ergonomics·Laura A Frey Law, Keith G Avin
May 27, 2010·Journal of Pediatric Orthopedics·Kelly L Vander HaveFrances A Farley
Oct 14, 2010·Zeitschrift für Orthopädie und Unfallchirurgie·J BöhmeC Josten
Dec 15, 2010·Journal of Pediatric Orthopedics·Patrick M CarryJohn D Polousky
Jun 10, 2011·Journal of Pediatric Orthopedics·Surena NamdariLawrence Wells
May 16, 2012·Journal of Pediatric Orthopedics·Benjamin M FryeGeorge K Bal
May 25, 2012·Journal of Pediatric Orthopedics·Michelle S Caird
Jun 2, 2012·Clinical Biomechanics·Robert J HillenDirkjan H E J Veeger
Mar 8, 2013·Orthopedics·Brian P CunninghamRyan McLemore
Mar 14, 2013·Journal of Pediatric Orthopedics·Selina R SilvaMichelle S Caird
Jun 12, 2013·Journal of Pediatric Orthopedics·Donald S BaePeter M Waters
Jul 5, 2013·The Journal of Bone and Joint Surgery. American Volume·Jacob SchulzAndrew T Pennock
Jun 11, 2014·Physical Therapy in Sport : Official Journal of the Association of Chartered Physiotherapists in Sports Medicine·João Breno de Araujo Ribeiro AlvaresBruno Manfredini Baroni
Oct 4, 2014·Malaysian Orthopaedic Journal·P Choudhari, Chhabra

❮ Previous
Next ❯

Citations

Nov 9, 2017·Journal of Pediatric Orthopedics·Jennifer J BeckAristides I Cruz
Sep 18, 2018·Journal of Pediatric Orthopedics. Part B·Mi Hyun SongSungwook Choi
Feb 20, 2018·Journal of Children's Orthopaedics·K HughesY Gelfer
Jan 23, 2019·The Cochrane Database of Systematic Reviews·Mário LenzaFlávio Faloppa
Mar 30, 2019·Current Reviews in Musculoskeletal Medicine·Nirav K Pandya
Aug 7, 2019·Orthopaedic Journal of Sports Medicine·Meagan M McCarthyR Dawn Comstock
Sep 15, 2017·Journal of Children's Orthopaedics·M M HerzogS C Willimon
May 7, 2020·Case Reports in Orthopedics·Marco OdorizziVincenzo De Rosa
Apr 26, 2021·Journal of Shoulder and Elbow Surgery·Briggs M AhearnMichael J Kissenberth

❮ 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.