Clin Should Elbow.  2016 Jun;19(2):73-77. 10.5397/cise.2016.19.2.73.

Clinical and Radiological Outcome after Surgical Treatment in Displaced Clavicular Midshaft Fracture

Affiliations
  • 1Department of Orthopaedic Surgery, Inje University Busan Paik Hospital, Inje University College of Medicine, Busan, Korea. kimjunghan74@gmail.com

Abstract

BACKGROUND
The first purpose of this study is to compare the clinical and radiological outcomes of surgical treatment for displaced midshaft clavicle fracture (Robinson type 2B1 vs. 2B2) with 3.5-mm low profile clavicular locking compression plate. The second purpose is to evaluate the difference of the results depending on the presence of accompanying injuries.
METHODS
Forty-nine patients who underwent an operation for the fractures were reviewed retrospectively. Fracture patterns were classified according to group 2B1 and 2B2 using Robinson's classification. For radiological outcome, time to union after operation was evaluated and for clinical outcome, American Shoulder and Elbow Society (ASES) score, University of California in Los Angeles (UCLA) score, visual analogue scale (VAS), and range of motion (ROM) were evaluated from preoperative period to last follow-up period.
RESULTS
The mean time for union was not significantly different in the 2B1 group and 2B2 group (p=0.062). No statistically significant difference in ASES score, UCLA score, and VAS was observed between 2B1 and 2B2 (p=0.619, p=0.896, p=0.856, respectively). In ROM, significant higher mean forward flexion and abduction was observed in 2B2 (p=0.025, p=0.017, respectively) and there was no difference in external rotation and external rotation at shoulder 90° abduction position (p=0.130, p=0.180, respectively). There was no significant difference in clinical outcomes according to the accompanying injuries.
CONCLUSIONS
There was no difference in clinical and radiological outcome between Robinson 2B1 and 2B2 type fracture after the operation. Accompanying injuries may not affect the clinical result of displaced midshaft clavicle fractures.

Keyword

Clavicle; Fracture, closed; Displacement; Treatment outcome

MeSH Terms

California
Classification
Clavicle
Elbow
Follow-Up Studies
Fractures, Closed
Humans
Preoperative Period
Range of Motion, Articular
Retrospective Studies
Shoulder
Treatment Outcome
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