Characterization of patients with treatment of fracture of clavicle fracture in a highly complexity hospital in Boyacá: transversal study
DOI:
https://doi.org/10.1016/j.rccot.2021.01.009Keywords:
clavicle, bone fractures, shoulder, acromioclavicular joint, conservative treatment, surgeryAbstract
Background: Clavicle fracture is particularly prevalent in young population, usually affecting the male gender. Aim of the study is to evaluate outcomes of non-surgical management of clavicle fractures.Methods: This is a retrospective descriptive study, carried out at the Tunja Medical Clinic with information gathering through clinical records of patients admitted between 2013 and 2019 with such involvement.
Results: This study had a population of 134 patients, including 101 men and 33 women, the ages range between 10 and 85 years, of which 73% were satisfied with their treatment, the other 27% were dissatisfied.
Discussion: Clavicle fracture is more frequent in men, with ages between 20 and 59 years and the most common causes were falls in general, predominantly falling by bicycle. Of the total of patients, 65% were managed in a bloodless way, with good evolution. 93% of patients affected residual pain, 13% return with limitations, 1% change their work activity and 73% satisfied satisfied with the treatment.
Evidence Level: IV
Downloads
References
Koerner MR, Jeray KJ. Clavicle Injuries A Case-Based guide to diagnosis and treatment Chapter 6: Nonoperative Clavicle Fractures. Gewerbestrasse, Switzerland: Springer International Publishing AG; 2018. https://doi.org/10.1007/978-3-319-52238-8_6
Ropars M, Thomazeau H, Huten D. Clavicle fractures Orthopaedics &Traumatology: Surgery & Research. 2017;103(1S):S53-9, https://doi.org/10.1016/j.otsr.2016.11.007.
Millett PJ, Hurst JM, Horan MP, Hawkins RJ. Complications of clavicle fractures treated with intramedullary fixation. Journal of shoulder and elbow surgery. 2011;20:86-91. https://doi.org/10.1016/j.jse.2010.07.009
Lakhotia D, Khatri K, Sharma V, Farooque K, Sharma S. Bilateral clavicle fractures: a report of three cases. Journal of clinical and diagnostic research: JCDR. 2016;10:01-12. https://doi.org/10.7860/JCDR/2016/17236.8007
Tamaoki MJS, Matsunaga FT, da Costa ARF, Netto NA, Matsumoto MH, Belloti JC. Treatment of Displaced Midshaft Clavicle Fractures: Figure-of-Eight Harness Versus Anterior Plate OsteosynthesisA Randomized Controlled Trial. J Bone Joint Surg. 2012;99:1159-65. https://doi.org/10.2106/JBJS.16.01184
Bhardwaj A, Sharma G, Patil A, Rahate V. Comparison of plate osteosynthesis versus non-operative management for mid-shaft clavicle fractures-A prospective study. Injury. 2018;49:1104-7. https://doi.org/10.1016/j.injury.2018.04.012
Zlowodzki M, Zelle BA, Cole PA, Jeray K, McKee MD. Treatment of acute midshaft clavicle fractures: systematic review of 2144 fractures: on behalf of the Evidence-Based Orthopaedic Trauma Working Group. Journal of orthopaedic trauma. 2005;19:504-7. https://doi.org/10.1097/01.bot.0000172287.44278.ef
Satoshi Y, Shogo H, Zhong-Lian L, Shinichi K, Philipp P, Kenta N. Investigations of cortical and cancellous clavicle bone patterns reveal an explanation for the load transmission and the higher incidence of lateral clavicle fractures in the elderly: a CT-based cadaveric study. Anatomical Science International. 2018;93:479-86, https://doi.org/10.1007/s12565-018-0437-y.
Altamimi, Sahal A, Michael McKee D. Nonoperative treatment compared with plate fixation of displaced midshaft clavicular fractures: Surgical technique. J Bone Joint Surg. 2008;90:1-8. https://doi.org/10.2106/JBJS.G.01336
Lenza M, Buchbinder R, Johnston RV, Belloti JC, Faloppa F. Surgical versus conservative interventions for treating fractures of the middle third of the clavicle. Cochrane Database Syst Rev. 2013;6:CD009363.
Sirvent-Díaz E, Calmet-García J, Capdevila-Baulenes J. Fracturas de clavícula tratadas conservadoramente tras 22 anos de seguimiento: resultados funcionales y estéticos. Revista Española de Cirugía Ortopédica y Traumatología. 2014;58:108-13. https://doi.org/10.1016/j.recot.2013.10.003
Van der Meijden OA, Gaskill TR, Millett PJ. Treatment of clavicle fractures: current concepts review. Journal of shoulder and elbow surgery. 2012;21:423-9. https://doi.org/10.1016/j.jse.2011.08.053
Rasheed N, Kumar J. Midshaft clavicle fracture; comparison of poly arm sling and figure of eight bandage. Professional Med J. 2018;25:34-8, https://doi.org/10.29309/TPMJ/18.4069.
Devji T, Kleinlugtenbelt Y, Evaniew N, Ristevski B, Khoudigian S, Bhandari M. Operative versus nonoperative interventions for common fractures of the clavicle: a meta-analysis of randomized controlled trials. CMAJ Open. 2015;3:E396-405. https://doi.org/10.9778/cmajo.20140130
Carvajal-Escobar MD, Gómez-Londoño C, Borja-Gómez W, Sepúlveda-Gallego LE. Fracturas diafisiarias de la clavícula: revisión de la evidencia publicada. Biosalud. 2016;15:87-97. https://doi.org/10.17151/biosa.2016.15.1.10
Burnham JM, Kim DC, Kamineni S. Midshaft clavicle fractures: a critical review. Orthopedics. 2016;39:e814-21. https://doi.org/10.3928/01477447-20160517-06
Millett PJ, Hurst JM, Horan MP, Hawkins RJ. Complications of clavicle fractures treated with intramedullary fixation. Journal of shoulder and elbow surgery. 2011;20:86-91. https://doi.org/10.1016/j.jse.2010.07.009
Seeto BL, McKee MD. Clavicle Fractures. En: Sethi M, Obremskey W, Jahangir A, editors. Orthopedic Traumatology, 97. Switzerland: Springer, Gewerbestrasse; 2018. p. 319. https://doi.org/10.1007/978-3-319-73392-0_6
Castillo JD, Herrera JM, Reyes OE, Lopez JC, Leal CA. Efecto de la menisectoía acromioclavicular sobre el dolor residual en la luxación acromioclavicular grado III o mayor. Rev Col Or Tara. 2009;23:53-61.
Ristevski B, Hall JA, Pearce D, Potter J, Farrugia M, McKee MD. The radiographic quantification of scapular malalignment after malunion of displaced clavicular shaft fractures. J Shoulder Elbow Surg. 2013;22:240-6. https://doi.org/10.1016/j.jse.2012.04.011
Hill JM, McGuire MH, Crosby LA. Closed treatment of displaced middle-third fractures of the clavicle gives poor results. J Bone Joint Surg Br. 1997;79:537-9. https://doi.org/10.1302/0301-620X.79B4.0790537
McKee MD, Pedersen EM, Jones C, Stephen DJG, Kreder HJ, Schemitsch EH, Wild LM, Potter J. Deficits following nonoperative treatment of displaced midshaft clavicular fractures. J Bone Joint Surg Am. 2006;88:35-40. https://doi.org/10.2106/00004623-200601000-00005
Nowak J, Holgersson M, Larsson S. Can we predict long-term sequelae after fractures of the clavicle based on initial findings? A prospective study with nine to ten years of follow-up. J Shoulder Elbow Surg. 2004;13:479-86. https://doi.org/10.1016/j.jse.2004.01.026
Formaini N, Taylor BC, Backes J, Bramwell TJ. Superior versus anteroinferior plating of clavicle fractures. Orthopedics. 2013;36:e898-904. https://doi.org/10.3928/01477447-20130624-20
Lenza M, Faloppa F. Surgical interventions for treating acute fractures or nonunion of the middle third of the clavicle. Cochrane Database Syst Rev. 2015;5:CD007428. https://doi.org/10.1002/14651858.CD007428.pub3
