A comparison of nonoperative and operative treatment of type II distal clavicle fractures.
Bull Hosp Jt Dis
; 61(1-2): 32-9, 2002.
Article
em En
| MEDLINE
| ID: mdl-12828377
ABSTRACT
A retrospective study was performed to compare nonoperative and operative treatments of Type II distal clavicle fractures. From a total of 30 diagnosed patients, 16 were identified as receiving nonoperative treatment and 14 open reduction and coracoclavicular stabilization. The average follow-up was 53.5 months for the nonoperative group and 59.8 months for the operative group. All patients were evaluated postoperatively for pain, range of motion, function, and fracture healing as well as for isokinetic strength. Fractures treated surgically achieved union within six to ten weeks. Nonoperative treatment resulted in seven nonunions. There were no significant differences between the two groups in the mean UCLA, Constant, and ASES scores. Nonunion had no significant effect on functional outcome or strength. This study suggests that Type II distal clavicle fractures can be successfully managed nonoperatively. The high incidence of nonunion does not impede a clinical outcome comparable to that achieved by surgical treatment.
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Base de dados:
MEDLINE
Assunto principal:
Aparelhos Ortopédicos
/
Clavícula
/
Fraturas Ósseas
/
Terapia por Exercício
/
Fixação Interna de Fraturas
/
Imobilização
Tipo de estudo:
Diagnostic_studies
/
Etiology_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Adult
/
Aged
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
Bull Hosp Jt Dis
Ano de publicação:
2002
Tipo de documento:
Article
País de afiliação:
Estados Unidos