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Functional outcomes of conservatively treated clavicle fractures
Bajuri, Mohd Yazid; Maidin, S; Rauf, A; Baharuddin, M; Harjeet, S.
Affiliation
  • Bajuri, Mohd Yazid; Universiti Kebangsaan Malaysia Medical. Faculty of Medicine. Department of Orthopaedics and Traumatology. MY
  • Maidin, S; Universiti Kebangsaan Malaysia Medical. Faculty of Medicine. Department of Orthopaedics and Traumatology. MY
  • Rauf, A; Tuanku Ja'afar General Hospital. Department of Orthopaedics. Seremban. MY
  • Baharuddin, M; International Medical University. Pantai Medical Centre Batu Pahat. Seremban. MY
  • Harjeet, S; Tuanku Ja'afar General Hospital. Department of Orthopaedics. Seremban. MY
Clinics ; Clinics;66(4): 635-639, 2011. graf
Article ي En | LILACS | ID: lil-588916
المكتبة المسؤولة: BR1.1
ABSTRACT

OBJECTIVE:

The main aim of the study was to analyze the outcomes of clavicle fractures in adults treated non-surgically and to evaluate the clinical effects of displacement, fracture patterns, fracture location, fracture comminution, shortening and fracture union on shoulder function.

METHODS:

Seventy clavicle fractures were non-surgically treated in the Orthopedics Department at the Tuanku Ja'afar General Hospital, a tertiary care hospital in Seremban, Malaysia, an average of six months after injury. The clavicle fractures were treated conservatively with an arm sling and a figure-eight splint for three weeks. No attempt was made to reduce displaced fractures, and the patients were allowed immediate free-shoulder mobilization, as tolerated. They were prospectively evaluated clinically and radiographically. Shoulder function was evaluated using the Constant scoring technique.

RESULTS:

There were statistically significant functional outcome impairments in non-surgically treated clavicle fractures that correlated with the fracture type (comminution), the fracture displacement (21 mm or more), shortening (15 mm or more) and the fracture union (malunion).

CONCLUSION:

This article reveals the need for surgical intervention to treat clavicle fractures and improve shoulder functional outcomes.
الموضوعات
Key words

النص الكامل: 1 الفهرس: LILACS الموضوع الرئيسي: Orthotic Devices / Shoulder / Range of Motion, Articular / Clavicle / Fractures, Malunited / Fractures, Comminuted نوع الدراسة: Observational_studies المحددات: Adult / Humans البلد/الأقليم حسب الموضوع: Asia اللغة: En مجلة: Clinics موضوع المجلة: MEDICINA السنة: 2011 نوع: Article

النص الكامل: 1 الفهرس: LILACS الموضوع الرئيسي: Orthotic Devices / Shoulder / Range of Motion, Articular / Clavicle / Fractures, Malunited / Fractures, Comminuted نوع الدراسة: Observational_studies المحددات: Adult / Humans البلد/الأقليم حسب الموضوع: Asia اللغة: En مجلة: Clinics موضوع المجلة: MEDICINA السنة: 2011 نوع: Article