A comparative study of functional outcome of clavicular fractures treated by operative and non-operative methods

Journal Title: International Journal of Orthopaedics Sciences - Year 2017, Vol 3, Issue 1

Abstract

Clavicular fracture is one of the most common injuries of the skeleton, representing 3% to 5% of all fractures and 45% of shoulder injuries. Midshaft fractures have traditionally been treated non-operatively. Prevalence of non-union or mal-union in displaced midshaft clavicular fractures after conservative treatment is higher than previously presumed and fixation methods have evolved. Surgery is accepted as primary treatment for displaced midshaft clavicular fractures. Majority of the cases were due to RTA 29 cases and 11 cases were due to fall. The mean time of fracture healing was shorter in the operative group (15.1 weeks) than non operative group (20 weeks). The difference is statistically highly significant (P<0.001). There was no non union in the operative group and 15% non-union in the non-operative group. A significant difference between the two groups in terms of DASH and Constant Shoulder Scores after the six months follow up was not found. Operative fixation of the clavicle fractures results in improved function, shorter time for union and early return to activity compared with non-operative treatment. Primary operative intervention in clavicle fracture in active adults may be of immense importance.

Authors and Affiliations

Dr. Channappa TS, Dr. Radhakrishna AM, Dr. Sumanth B, Dr. Shivakumar HB

Keywords

Related Articles

Rehabilitation of femoral afibular amelia: A case report

Congenital limb defects are fetal anomalies with birth. Amelia is extremely rare birth defect marked by the complete absence of or more limbs. Congenital limb defects are rare fetal anomalies with a birth prevalence of 0...

Functional evaluation of comminuted inferior pole patella treated by excision of comminuted fragment and trans-osseous fixation of patellar tendon using non- absorbable suture

Inferior pole fracture accounts for only 20% of surgically treated patellar fractures. The treatment option for inferior pole patella fracture is still being debated. In our study we treated comminuted inferior pole pate...

Percutaneous tenotomy of the Achilles tendon using a 16 gauge needle in the management of clubfoot

Objective: To clinically evaluate, the effectiveness of percutaneous tenotomy of Achilles tendon using a 16 gauge needle in clubfoot treatment by ponseti technique. Material and methods: Forty five affected foot were pro...

Sacroiliac screw fixation for pelvic ring fractures: A cross sectional study

Pelvic ring fractures are the most difficult to treat fractures in adults, with the increase in prevalence of road traffic accidents, the number of pelvic fractures is increasing over the period of time. The mortality in...

Evaluation of extensor tendon repair of hand

Extensor tendon injury is one common hand injury occurring in young individuals. Extensor tendons are superficially located with minimal amount of subcutaneous tissue that predisposes the extensor mechanism to more compl...

Download PDF file
  • EP ID EP500296
  • DOI 10.22271/ortho.2017.v3.i1h.74
  • Views 134
  • Downloads 0

How To Cite

Dr. Channappa TS, Dr. Radhakrishna AM, Dr. Sumanth B, Dr. Shivakumar HB (2017). A comparative study of functional outcome of clavicular fractures treated by operative and non-operative methods. International Journal of Orthopaedics Sciences, 3(1), 509-514. https://europub.co.uk./articles/-A-500296