Outcomes of fractures of lateral end of clavicle using different modalities of management
Journal Title: Indian Journal of Orthopaedics Surgery - Year 2017, Vol 3, Issue 1
Abstract
Background: A fracture of lateral end of clavicle has been greatly under-rated in respect to pain and disability. The “usual or routine” treatment is perhaps far short of satisfying, relieving therapy. Aims: Aims of this retrospective study were to study various aspects of patients with fracture of lateral end of clavicle like age, occupation, mode of injuries, type of fracture, etc. Study also aims to evaluate outcome of conservative versus operative treatment of Neer’s type II lateral end clavicle fractures and ultimately to determine which treatment modality is most suitable for such fractures. Materials and Methods: Depending on fracture pattern, patients admitted for lateral end clavicle fractures, were either treated conservatively or operatively. Various surgical modalities like plate-screw fixation, K-wiring, tension band wires and coraco-clavicular screw fixation were used. Patients were assessed at admission, 3 months and 6 months post admission. Final outcome was judged in terms of union, range of movement, duration for fracture union, neurological status and ability to perform activities of daily life. The constant shoulder score was used to assess overall functional outcome. Results and Conclusions: Most of the patients were young males having high functional demands who sustained injury due to fall from height or vehicular accident. Although non union was more common in conservative group, functional outcome was acceptable. We conclude that non surgical treatment should be considered as the first line treatment in type I and III and few type II cases. Operative treatment is preferred in type II unstable fractures. Coraco-clavicular fixation turned out to be the most preferred modality of surgical management for such fractures as compared to the plate-screw construct and k-wiring with or without TBW.
Authors and Affiliations
Apoorva Vijaysinh Dodia, Purvi A. Dodia, Aparna V. Dodia Dodia, Pratik Shah
Keywords
Related Articles
- EP ID EP293242
- DOI 10.18231/2395-1362.2017.0011
- Views 99
- Downloads 0
A clinical study of displaced supracondylar fracture of humerus in children treated with closed reduction and percutaneous pinning in vims, Bellary
Supracondylar humerus fractures are the commonest type of elbow fracture in children and adolescents. Supracondylar fractures in children should be handled properly to prevent complications like Volkmann’s ischemic contr...
Role of proximal femur locking plate in management of complex proximal femoral end fractures
Introduction To study the role of proximal trochanteric contoured plate in management of complex proximal femur end fracturesMaterials and Methods A total of 30 cases 11 male and 19 female patients aged 19 to 90 years Me...
To compare outcomes in patients with diaphyseal fracture of tibia managed by intramedullary nailing with intact fibula vs fracture tibia with fibula
ntroduction: Fractures of the tibia and fibula are relatively common and have been recognized as serious and debilitating injuries for centuries. The primary aim of the study was to compare outcomes in patient with a dia...
Incidence of obstacles and complications during distraction histogenesis
The last two decades have witnessed a significant rise in high velocity trauma and violent incidents like bomb blasts and firearm injuries. This has led to increase in severely comminuted open fractures with infection, s...
Management of carpometacarpal joint dislocations of four fingers on ulnar side
Carpo-metacarpal dislocations of the fingers of ulnar side of hand are a relatively uncommon injury. They are documented largely by reports of single case or groups of small cases1 . Diagnosis of this unusual form of inj...