Recovery following fractures of the clavicle treated conservatively

Stanley, David; Norris, S. H.

doi:10.1016/0020-1383(88)90006-x

Cited by 96 publications

(55 citation statements)

References 5 publications

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“…[9] The non union rate in mid-shaft clavicle fractures is less than 1%. [12,13] In contrast recent studies point at a non-union rate of 15% with patient outcomes turning out to be highly unsatisfactory (32%) as compared to studies like Altamimi et al [14] and Hill eta al. [15] Neer [16] and Rowe [17] reported non union in less than 0.5% in their huge series with 2235 and 566 patients respectively.…”

Section: Discussionmentioning

confidence: 60%

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Non-union Clavicular Fractures Treated With Anatomical Locking Plate

Kohli¹,

Vishwakarma²,

Chauhan³

et al. 2017

AIMDR

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Variations in the arterial pattern of the upper limb are very common as observed in many cadaveric and angiographic studies. Knowledge of variations in the origin and course of the radial artery is important because they are used for many diagnostic procedures as well as vascular and reconstructive surgeries like coronary angiography, percutaneous coronary intervention and coronary artery bypass surgery. During routine dissection in our institute, we observed a case of high origin of the radial artery in a 33 year old male cadaver. It was found to be unilateral; on left side, radial artery was taking origin from 3 rd part of the axillary artery at the lower border of pectoralis minor before the origin of subscapular artery and anterior circumflex humeral artery. It had a superficial course in the arm crossing the median nerve from medial to lateral side. The further course of this superficial radial artery in the forearm was normal and it terminated by forming a deep Palmar arch in hand. These variations may be of great clinical implications for vascular and plastic surgeons and radiologists. Superficial course of radial artery makes it vulnerable to accidental injuries.

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Section: Discussionmentioning

confidence: 60%

“…[5,9] The non union rate in mid-shaft clavicle fractures is less than 1%. [12,13] Traditionally these fractures have been treated non-operatively, even when displaced. [6,7] The fractures often go into malunion and shortening which can affect the shoulder function significantly.…”

Section: Introductionmentioning

confidence: 99%

Non-union Clavicular Fractures Treated With Anatomical Locking Plate

Kohli¹,

Vishwakarma²,

Chauhan³

et al. 2017

AIMDR

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“…Zlowodzkiet al, 17 in a meta-analysis of literature found that the nonunion rate of clavicles treated non-operatively was 15.1%, much higher than that was described earlier by Neer (0.1%). Stanley and Norris 18 stated that 33% of patients treated conservatively had symptoms 3 months after fracture.…”

Section: Discussionmentioning

confidence: 73%

Operative Tr Eatment of Clavicular Fractures: A Prospective Study

Reddy¹,

Reddy²,

Reddy³

et al. 2015

jemds

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BACKGROUND:Fractures of clavicle constitute one of the commonest fractures in orthopaedic practice and till recently most of these fractures were treated conservatively. The advent of various implants for the fixation of these fractures along with safe surgical practices made the surgery more widely accepted and the definite indications for open reduction and internal fixation were formulated. MATERIAL & METHODS: In this prospective study, conducted in the department of orthopedics and Traumatology of Osmania General Hospital, Hyderabad, 4o patients who were operated for fracture clavicle were included. The study period was from September 2012 to September 2014. CONCLUSIONS: Operative treatment of fracture clavicle offers a definitive method of treatment in some specific instances. It reduces the time of union, stiffness of the adjoining joints and morbidity. KEYWORDS: Fracture clavicle, Operative fixation of clavicle, Plate synthesis for clavicle. INTRODUCTION:Clavicle is the bony link from thorax to shoulder girdle and contributes to movements at shoulder girdle. Clavicle fracture is a common traumatic injury around shoulder girdle due to their subcutaneous position. It is caused by either low-energy or high-energy impact. Fracture of the clavicle accounts for approximately 2.6% to 5% of all fractures and up to 35% of injuries to the shoulder girdle. About 70% to 80% of these fractures are in the middle third of the bone and less often in the lateral third (12% to 15%) and medial third (5% to 8%). 1,2 Fractures of the clavicle have been traditionally treated non-operatively. Although many methods of closed reduction have been described, it is recognized that reduction is practically impossible to maintain and a certain amount of deformity and disability is expected in adults. More recent data based on detailed classification of fractures, suggest that the incidence of nonunion in displaced comminuted clavicular fractures in adults is between 10 and 15%. All fractures with initial shortening of >2cm resulted in nonunion. 3,4 Several studies have examined the safety and efficacy of primary open reduction and internal fixation for completely displaced fractures clavicle and noted high union rate with a low complication rate. There are various methods for treating clavicle mid shaft fractures such as pre contoured clavicular locking plates, reconstruction plates, dynamic compression plates, intramedullary nails etc. 5 For lateral third clavicular fracture operative treatments include transacromial Kirschner wire, cancellous compression screw and coracocalvicular screw. AO/ASIF group has recommended the use of tension band wire construct for fixation of displaced lateral third clavicle fracture.The purpose of this study is to gain experience with the surgical management of fresh displaced, comminuted middle third clavicle fractures with plate and screws and Kirschner wires with tension band construct for displaced lateral third clavicle fractures.

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“…[4][5][6][7][8][9][10][11][12][13] Conventionally, most acute-displaced mid shaft fractures were treated conservatively with the expectations of union, good function and patient satisfaction, as even with non-union not restrict function was acceptable to most of patients especially of old age group. [14][15][16][17] However conservative treatment once popular is not favourable as for young active patients with displaced fractures. Whereas operative treatment has shown better results.…”

Section: Introductionmentioning

confidence: 99%

Conservative Versus Operative Treatment of Displaced Mid Shaft Clavicle Fracture- A Two Years Randomized Controlled Study

Kumar¹,

Gulati²

2018

jebmh

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BACKGROUNDClavicle fractures were considered non-troubling entity in the past. Majority of mid shaft fractures used to be treated conservatively and many studies reported relatively good results. However, more recent studies have reported poor results following conservative treatment regarding non-union, disabilities and cosmetic reasons. Surgeons in the past use to fix clavicle fractures with pins, simple plates and external fixators having high failure rates. Whereas the results of operative treatment improved considerably with introduction of better implants and awareness regarding disability specially among young people and sports persons. The aim of this study was to compare results of closed versus operative treatment.

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Recovery following fractures of the clavicle treated conservatively

Cited by 96 publications

References 5 publications

Non-union Clavicular Fractures Treated With Anatomical Locking Plate

Non-union Clavicular Fractures Treated With Anatomical Locking Plate

Operative Tr Eatment of Clavicular Fractures: A Prospective Study

Conservative Versus Operative Treatment of Displaced Mid Shaft Clavicle Fracture- A Two Years Randomized Controlled Study

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