DO THE CHANGES OF SCAPULOTHORACIC ANGLE AFFECT WINGED SCAPULA DEVELOPMENT AND FUNCTIONAL SCORES DURING CLAVICLE FRACTURE TREATMENT?

Autor:	Koç MR; El Cerrahisi Kliniği, Tepecik Eğitim ve Araştırma Hastanesi, İzmir, Türkiye.; Clinic of Hand Surgery, Tepecik Training and Research Hospital, İzmir, Turkey., Korucu İH; Ortopedi ve Travmatoloji Kliniği, Tıp Fakültesi, Necmettin Erbakan Üniversitesi, Konya, Türkiye.; Orthopedics and Traumatology Clinic, Meram Faculty of Medicine, Necmettin Erbakan University, Konya, Turkey., Yucens M; Ortopedi ve Travmatoloji Kliniği, Pamukkale Üniversitesi Tıp Fakültesi, Denizli,Türkiye.; Orthopedics and Traumatology Clinic, Pamukkale University Faculty of Medicine, Denizli, Turkey., Yörükoğlu AÇ; Ortopedi ve Travmatoloji Kliniği, Pamukkale Üniversitesi Tıp Fakültesi, Denizli,Türkiye.; Orthopedics and Traumatology Clinic, Pamukkale University Faculty of Medicine, Denizli, Turkey., Sallı A; Tedavi ve Rehabilitasyon, Fuar Hastanesi, Afyon, Türkiye.; Physiotherapy and Rehabilitation, Fuar Hospital, Afyon, Turkey., Yalçın Ş; Fizik Tedavi ve Rehabilitsyon, Pendik Medipol Üniversitesi Hastanesi, İstanbul,Türkiye.; Physical Therapy and Rehabilitation, Pendik Medipol University Hospital, Istanbul,Turkey., Pekince O; Ortopedi ve Travmatoloji Kliniği, Konya Şehir Hastanesi, Konya, Türkiye.; Orthopedics and Traumatology Clinic, Konya City Hospital, Konya, Turkey., Özer M; Ortopedi ve Travmatoloji Kliniği, Tıp Fakültesi, Necmettin Erbakan Üniversitesi, Konya, Türkiye.; Orthopedics and Traumatology Clinic, Meram Faculty of Medicine, Necmettin Erbakan University, Konya, Turkey.
Jazyk:	angličtina
Zdroj:	Acta ortopedica brasileira [Acta Ortop Bras] 2022 May 23; Vol. 30 (spe1), pp. e247742. Date of Electronic Publication: 2022 May 23 (Print Publication: 2022).
DOI:	10.1590/1413-785220223001e247742
Abstrakt:	Introduction: To compare surgical and conservative management of midshaft clavicle fractures according with scapulothoracic joint angle change, considering clinical, functional, and radiological outcomes. Methods: A total of 95 midshaft clavicle fracture patients aged between 18-70 years with a minimum follow-up duration of 12 months were included in this study. Patients were treated either conservatively (Group I) or surgically (Group 2). Plane deformities, scapulothoracic joint angle, shortness and isokinetic muscle strength were measured. Shoulder Pain, Disability Index (SPADI) and Short Form-36 (SF36) were assessed. Results: Scapulothoracic joint angles were higher in the conservative treatment group than in surgery group (p=0.036). Consequently, winged scapula was seen more commonly in the conservative treatment group than in the surgery group (p=0.001). Surgical treatment was associated with significantly better SF-36 physical scores and with SPADI pain and disability scores. However, the two groups did not differ in terms of isokinetic muscle strength. Negative anteroposterior plane deformity (p<0.001) and negative axial plane deformity (p=0.004) were more frequent in the conservative treatment group. Clavicle shortness was more common in the conservative treatment group. Conclusion: According to our findings scapulothoracic joint angle changes were seen in the conservative treatment group more than in the surgery group. Consequently, winged scapula was seen more commonly in the conservative treatment group than in the surgery group (p=0.001). Level of Evidence III; Retrospective comparative study . Competing Interests: All authors declare no potential conflict of interest related to this article.
Databáze:	MEDLINE
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