The incidence of medial end clavicle fractures is higher than had previously been considered.

Autor: Al-Hadithy, Nawfal, Khokher, Zakir H, Kang, Niel, Rensburg, Lee Van, Tytherleigh-Strong, Graham
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Zdroj: Shoulder & Elbow; Dec2021, Vol. 13 Issue 6, p600-604, 5p
Abstrakt: Background: Previous X-ray epidemiological studies have estimated the incidence of medial end clavicle fractures to account for 2–3% of all clavicle fractures. Materials and methods: At our institution X-rays of every patient attending the Emergency Department are reviewed at a Virtual Fracture Clinic by a Consultant Orthopaedic Surgeon. Patients with a fracture are referred to the Shoulder and Elbow Fracture Clinic. Patients without a fracture are contacted and, if there are on-going concerns, are referred to the Shoulder and Elbow Fracture Clinic. Over an 18-month period we identified every patient that attended our Emergency Department that had sustained a clavicle fracture. Results: In total 558 clavicle fractures were identified (139 (24.9%) – lateral, 360 (64.5%) – middle, 59 (10.6%) – medial). Of the 59 medial end fractures, 31 (52.5%) were identified on presentation at the Emergency Department, 13 (22%) at the Virtual Fracture Clinic, 6 (10.2%) on computed tomography scan at the Shoulder and Elbow Fracture Clinic and 9 (15.3%) were admitted directly to the trauma unit. Conclusion: The results of this study suggest that the incidence of medial end clavicle fractures in the general population is higher than had previously been considered. Level of evidence: IV [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index