Correlation of the degree of clavicle shortening after non-surgical treatment of midshaft fractures with upper limb function
| Autor: | Artur Yudi Utino, Nicola Archetti Netto, Fabio Teruo Matsunaga, Marcel Jun Sugawara Tamaoki, Marcelo Hide Matsumoto, Gustavo Santiago de Lima Figueiredo, Bruno Dragone |
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| Jazyk: | angličtina |
| Rok vydání: | 2015 |
| Předmět: |
Adult
Male medicine.medical_specialty Time Factors Sports medicine Adolescent Visual analogue scale Bone healing Disability Evaluation Fractures Bone Young Adult Rheumatology Dash medicine Humans Orthopedics and Sports Medicine Pain Measurement Fracture Healing Arm Injuries business.industry DASH Recovery of Function Middle Aged Clavicle Bandages Surgery Biomechanical Phenomena Shortening Radiography medicine.anatomical_structure Fracture Treatment Outcome Orthopedic surgery Upper limb Female business Bandage Conservative treatment Brazil Research Article |
| Zdroj: | BMC Musculoskeletal Disorders |
| ISSN: | 1471-2474 |
| Popis: | Despite the use of non-surgical methods to treat for the majority of midshaft fractures of the clavicle, it is remains controversial whether shortening of this bone following non-surgical treatment of a middle third fracture affects upper limb function. We conducted a cohort study by sequentially recruiting 59 patients with a fracture of the middle third of the clavicle. All patients were treated nonsurgically with a figure-of-eight bandage until clinical and radiological findings indicated healing of the fracture. Functional outcome was assessed using the Disability of Arm, Hand and Shoulder (DASH) score revalidated for the Portuguese language, other outcomes assessed included: pain measured by visual analogue scale (VAS); radiographies to measure the degree of shortening, fracture consolidation and fracture malunion. Information were also collected regarding the mechanism of injury, patient’s daily activities level and epidemiological features of the patient cohort. The results of our findings are expressed as the comparison of the functional outcome with the degree of shortening. Patients were assessed six weeks and one year after injury. In the first evaluation, the mean DASH score was 28.84 and pain measured by VAS was 2.57. In the second evaluation (one year after injury) the mean DASH score was 8.18 and pain was 0.84. The mean clavicle shortening was 0.92 cm, ranging from 0 to 3 cm (SD = 0.64). There were no correlation between the degree of shortening and DASH score after six weeks and one year (p = 0.073 and 0.706, respectively). When only patients with of shortening greater than 2 cm were assessed for correlation, the result did not change. We conclude that clavicle shortening after nonsurgical treatment with a figure-of-eight bandage does not affect limb function, even when shortening exceeds 2 cm. ISRCTN85206617 . Registered 12 May 2014 |
| Databáze: | OpenAIRE |
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