Dataset Information

Long-term follow-up of conservatively treated midshaft clavicular fractures on functional outcome.

ABSTRACT: Background:The aim of this study was to examine the long-term effect of shortening after a midshaft clavicular fracture on strength deficiency in the shoulder. Method:This study included 18 participants (14 males, 4 females) with a conservatively treated midshaft clavicular fracture. Mean age was 52.2?±?13.8 years, range 32-76 years). The mean follow-up time was 13.5?±?0.4 years. Participants filled in a QUICKDASH questionnaire and both clavicle lengths were measured using a caliper. The isometric strengths in internal rotation, external rotation and abduction of both arms were measured with a handheld dynamometer. Results:Average shortening of the clavicle in this group was 1.09?cm (SD 0.53). Nearly all strength measurements showed no significant difference between the shortened and the unaffected side. Multiple regression revealed a small (3N per mm length difference) but statistically significant relationship on external rotation between the relative extent of shortening of the clavicle, dominant side of the fracture and the isometric force difference between the unaffected and affected arm, F(2,15)?=?5.746, p?

SUBMITTER: Hillen RJ

PROVIDER: S-EPMC7068017 | biostudies-literature | 2020 Mar-Apr

REPOSITORIES: biostudies-literature

ACCESS DATA

Publications

Long-term follow-up of conservatively treated midshaft clavicular fractures on functional outcome.

Hillen Robert J RJ Schraa Erik Rgw ER van Essen Tom T Burger Bart J BJ Veeger Dirk-Jan Hej DH

Journal of orthopaedics 20190911

<h4>Background</h4>The aim of this study was to examine the long-term effect of shortening after a midshaft clavicular fracture on strength deficiency in the shoulder.<h4>Method</h4>This study included 18 participants (14 males, 4 females) with a conservatively treated midshaft clavicular fracture. Mean age was 52.2 ± 13.8 years, range 32-76 years). The mean follow-up time was 13.5 ± 0.4 years. Participants filled in a QUICKDASH questionnaire and both clavicle lengths were measured using a calip ...[more]

PMID: 32189889

Similar Datasets

Project description:ObjectivesTo evaluate the long-term efficacy of cannulated internal fixation in patients who sustain femoral neck fracture (FNF) and risk factors influencing the outcomes.MethodsThis retrospective study analyzed data from 73 elderly patients aged ?60?years old, hospitalized for FNF and treated with cannulated internal fixation between August 2008 and July 2016. The inclusion criteria were: (i) patients aged ?60?years; (ii) patients with recent femoral neck fracture, with times of injury ranging from 12-72?h; and (iii) patients who underwent Garden II-IV closed reduction and internal fixation. Patients were classified based on the Garden fracture type and Pauwels angle. Clinical data and radiographs before and after the surgery were collected. Subsequently, surgery was performed with the patient in supine position, under general or lumbar epidural anesthesia. Closed reduction was performed until satisfactory fracture reduction quality was achieved. The weight of all included patients were?<75?kg, and thus, minimal internal fixation was performed. The ischemic necrosis of the femoral head was diagnosed by considering the symptoms, signs, and radiological findings. Harris hip scores were used to evaluate postoperative recovery of hip function. Furthermore, relationships between Garden fracture type and necrosis rate of the femoral head, Pauwels angle and necrosis rate of the femoral head, Garden fracture type and Harris hip score, and age and Harris hip score were analyzed.ResultsThe mean duration of surgery was 1?±?0.17?h and blood loss for all the patients was approximately 15?mL. The included patients were followed up for 13-128?months, with an average follow-up of 61?months. Among the included 73 patients, 65 (89.0%) exhibited satisfactory union, seven (9.6%) had femoral head necrosis, and one (1.4%) had nonunion. For seven patients with femoral head necrosis, there were two, two, and three patients classified as Garden IV, Garden III, and Garden II, respectively, and two and five patients classified as Pauwels II and Pauwels III, respectively. Among the seven cases, four underwent hip replacement. Garden fracture type was not significantly associated with femoral head necrosis (?2 = 0.44, P?>?0.05) or Harris score (?2 = 1.43, P?>?0.05). Patients with Pauwels I (0%) and II (4.3%) fractures exhibited a significantly lower necrosis rate than those with Pauwels III fractures (41.7%) (P?<?0.05).ConclusionsCannulated internal fixation was more suitable for older Chinese patients with Pauwels I/II fractures than those with Pauwels III fractures.

Dataset Information

Long-term follow-up of conservatively treated midshaft clavicular fractures on functional outcome.

Publications

Long-term follow-up of conservatively treated midshaft clavicular fractures on functional outcome.

Similar Datasets

OmicsDI is part of the ELIXIR infrastructure