Document Detail


The functional outcome of the fractured clavicle.
MedLine Citation:
PMID:  19340436     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: The severity of symptoms, rate and completeness of recovery after closed treatment of the fractured clavicle has not been fully explored. METHODS: The severity and duration of pain, analgesic requirements, ability to perform daily activities, return to work, driving and sport along with appearance of the shoulder were recorded in 56 patients between 1 and 2 years after fracture. Radiographs were assessed by Robinson's classification [8]. RESULTS: Twenty-two out of 56 patients described functional restriction 1-2 years after injury. The majority of patients ceased to experience pain (34/56) and returned to work (19/46) within 3 months. Thirty-eight out of 56 patients noted cosmetic deformity, the severity of which was associated with worse functional outcome (p = 0.002). The degree of fracture displacement was associated with cosmetic deformity (p = 0.02) and functional outcome (p = 0.015). CONCLUSION: The majority of patients perceive a cosmetic deformity and 22/56 impaired function after clavicular fracture.
Authors:
Danielle Davies; Aisling Longworth; Rouin Amirfeyz; Rebecca Fox; Gordon Bannister
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Publication Detail:
Type:  Journal Article     Date:  2009-04-02
Journal Detail:
Title:  Archives of orthopaedic and trauma surgery     Volume:  129     ISSN:  1434-3916     ISO Abbreviation:  Arch Orthop Trauma Surg     Publication Date:  2009 Nov 
Date Detail:
Created Date:  2009-10-02     Completed Date:  2010-01-26     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9011043     Medline TA:  Arch Orthop Trauma Surg     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  1557-64     Citation Subset:  IM    
Affiliation:
Orthopaedic Department, Avon Orthopaedic Centre, University of Bristol, North Bristol, UK.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Chi-Square Distribution
Clavicle / injuries*
Esthetics
Female
Fracture Fixation / methods
Fractures, Bone / physiopathology,  therapy*
Humans
Injury Severity Score
Male
Middle Aged
Questionnaires
Recovery of Function
Retrospective Studies
Statistics, Nonparametric
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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