scholarly journals Comparative Results of External Fixation, Plating, or Nonoperative Management for Diaphyseal Clavicle Fractures

2017 ◽  
Vol 26 (5) ◽  
pp. 458-463
Author(s):  
Barış Özkul ◽  
Mehmet Selçuk Saygılı ◽  
Yaşar Mahsut Dinçel ◽  
Ilhan Avni Bayhan ◽  
Deniz Akbulut ◽  
...  
Keyword(s):  
External Fixation ◽  
Nonoperative Management ◽  
Clavicle Fractures ◽  
Comparative Results

scholarly journals Comparative effectiveness of treatment options for displaced midshaft clavicle fractures

2021 ◽  
Vol 2 (8) ◽  
pp. 646-654
Author(s):  
John R. Martin ◽  
Patrick E. Saunders ◽  
Mark Phillips ◽  
Sean M. Mitchell ◽  
Michael D. Mckee ◽  
...  
Keyword(s):  
Functional Outcomes ◽  
Nonoperative Management ◽  
Meta Analysis ◽  
Treatment Options ◽  
Nonoperative Treatment ◽  
Cochrane Library ◽  
Surgical Fixation ◽  
Clavicle Fractures ◽  
And Function ◽  
Compression Plating

Aims The aims of this network meta-analysis (NMA) were to examine nonunion rates and functional outcomes following various operative and nonoperative treatments for displaced mid-shaft clavicle fractures. Methods Initial search strategy incorporated MEDLINE, PubMed, Embase, and the Cochrane Library for relevant randomized controlled trials (RCTs). Four treatment arms were created: nonoperative (NO); intramedullary nailing (IMN); reconstruction plating (RP); and compression/pre-contoured plating (CP). A Bayesian NMA was conducted to compare all treatment options for outcomes of nonunion, malunion, and function using the Disabilities of the Arm Shoulder and Hand (DASH) and Constant-Murley Shoulder Outcome scores. Results In all, 19 RCTs consisting of 1,783 clavicle fractures were included in the NMA. All surgical options demonstrated a significantly lower odds ratio (OR) of nonunion in comparison to nonoperative management: CP versus NO (OR 0.08; 95% confidence interval (CI) 0.04 to 0.17); IMN versus NO (OR 0.07; 95% CI 0.02 to 0.19); RP versus NO (OR 0.07; 95% CI: 0.01 to 0.24). Compression plating was the only treatment to demonstrate significantly lower DASH scores relative to NO at six weeks (mean difference -10.97; 95% CI -20.69 to 1.47). Conclusion Surgical fixation demonstrated a lower risk of nonunion compared to nonoperative management. Compression plating resulted in significantly less disability early after surgery compared to nonoperative management. These results demonstrate possible early improved functional outcomes with compression plating compared to nonoperative treatment. Surgical fixation of mid-shaft clavicle fractures with compression plating may result in quicker return to activity by rendering patients less disabled early after surgery. Cite this article: Bone Jt Open 2021;2(8):646–654.

Operative Versus Nonoperative Management of Displaced Midshaft Clavicle Fractures in Pediatric and Adolescent Patients

2019 ◽  
Vol 33 (11) ◽  
pp. e439-e446 ◽  
Author(s):  
Burke Gao ◽  
Shashank Dwivedi ◽  
Shyam A. Patel ◽  
Chibuikem Nwizu ◽  
Aristides I. Cruz
Keyword(s):  
Nonoperative Management ◽  
Adolescent Patients ◽  
Clavicle Fractures

scholarly journals Conservative Management of Paediatric Clavicle Fractures

2011 ◽  
Vol 2011 ◽  
pp. 1-4 ◽  
Author(s):  
Barry J. O'Neill ◽  
Alan P. Molloy ◽  
William Curtin
Keyword(s):  
Clinical Outcome ◽  
Conservative Management ◽  
Retrospective Review ◽  
Nonoperative Management ◽  
Clinical Symptoms ◽  
Operative Management ◽  
Fractures In Children ◽  
Clavicle Fractures

Paediatric clavicle fractures have traditionally been treated nonoperatively. Recent studies have recommended operative management for displaced midshaft fractures. We conducted a retrospective review of all clavicle fractures in children aged one to sixteen over a two-year period. We classified fractures and evaluated followup and clinical outcome. We identified 190 fractures. There were 135 boys and 55 girls. 65% of fractures were displaced and 35% undisplaced. Mean radiographic and clinical followup was 35 days and 44 days, respectively. Clavicle fractures in children heal with nonoperative management. Radiographs of clavicle fractures in children are unnecessary in the absence of clinical symptoms.

scholarly journals Intermediate-Term Outcomes Following Operative and Nonoperative Management of Midshaft Clavicle Fractures in Children and Adolescents

2021 ◽  
Vol 6 (1) ◽  
pp. e20.00036-e20.00036
Author(s):  
Ishaan Swarup ◽  
Bhargavi Maheshwer ◽  
Steven Orr ◽  
Clare Kehoe ◽  
Yi Zhang ◽  
...  
Keyword(s):  
Children And Adolescents ◽  
Nonoperative Management ◽  
Fractures In Children ◽  
Clavicle Fractures

170: Nonoperative Management of Blunt Renal Trauma: Is Routine Follow-Up Imaging Necessary?

2007 ◽  
Vol 177 (4S) ◽  
pp. 57-58
Author(s):  
John B. Malcolm ◽  
Reza Mehrazin ◽  
Christopher J. DiBlasio ◽  
David D. Vance ◽  
Robert W. Wake ◽  
...  
Keyword(s):  
Nonoperative Management ◽  
Renal Trauma
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