Long-term conservative treatment outcomes for midshaft clavicle fractures: a 10-to-30-year follow-up
Abstract Background Few reports exist on the long-term outcomes of midshaft clavicle fracture conservative treatments. Therefore, this study investigated the long-term outcome of this treatment in patients with midshaft clavicle fractures. Methods Patients were treated conservatively for midshaft cl...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-12-01
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| Series: | Journal of Orthopaedic Surgery and Research |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13018-023-04450-9 |
| _version_ | 1797388182332899328 |
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| author | Yuki Matsubara Yoshihiro Nakamura Yoshiaki Sasashige Shin Yokoya Nobuo Adachi |
| author_facet | Yuki Matsubara Yoshihiro Nakamura Yoshiaki Sasashige Shin Yokoya Nobuo Adachi |
| author_sort | Yuki Matsubara |
| collection | DOAJ |
| description | Abstract Background Few reports exist on the long-term outcomes of midshaft clavicle fracture conservative treatments. Therefore, this study investigated the long-term outcome of this treatment in patients with midshaft clavicle fractures. Methods Patients were treated conservatively for midshaft clavicle fractures with a figure-of-eight bandage between 10 and 30 years ago. Subsequently, a telephone survey was used to follow-up these patients, and 38 were successfully evaluated. The mean term after trauma was 17.0 years. Afterward, the American Shoulder and Elbow Surgeons Shoulder (ASES) score and Shoulder pain and disability index (SPADI) on the affected and unaffected sides were calculated based on the filled questionnaires. We defined patients whose ASES and SPADI on the affected side were worse than the unaffected side as the symptomatic group. Furthermore, plain radiographs measured proportional changes in clavicular length and displacement. Results The ASES scores of the affected side were significantly lower than those of the unaffected side, and the SPADI of the affected side was significantly higher than that of the unaffected side. Furthermore, the symptomatic group's proportional changes in clavicular length and displacement were significantly larger than the asymptomatic group. Conclusion The affected shoulder side was more symptomatic than the unaffected side 10 to 30 years after the trauma when midshaft clavicle fractures were treated conservatively. Moreover, several patients became symptomatic for fractures with a larger proportional change in clavicular length or displacement. |
| first_indexed | 2024-03-08T22:36:05Z |
| format | Article |
| id | doaj.art-1721e90b976e434fb895e52c0d2b7a72 |
| institution | Directory Open Access Journal |
| issn | 1749-799X |
| language | English |
| last_indexed | 2024-03-08T22:36:05Z |
| publishDate | 2023-12-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Orthopaedic Surgery and Research |
| spelling | doaj.art-1721e90b976e434fb895e52c0d2b7a722023-12-17T12:24:45ZengBMCJournal of Orthopaedic Surgery and Research1749-799X2023-12-011811710.1186/s13018-023-04450-9Long-term conservative treatment outcomes for midshaft clavicle fractures: a 10-to-30-year follow-upYuki Matsubara0Yoshihiro Nakamura1Yoshiaki Sasashige2Shin Yokoya3Nobuo Adachi4Department of Orthopaedic Surgery, Chugoku Rosai HospitalDepartment of Orthopaedic Surgery, Chugoku Rosai HospitalDepartment of Orthopaedic Surgery, Chugoku Rosai HospitalDepartment of Orthopaedic Surgery, Hiroshima Citizens HospitalDepartment of Orthopaedic Surgery, Hiroshima UniversityAbstract Background Few reports exist on the long-term outcomes of midshaft clavicle fracture conservative treatments. Therefore, this study investigated the long-term outcome of this treatment in patients with midshaft clavicle fractures. Methods Patients were treated conservatively for midshaft clavicle fractures with a figure-of-eight bandage between 10 and 30 years ago. Subsequently, a telephone survey was used to follow-up these patients, and 38 were successfully evaluated. The mean term after trauma was 17.0 years. Afterward, the American Shoulder and Elbow Surgeons Shoulder (ASES) score and Shoulder pain and disability index (SPADI) on the affected and unaffected sides were calculated based on the filled questionnaires. We defined patients whose ASES and SPADI on the affected side were worse than the unaffected side as the symptomatic group. Furthermore, plain radiographs measured proportional changes in clavicular length and displacement. Results The ASES scores of the affected side were significantly lower than those of the unaffected side, and the SPADI of the affected side was significantly higher than that of the unaffected side. Furthermore, the symptomatic group's proportional changes in clavicular length and displacement were significantly larger than the asymptomatic group. Conclusion The affected shoulder side was more symptomatic than the unaffected side 10 to 30 years after the trauma when midshaft clavicle fractures were treated conservatively. Moreover, several patients became symptomatic for fractures with a larger proportional change in clavicular length or displacement.https://doi.org/10.1186/s13018-023-04450-9Midshaft clavicle fractureConservative treatmentLong–term outcomesFigure-of-eight bandage |
| spellingShingle | Yuki Matsubara Yoshihiro Nakamura Yoshiaki Sasashige Shin Yokoya Nobuo Adachi Long-term conservative treatment outcomes for midshaft clavicle fractures: a 10-to-30-year follow-up Journal of Orthopaedic Surgery and Research Midshaft clavicle fracture Conservative treatment Long–term outcomes Figure-of-eight bandage |
| title | Long-term conservative treatment outcomes for midshaft clavicle fractures: a 10-to-30-year follow-up |
| title_full | Long-term conservative treatment outcomes for midshaft clavicle fractures: a 10-to-30-year follow-up |
| title_fullStr | Long-term conservative treatment outcomes for midshaft clavicle fractures: a 10-to-30-year follow-up |
| title_full_unstemmed | Long-term conservative treatment outcomes for midshaft clavicle fractures: a 10-to-30-year follow-up |
| title_short | Long-term conservative treatment outcomes for midshaft clavicle fractures: a 10-to-30-year follow-up |
| title_sort | long term conservative treatment outcomes for midshaft clavicle fractures a 10 to 30 year follow up |
| topic | Midshaft clavicle fracture Conservative treatment Long–term outcomes Figure-of-eight bandage |
| url | https://doi.org/10.1186/s13018-023-04450-9 |
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