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Radiographic and Clinical Outcomes of Non-Operative Treatment for Patients with Non-Union of Fractures of the Mid-Shaft of the Clavicle in Adults
DC Field | Value | Language |
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dc.contributor.author | Hwang, Ji Sup | - |
dc.contributor.author | Kim, Min Bom | - |
dc.contributor.author | Lee, Young Ho | - |
dc.date.accessioned | 2022-04-12T04:34:36Z | - |
dc.date.available | 2022-04-12T04:34:36Z | - |
dc.date.created | 2022-03-31 | - |
dc.date.issued | 2022-02 | - |
dc.identifier.citation | JOURNAL OF HAND SURGERY-ASIAN-PACIFIC VOLUME, Vol.27 No.01, pp.68-75 | - |
dc.identifier.issn | 2424-8355 | - |
dc.identifier.uri | https://hdl.handle.net/10371/177991 | - |
dc.description.abstract | Background: Non-unions of clavicle fracture after conservative treatment have been treated surgically, but carry a risk of complications. The aim of this study is to report the outcomes of non-operative treatment for patients with non-union of fractures of the mid-shaft of the clavicle following initial conservative treatment. Methods: This is a retrospective study done at a single centre. Subjects with non-union after conservative treatment of clavicle mid-shaft fractures between March 2004 and February 2019 were included in this study. The exclusion criteria included follow-up period <1 year after the diagnosis of non-union and concomitant upper extremity injury. Final radiographs were assessed for fracture healing, vertical displacement, and shortening. Visual analog scale (VAS) pain scores, shoulder range of motion (ROM) and self-rated outcomes were obtained. Results: Fourteen patients (five females) with an average age of 58 (range, 29-76) years and a mean follow-up duration of 4.0 (range, 1.5-10.2) years were included in the study. The average vertical fracture displacement was 188.7 (range, 95.4-301.4) percent and the average shortening was 13.2 (range, 2.7-16.9) percent. The average VAS pain score was 0.21 (range, 0-2) points. There was no significant difference in the ROM between the injured and uninjured shoulder (p= 0.715 for forward flexion, 0.070 for abduction and 0.714 for external rotation) and the Constant shoulder score (p = 0.190). Thirteen of the 14 patients were satisfied with the treatment, and 12 returned to their pre-injury level of sports participation. Conclusions: Non-operative treatment resulted in a favourable outcome for patients with non-union of clavicle fracture after conservative treatment. Self-rated outcome score was excellent, regardless of the presence of radiographic abnormalities. | - |
dc.language | 영어 | - |
dc.publisher | 5 TOH TUCK LINK, SINGAPORE, SINGAPORE, 596224 | - |
dc.title | Radiographic and Clinical Outcomes of Non-Operative Treatment for Patients with Non-Union of Fractures of the Mid-Shaft of the Clavicle in Adults | - |
dc.type | Article | - |
dc.identifier.doi | 10.1142/S2424835522500205 | - |
dc.citation.journaltitle | JOURNAL OF HAND SURGERY-ASIAN-PACIFIC VOLUME | - |
dc.identifier.wosid | 000765329800010 | - |
dc.identifier.scopusid | 2-s2.0-85125883375 | - |
dc.citation.endpage | 75 | - |
dc.citation.number | 01 | - |
dc.citation.startpage | 68 | - |
dc.citation.volume | 27 | - |
dc.description.isOpenAccess | N | - |
dc.contributor.affiliatedAuthor | Lee, Young Ho | - |
dc.type.docType | Article | - |
dc.description.journalClass | 1 | - |
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