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Journal of the Korean Shoulder and Elbow Society 1998;1(1):83-92.
Published online March 30, 1998.
Results of the Closed Treatment of Displaced Middle-Third Fractures of The Clavicle
Kwang Won Lee, Dae Hwa Song, Sang Suk Ong, Soo Guen You, Won Sik Choy
Department of Orthopaedic Surgery, Eul-Ji Medical College
전위된 쇄골간부 골절에서 보존적 치료의 결과
이광원, 송대화, 옹상석, 유수근, 최원식
을지의과대학 정형외과학교실
Abstract
Fractures of the clavicles are extremely common, accounting for 5 to 10% of all injuries in the adult skeletal trauma. Despite this, nonunions and symptomatic malunions after clavicular fracture are uncommon. When these complications occur, however, they may be associated with 11 pattern of disability that includes not only pain but also impairment of upper extremity function. The purpose of this study was to clarify the outcome of clavicular fractures treated by conservatively, and emphasize treatment and factors that possibly predispose a clavicular fracture to poor function or nonunion. We evaluated 9] consecutive fractures of the middle-third of the clavicle in adults which had been treated conservatively. There were 59 males and 33 females ranging in age from 17 to 80 years (average 36.8 years). Nine of the 91 fractures (10%) had developed nonunion, and 4 fractures (4.4%) reported unsatisfactory results. No patients had significant impairment of range of motion or strength as a result of the injury. We found that initial shortening at the fracture of≥20mm(6 cases) had a highly significantly association with nonunion(P<0.0001). Final shortening of 20mm or more (4 cases) was associated with an unsatisfactory result, but not with nonunion(P<0.0001). Our results have led us to recommend the open reduction and internal fixation of severely displaced fractures of the middle third of the clavicle in adults patients.
Key Words: Closed treatment; Fractures of the clavicle; Nonunion; Shortening


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