$Outcome of distal clavicular fracture treated conservatively$

Outcome of distal clavicular fracture treated conservatively

Distal clavicle fractures account for 10 to 15% of all clavicle fractures. Traditional management of displaced distal clavicle fractures has been with internal fixation. Several authors have reported higher rates of non-union and poor outcome in conservatively managed fractures. However, long term f...

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Main Authors:	Abot, Muhammad Syukree, Mohd Yusof, Nazri
Format:	Book
Language:	English
Published:	IIUM Press, International Islamic University Malaysia 2017
Subjects:	RD701 Orthopedics
Online Access:	http://irep.iium.edu.my/62874/ http://irep.iium.edu.my/62874/1/62874_Outcome%20of%20distal%20clavicular%20fracture%20treated%20conservatively.pdf

id	iium-62874
recordtype	eprints
spelling	iium-628742019-11-08T02:10:21Z http://irep.iium.edu.my/62874/ Outcome of distal clavicular fracture treated conservatively Abot, Muhammad Syukree Mohd Yusof, Nazri RD701 Orthopedics Distal clavicle fractures account for 10 to 15% of all clavicle fractures. Traditional management of displaced distal clavicle fractures has been with internal fixation. Several authors have reported higher rates of non-union and poor outcome in conservatively managed fractures. However, long term follow up of non-operated distal clavicle fractures has shown comparable functional outcomes to those managed with internal fixation. This is a cross sectional study of forty one patient with closed fracture distal of clavicle evaluating the functional and clinical outcome of patient following fracture of distal clavicle treated conservatively who has completed six month of treatment in Hospital Sultan Ismail, Johor Bahru. The patient self-evaluation outcome was determined by the presence of one or more affirmative answers on the Simple Shoulder Test. The functional outcome was assessed based on shoulder abduction strength, range of motion of shoulder. This functional outcome was measure using Constant Score consisting of four variables that assess shoulder function, based on the guidelines of the European Society for Shoulder and Elbow Surgery (ESSES). This study showed that distal clavicle fracture treated conservatively has an overall fair functional outcome with mean value of 67.98. Patient with non-union has more pain and has lower level of comfortable hand function. Poorer functional score were observed in patient with tenderness at fracture site after treatment regardless of union or non-union. Patient age, type of fracture and involvement of either dominant or non-dominant limb has no correlation toward the functional outcome. IIUM Press, International Islamic University Malaysia 2017 Book PeerReviewed application/pdf en http://irep.iium.edu.my/62874/1/62874_Outcome%20of%20distal%20clavicular%20fracture%20treated%20conservatively.pdf Abot, Muhammad Syukree and Mohd Yusof, Nazri (2017) Outcome of distal clavicular fracture treated conservatively. IIUM Press, International Islamic University Malaysia, Kuala Lumpur, Malaysia. ISBN 978-967-418-722-4
repository_type	Digital Repository
institution_category	Local University
institution	International Islamic University Malaysia
building	IIUM Repository
collection	Online Access
language	English
topic	RD701 Orthopedics
spellingShingle	RD701 Orthopedics Abot, Muhammad Syukree Mohd Yusof, Nazri Outcome of distal clavicular fracture treated conservatively
description	Distal clavicle fractures account for 10 to 15% of all clavicle fractures. Traditional management of displaced distal clavicle fractures has been with internal fixation. Several authors have reported higher rates of non-union and poor outcome in conservatively managed fractures. However, long term follow up of non-operated distal clavicle fractures has shown comparable functional outcomes to those managed with internal fixation. This is a cross sectional study of forty one patient with closed fracture distal of clavicle evaluating the functional and clinical outcome of patient following fracture of distal clavicle treated conservatively who has completed six month of treatment in Hospital Sultan Ismail, Johor Bahru. The patient self-evaluation outcome was determined by the presence of one or more affirmative answers on the Simple Shoulder Test. The functional outcome was assessed based on shoulder abduction strength, range of motion of shoulder. This functional outcome was measure using Constant Score consisting of four variables that assess shoulder function, based on the guidelines of the European Society for Shoulder and Elbow Surgery (ESSES). This study showed that distal clavicle fracture treated conservatively has an overall fair functional outcome with mean value of 67.98. Patient with non-union has more pain and has lower level of comfortable hand function. Poorer functional score were observed in patient with tenderness at fracture site after treatment regardless of union or non-union. Patient age, type of fracture and involvement of either dominant or non-dominant limb has no correlation toward the functional outcome.
format	Book
author	Abot, Muhammad Syukree Mohd Yusof, Nazri
author_facet	Abot, Muhammad Syukree Mohd Yusof, Nazri
author_sort	Abot, Muhammad Syukree
title	Outcome of distal clavicular fracture treated conservatively
title_short	Outcome of distal clavicular fracture treated conservatively
title_full	Outcome of distal clavicular fracture treated conservatively
title_fullStr	Outcome of distal clavicular fracture treated conservatively
title_full_unstemmed	Outcome of distal clavicular fracture treated conservatively
title_sort	outcome of distal clavicular fracture treated conservatively
publisher	IIUM Press, International Islamic University Malaysia
publishDate	2017
url	http://irep.iium.edu.my/62874/ http://irep.iium.edu.my/62874/1/62874_Outcome%20of%20distal%20clavicular%20fracture%20treated%20conservatively.pdf
first_indexed	2023-09-18T21:29:05Z
last_indexed	2023-09-18T21:29:05Z
_version_	1777412389993447424

Outcome of distal clavicular fracture treated conservatively

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