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Conservative treatment for clavicle stress fractures following the clavicular hook plate fixation / Xuetao Xie in Acta Orthopaedica Belgica, Vol. 85/3 (Septembre 2019)
[article]
Titre : Conservative treatment for clavicle stress fractures following the clavicular hook plate fixation Type de document : texte imprimé Auteurs : Xuetao Xie Année de publication : 2019 Article en page(s) : p. 283-288 Langues : Anglais (eng) Mots-clés : Fractures de fatigue Plaques à crochets Fractures de la clavicule Traitement conservateur Résumé : We investigated the outcome of conservative treatment and potential causes for clavicle stress fractures following the clavicular hook plate fixation. Six cases of clavicle stress fractures were retrospectively reviewed. All the stress fractures occurred near the medial end of the hook plates. The average interval between the hook plate fixation and the clavicle stress fractures was 28.3 days (range, 18 to 60 days). The mean follow-up was 27 months (range, 15 to 42 months). Fracture union was achieved in all 6 cases. The most proximal screws in the hook plates were found to be eccentric in the clavicular midshaft in 5 cases. At the final follow-up, the average Constant and Murley scores of the operated shoulders were 91.7 (range, 83 to 96). Clavicle stress fractures could be treated conservatively with satisfactory results. Attention should be paid to the position of the most proximal screws in the hook plates. Permalink : ./index.php?lvl=notice_display&id=92192
in Acta Orthopaedica Belgica > Vol. 85/3 (Septembre 2019) . - p. 283-288[article] Conservative treatment for clavicle stress fractures following the clavicular hook plate fixation [texte imprimé] / Xuetao Xie . - 2019 . - p. 283-288.
Langues : Anglais (eng)
in Acta Orthopaedica Belgica > Vol. 85/3 (Septembre 2019) . - p. 283-288
Mots-clés : Fractures de fatigue Plaques à crochets Fractures de la clavicule Traitement conservateur Résumé : We investigated the outcome of conservative treatment and potential causes for clavicle stress fractures following the clavicular hook plate fixation. Six cases of clavicle stress fractures were retrospectively reviewed. All the stress fractures occurred near the medial end of the hook plates. The average interval between the hook plate fixation and the clavicle stress fractures was 28.3 days (range, 18 to 60 days). The mean follow-up was 27 months (range, 15 to 42 months). Fracture union was achieved in all 6 cases. The most proximal screws in the hook plates were found to be eccentric in the clavicular midshaft in 5 cases. At the final follow-up, the average Constant and Murley scores of the operated shoulders were 91.7 (range, 83 to 96). Clavicle stress fractures could be treated conservatively with satisfactory results. Attention should be paid to the position of the most proximal screws in the hook plates. Permalink : ./index.php?lvl=notice_display&id=92192 Exemplaires (1)
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Exclu du prêtThe impact of upright radiographs of midshaft clavicle fractures on treatment recommendations / Amir Herman in Acta Orthopaedica Belgica, Vol. 85/3 (Septembre 2019)
[article]
Titre : The impact of upright radiographs of midshaft clavicle fractures on treatment recommendations Type de document : texte imprimé Auteurs : Amir Herman Année de publication : 2019 Article en page(s) : p. 289-296 Langues : Anglais (eng) Mots-clés : Fractures de la clavicule Radiographie verticale Déplacement Traitement Thérapeutique Résumé : Clavicle fractures’ treatment recommendations are based on displacement. The goal of this paper is to determine upright clavicle radiographs at initial presentation changes timing and method of treatment. Retrospective study in a level 1 trauma center. 356 patients with clavicle fractures were reviewed. Patients with only supine radiographs (Group 1, 285 patients) were compared to patients with supine and upright radiographs (Group 2, 71 patients). Higher proportion of fractures in the upright vs supine radiographs were displaced 100% or more of the clavicle width, (52.1% vs. 33.5%, p =0.004). Treatment assignment changed from nonoperative to operative treatment more commonly in the Group 2 compared to Group 1 (43.7% vs 21.9%, p =0.019). The most common reason for surgery in Group 1 was presence of continued pain or failure to develop radiographic evidence of callus on serial radiographs (17, 53.1%) as compared to Group 2 (2, 14.2%, p =0.014). In Group 2 the most common cause for treatment change was displacement (12, 85.7%) as compared to Group 1 (15, 46.9%, p =0.014). Patients with upright x-rays are more likely to have a change in treatment because of displacement while patients that had supine x-rays have more delayed/nonunion. Permalink : ./index.php?lvl=notice_display&id=92212
in Acta Orthopaedica Belgica > Vol. 85/3 (Septembre 2019) . - p. 289-296[article] The impact of upright radiographs of midshaft clavicle fractures on treatment recommendations [texte imprimé] / Amir Herman . - 2019 . - p. 289-296.
Langues : Anglais (eng)
in Acta Orthopaedica Belgica > Vol. 85/3 (Septembre 2019) . - p. 289-296
Mots-clés : Fractures de la clavicule Radiographie verticale Déplacement Traitement Thérapeutique Résumé : Clavicle fractures’ treatment recommendations are based on displacement. The goal of this paper is to determine upright clavicle radiographs at initial presentation changes timing and method of treatment. Retrospective study in a level 1 trauma center. 356 patients with clavicle fractures were reviewed. Patients with only supine radiographs (Group 1, 285 patients) were compared to patients with supine and upright radiographs (Group 2, 71 patients). Higher proportion of fractures in the upright vs supine radiographs were displaced 100% or more of the clavicle width, (52.1% vs. 33.5%, p =0.004). Treatment assignment changed from nonoperative to operative treatment more commonly in the Group 2 compared to Group 1 (43.7% vs 21.9%, p =0.019). The most common reason for surgery in Group 1 was presence of continued pain or failure to develop radiographic evidence of callus on serial radiographs (17, 53.1%) as compared to Group 2 (2, 14.2%, p =0.014). In Group 2 the most common cause for treatment change was displacement (12, 85.7%) as compared to Group 1 (15, 46.9%, p =0.014). Patients with upright x-rays are more likely to have a change in treatment because of displacement while patients that had supine x-rays have more delayed/nonunion. Permalink : ./index.php?lvl=notice_display&id=92212 Exemplaires (1)
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Exclu du prêt