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[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 : |
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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 |
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