Essay On Clavicle Fracture

BACKGROUND- Clavicle fractures are one of the most common bone injuries seen in adult population. Generally all the fracture clavicles were treated non-surgically by figure-eight bandage and surgical intervention like plating with cortical screws is infrequently required. Non-union rates, strength and endurance deficits are familiar in cases treated conservatively. We evaluated functional and radiological outcomes in non operative versus operative management of fracture clavicle, in patients visiting to orthopedic OPD in a tertiary care hospital in Andhra Pradesh.
METHODS
In a prospective clinical trial study of 80 patients, with displaced mid-shaft fractures of the clavicle were referred to Ortho OPD in a tertiary care hospital. These patients were deliberately placed into two treatment groups: non-surgical (with figure-eight bandage) and surgical (with DCR plate fixation). All patients of the surgical group underwent ORIF. Clinical examination, fracture radiography and shoulder scores were recorded for all patients at the end of 12 weeks. Shoulder function is measured by the constant shoulder

(1) The majority of fracture clavicle is in the middle one-third, which is the thinnest part.(2) Generally all the fracture clavicles were treated non-surgically by figure-eight bandage and surgical intervention like plating with cortical screws is rarely required. (3) However, Non-union rates, strength and endurance deficits are common in cases treated conservatively. (4) Thus, recently there is a growing tendency toward surgical treatment due to quick and faultless union. (5) In this context, we evaluated functional and radiological outcomes in non operative versus operative management of fracture clavicle, in patients visiting to orthopedic OPD in a tertiary care hospital in Andhra