Volume 5 Issue 2 (March – April , 2019)

Original Articles

Factors Affecting Functional Outcomes after Clavicle Fracture- A Clinical Study
Jaspal Singh, Rajesh Kapila, Sharin Dhiman, Jagdish Shake, Nitin Soni, Akashdeep

Background: The clavicle is one of the most frequently fractured bones in the body, the fracture most often resulting from a direct blow or a fall on an outstretched hand. The present study was conducted to assess functional outcome in patients undergoing treatment for clavicle fractures. Materials & Methods:  The present study consisted of 50 cases of clavicle fracture in adults of either sex in the Department of Orthopaedics, Guru Nanak Dev Hospital, Amritsar. All were treated by following methods; Conservative management which included webbing and ring in children, figure of 8 bandage, broad arm sling and K wire fixation. For lateral 1/3rd clavicular fracture, two K wires introduced through acromion into lateral end clavicle after reduction of fracture. Open reduction and internal fixation with plating was done wherever necessary. American shoulder & elbow surgeon (ASES) score were used to access function on scale of 100 points, with higher score indicating better function and low score meaning greater pain and disability. Results: Males were 39 (78%), male child were 3 (6%) and females were 8 (16%) in number. The difference was significant (P< 0.05). The mean score for difficulty on putting coat was 2.89, difficult sleeping affected side was 2.15, difficult washing back was 2.88, manage toileting was 2.18, comb hair was 2.56, reach high shelf was 2.48, lift 10 lbs above shoulder was 2.80, throw a ball overhand was 2.72, difficult doing usual work was 2.94 and difficult doing sport/ leisure activity was 2.64. The mechanism of injury was fall seen in 19 (38%), road side accident in 28 (56%), physical assault in 3 (6%). The difference was significant (P< 0.05). Conclusion: We can conclude that clavicle fractures can be managed both conservatively and surgically. Type of fracture and type of treatment are factors affecting outcome of clavicle fracture management.
Key words: Clavicle, and internal fixation, Open reduction

Received: 14 January, 2019                              Revised: 24 February, 2019                     Accepted: 27 February, 2019

Corresponding author: Dr. Sharin Dhiman, Junior resident, Department of Orthopedic, Govt. Medical College, Amritsar, Punjab, India

This article may be cited as: Singh J, Kapila R, Dhiman S, Shake J, Soni N, Akashdeep. Factors Affecting Functional Outcomes after Clavicle Fracture- A Clinical Study. Int J Res Health Allied Sci 2019; 5(2):19-23.

 
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