Midshaft Clavicle Fractures Treated Nonoperatively Using Figure-of-Eight Bandage: Are Fracture Type, Shortening, and Displacement Radiographic Predictors of Failure?
Abstract
:1. Introduction
2. Materials and Methods
2.1. Study Population
2.2. Patient Assessment and Evaluation of the Radiographic Outcomes
2.3. Nonoperative Treatment and Follow-Up Program
2.4. Statistical Analysis
3. Results
Patient Characteristics
4. Discussion
5. Conclusions
Author Contributions
Funding
Conflicts of Interest
References
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Patients Enrolled (122) | |
---|---|
Age, mean (SD) Median (range) | 37 (12.7) 38 (62–18) |
Sex, Female (%) Male (%) | 19 (15.6) 103 (84.4) |
Type of fractures (FT), number (%) A1 A2 A3 B1 B2 B3 | 9 (7.4) 31 (25.4) 12 (9.8) 10 (8.2) 23 (18.9) 37 (30.3) |
Type of fractures (FT), number (%) A B | 52 (42.6) 70 (57.4) |
Fracture healed within 12 weeks, number (%) Delayed union Nonunion | 81 (66.4) 24 (19.7) 17 (13.9) |
Initial shortening % (IS), median (range) | 0 (12–0) |
Residual shortening % (RS), median (range) | 0 (12–0) |
Initial displacement % (ID), median (range) | 114.5 (230–16) |
Residual displacement % (RD), median (range) | 100 (185–10) |
Variable | Healed Fracture (81/122) | Delayed Union (24/122) | Nonunion (17/122) | p-Value (Kruskal–Wallis) |
---|---|---|---|---|
Age, mean (SD) Median (range) | 37.4 (11.7) 38 (61–18) | 36.2 (14.5) 36.5 (62–18) | 39.5 (14.5) 38 (60–18) | 0.720 |
Type of fracture, % (number/total n =122) A1 A2 A3 B1 B2 B3 | 66.7 (6/9) 67.7 (21/31) 25 (3/12) 60 (6/10) 86.7 (20/23) 67.6 (25/37) | 11.1 (1/9) 19.4 (6/31) 33.3 (4/12) 30 (3/10) 8.7 (2/23) 21.6 (8/37) | 22.2 (2/9) 12.9 (4/31) 41.7 (5/12) 10 (1/10) 4.3 (1/23) 10.8 (4/37) | 0.494 |
Type of fracture (FT), % (number/total n =122) A B | 57.7 (30/52) 72.8 (51/70) | 21.15 (11/52) 18.6 (13/70) | 21.15 (11/52) 8.6 (6/70) | χ2 0.10 |
Initial shortening % (IS), median (range) | 0 (12–0) | 3.85 (11–0) | 2 (10–0) | 0.15 |
Residual shortening % (RS), median (range) | 0 (12–0) | 0 (8–0) | 0 (6–0) | 0.014 * 0.0059 § 1 # 0.06571 |
Initial displacement % (ID), median (range) | 102 (170–16) | 130 (230–80) | 150 (177–34) | <0.0001 * 0.0008 § 0.0004 # 0.890 |
Residual displacement % (RD), median (range) | 90 (145–10) | 122.5 (185–80) | 150 (180–46) | <0.0001 * <0.0000 § <0.0000 # 0.2425 |
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Tagliapietra, J.; Belluzzi, E.; Biz, C.; Angelini, A.; Fantoni, I.; Scioni, M.; Bolzan, M.; Berizzi, A.; Ruggieri, P. Midshaft Clavicle Fractures Treated Nonoperatively Using Figure-of-Eight Bandage: Are Fracture Type, Shortening, and Displacement Radiographic Predictors of Failure? Diagnostics 2020, 10, 788. https://doi.org/10.3390/diagnostics10100788
Tagliapietra J, Belluzzi E, Biz C, Angelini A, Fantoni I, Scioni M, Bolzan M, Berizzi A, Ruggieri P. Midshaft Clavicle Fractures Treated Nonoperatively Using Figure-of-Eight Bandage: Are Fracture Type, Shortening, and Displacement Radiographic Predictors of Failure? Diagnostics. 2020; 10(10):788. https://doi.org/10.3390/diagnostics10100788
Chicago/Turabian StyleTagliapietra, Jacopo, Elisa Belluzzi, Carlo Biz, Andrea Angelini, Ilaria Fantoni, Manuela Scioni, Mario Bolzan, Antonio Berizzi, and Pietro Ruggieri. 2020. "Midshaft Clavicle Fractures Treated Nonoperatively Using Figure-of-Eight Bandage: Are Fracture Type, Shortening, and Displacement Radiographic Predictors of Failure?" Diagnostics 10, no. 10: 788. https://doi.org/10.3390/diagnostics10100788
APA StyleTagliapietra, J., Belluzzi, E., Biz, C., Angelini, A., Fantoni, I., Scioni, M., Bolzan, M., Berizzi, A., & Ruggieri, P. (2020). Midshaft Clavicle Fractures Treated Nonoperatively Using Figure-of-Eight Bandage: Are Fracture Type, Shortening, and Displacement Radiographic Predictors of Failure? Diagnostics, 10(10), 788. https://doi.org/10.3390/diagnostics10100788