Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
Abstract
Clavicle fracture is a common traumatic injury around the shoulder girdle due to its subcutaneous position. Clavicular fracture accounts for 5‐10% of all fractures. The annual incidence varies from 29 to 64 per 100, 000 individuals. 80% of clavicle fractures occur in the middle third region. A Hospital‐based observational prospective study was performed on all patients who came to the Department of Orthopaedics, Assam Medical College and Hospital, Dibrugarh with clavicle fracture and met the inclusion and exclusion criteria in the study period of 2021‐2022. Non‐operative treatment consisted of immobilization using Figure of 8 brace and arm sling and analgesic treatment followed by mobilization exercises. The figure of eight brace was removed after 6 weeks. Radiographs were taken during the immediate post bracing period, 6 weeks, 12 weeks, 16 weeks, and 24 weeks. The outcome for the study was patient‐reported outcome in terms of‐Functional outcome assessed by the Constant‐Murley score. After a follow‐up of 24 weeks (6 months) displaced (>2cm) mid shaft clavicular fractures treated non‐operatively had higher rates of malunion and two cases had non‐union but functional outcome and union time were comparable to those treated with operative intervention as shown in literature. Conservative treatment gives good to excellent functional outcome without any significant complication as contrary to open reduction internal fixation where complications like infection, non‐union rate are quite high along with need for reoperations for implant removal or hardware related complications.
How to cite this article:
Suresh Bora, Ratul Shyam, Pranab Jyoti Borah, Abhishek Kayal and Sajid Hussain. Functional Outcome of Displaced Clavicular Fractures Managed Conservatively.
DOI: https://doi.org/10.36478/10.36478/makrjms.2024.6.272.277
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2024.6.272.277