Conservative Treatment for Distal Clavicle Fractures

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  • 鎖骨遠位端骨折の保存療法の検討

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The purpose of this study was to evaluate the clinical results of conservative treatment for distal clavicle fractures. Twenty patients with acute distal clavicle fractures were treated from 1998 to 2000. There were 12 males and 8 females and the mean age was 47.5 years old. According to Neer's classification, 3 fractures were Type I, 14 Type II and 3 Type III. We tried closed reduction at the beginning. When the reduction was achieved, a brace was applied. All the patients were evaluated by X-ray findings, symptoms, and their JOA scores. Bone unions were obtained in all Type I and Type III cases. In Type II cases, 4 cases achieved good bone union. However in the remaining 10 Type II cases, malunion occurred in 5, and nonunion in 5, there were few symptoms and none of the patients had any disability. We recommend that a distal clavicle fracture be treated conservatively if possible.

Journal

  • Katakansetsu

    Katakansetsu 26 (2), 209-212, 2002

    Japan Shoulder Society

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