Adolescent, Clavicle Fracture
Conditions
Brief summary
Clavicle fractures in children are common. Typical treatment includes nonoperative treatment with a sling. Operative treatment is usually limited to open, unstable, fractures with either epidermal risks or neurovascular compromise. Orthopaedic literature has many studies that report the need for additional research for this prevalent fracture. This is an observational study evaluating the functional and patient reported outcomes of displaced clavicle fractures in adolescents. The results from this study will help the orthopedist understand the expected outcomes for a given pediatric patient with a clavicle fracture.
Interventions
OTHERClavicle fracture injury- observation
The study is an observational study with assessments at 1 month, 3 months, 6 months and 1 year following injury. Assessments include range of motion, strength, patient reported outcomes and radiographic healing
Sponsors
Prisma Health-Upstate
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
11 Years to 17 Years
Healthy volunteers
No
Inclusion criteria
* 11-17 years old with fractures of the middle third of the clavicle * Displaced 100% the width of the clavicle or shortened 1 centimeter * Operative and non-operative treated clavicles will be eligible for enrollment
Exclusion criteria
* Open clavicle fractures * Ipsilateral shoulder injuries * Fractures involving the lateral ligaments or the sternoclavicular joint * Bilateral clavicle fractures * Pathologic fractures * Refractures * Fractures with neurovascular compromise * Displaced fractures with impending skin compromise * If there has been more than 21 days between injury and enrollment * Patients with cognitive disabilities that inhibit the completion of the questionnaires
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Range of motion | at 1 year post injury | Range of motion measured by goniometer |
| Radiographic healing | at 1 year post injury | Radiographic evidence of healing on 3 of 4 cortices |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| QuickDash | at 3 months, 6 months and 12 months | QuickDash Outcome Measure- measuring patient reported disability of arm, shoulder and hand |
| PODCI | at 3 months, 6 months and 12 months | Adolescent Pediatric Outcomes Data Collection Instrument - measuring patient reported outcomes in a pediatric population |
Other
| Measure | Time frame | Description |
|---|---|---|
| Strength Measurements | 6 months and 12 months | Upper extremity strength measurements, measured by dynamometer (forward flexion, abduction, and external rotation |
Countries
United States
Outcome results
None listed