Delayed Union of Fracture of Clavicle, Malunion of Fracture of Clavicle
Conditions
Keywords
prospective, adolescent, displaced, clavicle, fracture, mid-shaft
Brief summary
Outcomes for displaced midshaft clavicle fractures in adolescents are not defined. The current method of treatment for these fractures is non-operative management. There is recent Level 1 evidence in the adult literature to suggest that outcomes are superior when these fractures are managed surgically with open reduction and internal fixation.
Detailed description
The study is a prospective observational cohort design of the natural history of adolescent clavicle fractures treated at the McGill University Health Centre. Surgeon choice will dictate treatment. There is no difference from the current normal therapy choice of each individual surgeon. Patients will be offered either operative or conservative management. Operative Treatment: Patients with displaced midshaft clavicle fractures will be offered operative treatment which involves open reduction and internal fixation with a plate. This is the standard treatment for completely displaced fractures in the adult population at our Institution based on Level 1 evidence. Conservative care: Patients will be treated in a sling for the acute phase of two weeks with progressive physiotherapy.
Interventions
None listed
Sponsors
McGill University Health Centre/Research Institute of the McGill University Health Centre
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
12 Years to 18 Years
Healthy volunteers
No
Inclusion criteria
* Age 12-18 years old * The only fracture present in that upper extremity * Individual and/or parents able to comply with follow-up
Exclusion criteria
* Head injury * Prior injury, degenerative condition or congenital condition of the upper extremities * Systemic disease that may impair healing * Incapable of ensuring follow-up
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Malunion and/or non-union in this cohort | 3 months | Radiographic evaluation |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Times to union (clinical and radiographic) following fracture | 3 months | Radiologic evaluation |
Other
| Measure | Time frame | Description |
|---|---|---|
| Visual Analogue Scale | 6 weeks, 3 months, 6 months, 12 months | a measurement instrument for subjective characteristics which cannot be directly measured |
| Constant Shoulder Score | 6 weeks, 3 months, 6 months, 12 months | a measurement instrument for strength, range of motion, power |
| Disabilities of the Arm, Shoulder and Hand | 6 weeks, 3 months, 6 months, 12 months | a questionnaire |
| Activities & Your Injury | 6 weeks, 3 months, 6 months, 12 months | a questionnaire |
Countries
Canada
Outcome results
None listed