Displaced midshaft clavicle fracture in athletes - should we operate?
Autor(a) principal: | |
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Data de Publicação: | 2018 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Revista Brasileira de Ortopedia (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162018000200171 |
Resumo: | ABSTRACT Objective: To assess the results of the treatment of fractures of the middle third of the clavicle with a pre-contoured plate in athletes. Methods: The authors performed 26 osteosyntheseis in 25 patients with fractures of the middle third of the clavicle. The fractures were classified according to Robinson as 16 type B1 and ten type B2. The mean age was 37 years, ranging from 15 to 63 years, 20 patients were male and five were female, and all play sports in an amateur or professional manner. All patients were operated on in the acute phase of fracture within five days after trauma. Patients were treated with open reduction and internal fixation using pre-contoured plates. The technique and the implant used were the same, but the time of immobilization and rehabilitation protocol were individualized for each patient according to physical activity. Mean follow-up was 16.8 months (6-48 months), with return to sport activities in 45.6 days. Results: Functional assessment was performed using the University of California at Los Angeles (UCLA) score. The results averaged 34.07 of 35 points. No cases presented nonunion. Only one complication was observed (thrombosis of the subclavian vein with good response to conservative treatment); two patients required implant removal. Conclusion: The surgical treatment of clavicle fractures in athletes presented satisfactory functional outcome and early return sport. |
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Displaced midshaft clavicle fracture in athletes - should we operate?Fractures, boneClavicleBone platesAthletesABSTRACT Objective: To assess the results of the treatment of fractures of the middle third of the clavicle with a pre-contoured plate in athletes. Methods: The authors performed 26 osteosyntheseis in 25 patients with fractures of the middle third of the clavicle. The fractures were classified according to Robinson as 16 type B1 and ten type B2. The mean age was 37 years, ranging from 15 to 63 years, 20 patients were male and five were female, and all play sports in an amateur or professional manner. All patients were operated on in the acute phase of fracture within five days after trauma. Patients were treated with open reduction and internal fixation using pre-contoured plates. The technique and the implant used were the same, but the time of immobilization and rehabilitation protocol were individualized for each patient according to physical activity. Mean follow-up was 16.8 months (6-48 months), with return to sport activities in 45.6 days. Results: Functional assessment was performed using the University of California at Los Angeles (UCLA) score. The results averaged 34.07 of 35 points. No cases presented nonunion. Only one complication was observed (thrombosis of the subclavian vein with good response to conservative treatment); two patients required implant removal. Conclusion: The surgical treatment of clavicle fractures in athletes presented satisfactory functional outcome and early return sport.Sociedade Brasileira de Ortopedia e Traumatologia2018-04-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162018000200171Revista Brasileira de Ortopedia v.53 n.2 2018reponame:Revista Brasileira de Ortopedia (Online)instname:Sociedade Brasileira de Ortopedia e Traumatologia (SBOT)instacron:SBOT10.1016/j.rboe.2018.02.002info:eu-repo/semantics/openAccessSouza,Neydson André Solposto Marques deBelangero,Paulo SantoroFigueiredo,Eduardo Antônio dePochini,Alberto de CastoAndreoli,Carlos VicenteEjnisman,Bennoeng2018-05-14T00:00:00Zoai:scielo:S0102-36162018000200171Revistahttp://www.rbo.org.br/https://old.scielo.br/oai/scielo-oai.php||rbo@sbot.org.br1982-43780102-3616opendoar:2018-05-14T00:00Revista Brasileira de Ortopedia (Online) - Sociedade Brasileira de Ortopedia e Traumatologia (SBOT)false |
dc.title.none.fl_str_mv |
Displaced midshaft clavicle fracture in athletes - should we operate? |
title |
Displaced midshaft clavicle fracture in athletes - should we operate? |
spellingShingle |
Displaced midshaft clavicle fracture in athletes - should we operate? Souza,Neydson André Solposto Marques de Fractures, bone Clavicle Bone plates Athletes |
title_short |
Displaced midshaft clavicle fracture in athletes - should we operate? |
title_full |
Displaced midshaft clavicle fracture in athletes - should we operate? |
title_fullStr |
Displaced midshaft clavicle fracture in athletes - should we operate? |
title_full_unstemmed |
Displaced midshaft clavicle fracture in athletes - should we operate? |
title_sort |
Displaced midshaft clavicle fracture in athletes - should we operate? |
author |
Souza,Neydson André Solposto Marques de |
author_facet |
Souza,Neydson André Solposto Marques de Belangero,Paulo Santoro Figueiredo,Eduardo Antônio de Pochini,Alberto de Casto Andreoli,Carlos Vicente Ejnisman,Benno |
author_role |
author |
author2 |
Belangero,Paulo Santoro Figueiredo,Eduardo Antônio de Pochini,Alberto de Casto Andreoli,Carlos Vicente Ejnisman,Benno |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Souza,Neydson André Solposto Marques de Belangero,Paulo Santoro Figueiredo,Eduardo Antônio de Pochini,Alberto de Casto Andreoli,Carlos Vicente Ejnisman,Benno |
dc.subject.por.fl_str_mv |
Fractures, bone Clavicle Bone plates Athletes |
topic |
Fractures, bone Clavicle Bone plates Athletes |
description |
ABSTRACT Objective: To assess the results of the treatment of fractures of the middle third of the clavicle with a pre-contoured plate in athletes. Methods: The authors performed 26 osteosyntheseis in 25 patients with fractures of the middle third of the clavicle. The fractures were classified according to Robinson as 16 type B1 and ten type B2. The mean age was 37 years, ranging from 15 to 63 years, 20 patients were male and five were female, and all play sports in an amateur or professional manner. All patients were operated on in the acute phase of fracture within five days after trauma. Patients were treated with open reduction and internal fixation using pre-contoured plates. The technique and the implant used were the same, but the time of immobilization and rehabilitation protocol were individualized for each patient according to physical activity. Mean follow-up was 16.8 months (6-48 months), with return to sport activities in 45.6 days. Results: Functional assessment was performed using the University of California at Los Angeles (UCLA) score. The results averaged 34.07 of 35 points. No cases presented nonunion. Only one complication was observed (thrombosis of the subclavian vein with good response to conservative treatment); two patients required implant removal. Conclusion: The surgical treatment of clavicle fractures in athletes presented satisfactory functional outcome and early return sport. |
publishDate |
2018 |
dc.date.none.fl_str_mv |
2018-04-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162018000200171 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162018000200171 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1016/j.rboe.2018.02.002 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Sociedade Brasileira de Ortopedia e Traumatologia |
publisher.none.fl_str_mv |
Sociedade Brasileira de Ortopedia e Traumatologia |
dc.source.none.fl_str_mv |
Revista Brasileira de Ortopedia v.53 n.2 2018 reponame:Revista Brasileira de Ortopedia (Online) instname:Sociedade Brasileira de Ortopedia e Traumatologia (SBOT) instacron:SBOT |
instname_str |
Sociedade Brasileira de Ortopedia e Traumatologia (SBOT) |
instacron_str |
SBOT |
institution |
SBOT |
reponame_str |
Revista Brasileira de Ortopedia (Online) |
collection |
Revista Brasileira de Ortopedia (Online) |
repository.name.fl_str_mv |
Revista Brasileira de Ortopedia (Online) - Sociedade Brasileira de Ortopedia e Traumatologia (SBOT) |
repository.mail.fl_str_mv |
||rbo@sbot.org.br |
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1752122361310609408 |