Displaced midshaft clavicle fracture in athletes - should we operate?

Detalhes bibliográficos
Autor(a) principal: Souza,Neydson André Solposto Marques de
Data de Publicação: 2018
Outros Autores: Belangero,Paulo Santoro, Figueiredo,Eduardo Antônio de, Pochini,Alberto de Casto, Andreoli,Carlos Vicente, Ejnisman,Benno
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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spelling 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
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dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162018000200171
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dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1016/j.rboe.2018.02.002
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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)
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