Effect of Malunion of the Clavicle on Motion of Ipsilateral Shoulder

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Piyaphut Taotip
Weerachai Kosuwon
Winai Sirichativapee
Tavechock visanuyotin

Abstract

Background: Clavicular fracture is a common fracture of the upper extremity.  Normally, non-operative treatment is recommended, however, the mal position and shortening of this fracture might affect the shoulder functions.  Therefore, many authors recommend operative treatment.

Objectives: To evaluate the satisfaction and range of motion on the ipsilateral shoulder of the patients with malunited fracture of the clavicle who were treated at Srinagarind Hospital.

Design: This was a retrospective study.

Setting: Srinagarind Hospital

Results: There were 30 patients, regarded to the range of motion of the shoulder that had an ipsilateral malunion of clavicle.  There were 23 men and 7 women.  The mean age of the patients was 29.93 year (range 14-56 years).  The mean duration between finished treatment and the last follow up was 41.80 weeks (range 5-108 weeks).  The right clavicle was fractured in 20 patients (66.67%) and the left clavicle was in 10 pateints (33.33%).  The most common site of fractures was the middle third (27 patients, 90%).  The rest was the distal third.  The most common cause of fractures was traffic accident (26 patients, 86.67%).  The figure of eight casts were applied 28 patients (93.33%) and donut splint for the rest 2 patients.  The mean time for immobilization was 4.9 weeks (range 2-12 weeks).  The mean length of clavicle was 16.03 + 1.44 centimeters (range 13.5-18.5 centimeters).  The mean shortening of the malunited clavicle was 0.83 + 0.58 centimeters (range 0-2 centimeters).  Twenty-one patients (70%) had equally range of motion of the shoulder bilaterally, nine patients had a difference from the normal shoulder.  In the latter group, 8/9 patient had good function status only 1 patient had moderate function status.

Conculusion:  Regarding the function of shoulder there were 28 patients (93.33%) had good function and the cosmetic results have a median value of 4 (2-5).  Seventy percent of the patients had normal range of motion compared with the normal sides.

Key words: (1) Clavicle (2) Malunion (3) Shoulder (4) Motion

Article Details

How to Cite
1.
Taotip P, Kosuwon W, Sirichativapee W, visanuyotin T. Effect of Malunion of the Clavicle on Motion of Ipsilateral Shoulder. SRIMEDJ [Internet]. 2013 Nov. 21 [cited 2024 Mar. 28];14(4):251-4. Available from: https://li01.tci-thaijo.org/index.php/SRIMEDJ/article/view/14160
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Original Articles