This affirms that while conservative treatment remains the treatment of choice for simple undisplaced mid-shaft clavicle fractures, for displaced and comminuted fractures the surgical intervention gives better outcomes and early functional recovery in young active adults. The present study showed that the time to union was lesser, rate of malunion and nonunion was lower, and Constant shoulder scores were higher in the surgical group. Though there was no statistically significant difference between the groups with regard to complication rate, subjective outcome or functional outcome, the surgical intervention group fared better especially when considering overall outcome results. The study showed that time to union was significantly shorter in patients treated surgically and this group also showed a favorable Constant shoulder score at all follow-ups. Treatment is immobilization or surgery, depending on the displacement and stability of the distal clavicle, as. Diagnosis is confirmed with standard shoulder radiographs and a 15 cephalic tilt view (zanca view). The clavicle serves as a strut connect- ing the upper extremity to the appen- dicular skeleton. From the 8th Annual Philadelphia Orthopaedic Trauma Symposium June 11, 2016, Lewis Katz School of Medicine at Temple University, Philadelphia. Follow-up examination was done at 06 weeks, 03 and 06 months using patient's subjective evaluation, functional outcome, radiographic assessment and other complications. Distal clavicle fractures are traumatic injuries usually caused by direct trauma to the shoulder from a fall in adults. David Fuller, MD, Associate Professor and Program Director, Department of Orthopaedic Surgery, Cooper Medical School at Rowan University. Group 1 patients were managed conservatively, consisting of a figure-of-eight bandage and a sling, whereas patients of group 2 were treated surgically by plate fixation. Patients were allocated into two groups, each including 30 patients on alternate basis. Hence, this study was undertaken to compare conservative approach with primary internal plate fixation in mid-shaft clavicular fractures in terms of subjective outcome, functional outcome, the rates of nonunion and malunion and other local complications. However, there is no uniform consensus on the definite choice of treatment. Both non-operative and surgical methods have been described for the management of this injury. Fractures affecting the middle third account for majority of all clavicular fractures. Treatment is observation in the case of minimal symptoms and cosmetic deformity. Diagnosis can be made with radiographs of the clavicle showing a rounded sclerotic bone at pseudoarthrosis site in the absence of trauma. Clavicle fracture is a common injury due to its subcutaneous and relatively anterior position. Congenital Pseudoarthrosis of Clavicle is the failure of fusion of the medial and lateral ossification centers of the clavicle.
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