Abstract
BackgroundAlthough extensive research for the optimal treatment of clavicle fractures has been performed, comparative studies between monotrauma and polytrauma patients are lacking.ObjectiveTo compare fracture distribution and treatment in monotrauma and polytrauma patients with a clavicle fracture.MethodsSingle center retrospective cohort study. Fractures were classified by the Robinson classification. Monotrauma patients sustained only a clavicle fracture or a clavicle fracture plus a minor abrasion, hematoma, or superficial skin lesion leading to an Injury Severity Score (ISS) of 4 or 5 respectively. Polytrauma patients had an ISS ≥16 as a result of injury in 2 or more Abbreviated Injury Scale (AIS) regions.Results154 monotrauma and 155 polytrauma patients with a clavicle fracture were identified. Monotrauma patients had a higher incidence of Type IIB fractures (displaced midshaft) compared to polytrauma patients (P = 0.002). No difference was observed regarding Type I (medial) and Type III (lateral) fractures. In monotrauma patients, Type IIB fractures were treated operatively more frequently (P = 0.004). The initial treatment for Type I and Type III fractures did not differ between monotrauma and polytrauma patients.ConclusionsMonotrauma patients had a higher incidence of displaced midshaft clavicle fractures compared to polytrauma patients, and monotrauma patients with displaced midshaft clavicle fractures were treated operatively more frequently. No differences were found in the distribution and treatment of medial and lateral clavicle fractures.
Highlights
Clavicle fractures account for approximately 5% of all fractures
Monotrauma patients had a higher incidence of displaced midshaft clavicle fractures compared to polytrauma patients, and monotrauma patients with displaced midshaft clavicle fractures were treated operatively more frequently
No differences were found in the distribution and treatment of medial and lateral clavicle fractures
Summary
Clavicle fractures account for approximately 5% of all fractures. Eighty percent of clavicle fractures occur in the midshaft and 50% of these fractures are displaced [1,2]. Incidences of up to 10% are reported for clavicle fractures [1,2]. The indication for operative treatment of midshaft and lateral clavicle fractures is increasingly being based on fracture classification and displacement [3-5]. A detailed classification system for clavicle fractures is provided by Robinson et al [6]. This classification describes the anatomical location and magnitude of the fracture displacement. Recent studies report low rates of non-union and early return to normal function of operatively treated. Extensive research for the optimal treatment of clavicle fractures has been performed, comparative studies between monotrauma and polytrauma patients are lacking
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
