Changes in clavicle length in acute fractures within 3 weeks: a prospective ultrasonographic study of 59 patients
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Changes in clavicle length in acute fractures within 3 weeks : a prospective ultrasonographic study of 59 patients. / Thorsmark, A H; Christensen, O M; Torp-Pedersen, S; Overgaard, S; Frich, L H.
I: BMC Musculoskeletal Disorders, Bind 18, 503, 29.11.2017.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - Changes in clavicle length in acute fractures within 3 weeks
T2 - a prospective ultrasonographic study of 59 patients
AU - Thorsmark, A H
AU - Christensen, O M
AU - Torp-Pedersen, S
AU - Overgaard, S
AU - Frich, L H
PY - 2017/11/29
Y1 - 2017/11/29
N2 - BACKGROUND: Within traumatology a common indication for acute surgery of fractured clavicles is bone shortening over 2 cm. This indication is among but a few indications; which are recommended to be treated operatively within the very first weeks after a fracture. Theoretically clavicle fractures could become less shortened over time due to decreasing muscle pull. If this reduced shortening does indeed happen, some patients with initial bone shortening over 2 cm could perhaps be treated conservatively? However, it is unknown what happens to the length of the clavicle within the first weeks after a fracture. The aim of this study was to investigate if the length of the fresh fractured clavicles changes within the first three weeks.METHODS: Rested length measurements using navigation ultrasound were done on 59 patients with a fractured clavicle. Measurements were performed within the first three weeks after a lateral or mid-clavicular fracture. The inclusion period was from March 2014 to February 2016. Median age was 40 years and age range was 18-81 years. The data was analyzed using mixed linear models.RESULTS: The clavicle length showed no change within the first three weeks after fracture (p = 0.24).CONCLUSION: Fractured clavicles retain their length for the first three weeks.
AB - BACKGROUND: Within traumatology a common indication for acute surgery of fractured clavicles is bone shortening over 2 cm. This indication is among but a few indications; which are recommended to be treated operatively within the very first weeks after a fracture. Theoretically clavicle fractures could become less shortened over time due to decreasing muscle pull. If this reduced shortening does indeed happen, some patients with initial bone shortening over 2 cm could perhaps be treated conservatively? However, it is unknown what happens to the length of the clavicle within the first weeks after a fracture. The aim of this study was to investigate if the length of the fresh fractured clavicles changes within the first three weeks.METHODS: Rested length measurements using navigation ultrasound were done on 59 patients with a fractured clavicle. Measurements were performed within the first three weeks after a lateral or mid-clavicular fracture. The inclusion period was from March 2014 to February 2016. Median age was 40 years and age range was 18-81 years. The data was analyzed using mixed linear models.RESULTS: The clavicle length showed no change within the first three weeks after fracture (p = 0.24).CONCLUSION: Fractured clavicles retain their length for the first three weeks.
U2 - 10.1186/s12891-017-1842-4
DO - 10.1186/s12891-017-1842-4
M3 - Journal article
C2 - 29187197
VL - 18
JO - B M C Musculoskeletal Disorders
JF - B M C Musculoskeletal Disorders
SN - 1471-2474
M1 - 503
ER -
ID: 252055957