Analysis of functional outcome of shaft clavicle fractures managed conservatively

Abstract

Aims and Objectives: To study the functional outcome of conservatively managed fractures of shaft clavicle. To study the functional outcome of conservatively managed fractures of shaft clavicle using Constant shoulder scoring.Materials and Methods: An observational study was performed on patients treated in MGM Medical College and Hospital, Navi Mumbai from April 2020 to October 2020. A total of 30 cases of shaft clavicle were treated conservatively with a figure of eight bandage and sling. Their functional outcome was evaluated according to Constant shoulder scoring.Results: The study sample included 21 males and 9 females. The mean age was 38.9 years, 37.2 years for females and 39.6 years for males. The fracture occurred on the clavicle of the dominant arm in 47.9% of the patients, 45.1% of the males and 55% of the females. The mean Constant Score was 77.9 (SD = 8.5; range = 50-90) and was lower in males (76.3, SD = 8.4) than in females (82.1, SD = 7.6; t = 2.65; p = 0.004).Conclusion: While conservative treatment remains the gold standard for minimally displaced clavicle fractures, in cases with severe dislocation of the focus, surgery may be indicated, depending on the clinical-instrumental characteristics of the case.