A comparison of nonoperative and operative treatment of type II distal clavicle fractures

Andrew S. Rokito, Joseph D. Zuckerman, Jeffrey M. Shaari, David P. Eisenberg, Frances Cuomo, Maureen A. Gallagher

Research output: Contribution to journalArticle

75 Citations (Scopus)

Abstract

A retrospective study was performed to compare nonoperative and operative treatments of Type II distal clavicle fractures. From a total of 30 diagnosed patients, 16 were identified as receiving nonoperative treatment and 14 open reduction and coracoclavicular stabilization. The average follow-up was 53.5 months for the nonoperative group and 59.8 months for the operative group. All patients were evaluated postoperatively for pain, range of motion, function, and fracture healing as well as for isokinetic strength. Fractures treated surgically achieved union within six to ten weeks. Nonoperative treatment resulted in seven nonunions. There were no significant differences between the two groups in the mean UCLA, Constant, and ASES scores. Nonunion had no significant effect on functional outcome or strength. This study suggests that Type II distal clavicle fractures can be successfully managed nonoperatively. The high incidence of nonunion does not impede a clinical outcome comparable to that achieved by surgical treatment.

Original languageEnglish (US)
Pages (from-to)32-39
Number of pages8
JournalBulletin: Hospital for Joint Diseases
Volume61
Issue number1-2
StatePublished - Dec 1 2002
Externally publishedYes

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Clavicle
Fracture Healing
Therapeutics
Articular Range of Motion
Retrospective Studies
Pain
Incidence

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine

Cite this

Rokito, A. S., Zuckerman, J. D., Shaari, J. M., Eisenberg, D. P., Cuomo, F., & Gallagher, M. A. (2002). A comparison of nonoperative and operative treatment of type II distal clavicle fractures. Bulletin: Hospital for Joint Diseases, 61(1-2), 32-39.

A comparison of nonoperative and operative treatment of type II distal clavicle fractures. / Rokito, Andrew S.; Zuckerman, Joseph D.; Shaari, Jeffrey M.; Eisenberg, David P.; Cuomo, Frances; Gallagher, Maureen A.

In: Bulletin: Hospital for Joint Diseases, Vol. 61, No. 1-2, 01.12.2002, p. 32-39.

Research output: Contribution to journalArticle

Rokito, AS, Zuckerman, JD, Shaari, JM, Eisenberg, DP, Cuomo, F & Gallagher, MA 2002, 'A comparison of nonoperative and operative treatment of type II distal clavicle fractures', Bulletin: Hospital for Joint Diseases, vol. 61, no. 1-2, pp. 32-39.
Rokito AS, Zuckerman JD, Shaari JM, Eisenberg DP, Cuomo F, Gallagher MA. A comparison of nonoperative and operative treatment of type II distal clavicle fractures. Bulletin: Hospital for Joint Diseases. 2002 Dec 1;61(1-2):32-39.
Rokito, Andrew S. ; Zuckerman, Joseph D. ; Shaari, Jeffrey M. ; Eisenberg, David P. ; Cuomo, Frances ; Gallagher, Maureen A. / A comparison of nonoperative and operative treatment of type II distal clavicle fractures. In: Bulletin: Hospital for Joint Diseases. 2002 ; Vol. 61, No. 1-2. pp. 32-39.
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