Prognosis in Conservative Treated Fracture Clavicle

Abstract

Jindal Rajneesh and Bashyal Santosh Kumar

Introduction: Traditionally most of clavicular fracture can be treated conservally .Operative treatment is usually indicated for open injuries, lateral clavicular fracrure, fragments pressing the plueral cavity, neurovascular compromise, overlying skin. The main aim of this study was to determine the shoulder functional outcomes after clavicle fractures in conservative treated patients.

Method: Retrospective study of 261 patients of comservative treated clavicular fracture selected . Patient were examined after 3 months and 6 months according to below given test protocol and constant score was calculated with reference constant.Pain measured as 0-15 within ordinary shoulder activities within 24 hours. Activtites of daily living as 4 questions deal with everyday activities expect over last week (0---20points). Four different active and pain free movement of the arm are performed (0-20).

Result: All the patient with fracture clavicle without associated other injuries were treated conservatively for 4-8 weeks, and then constant score of both affected and nonaffected side were calculated and compared of both sides after 3 and 6 months as described in materials and methods. Difference between normal and abnormal side graded as more than 30 pooor, 21-30 fair, 11-20 Good, less than 11 excellent.

Conclusion: Conservative treated case of clavicular fracture is easy way to treat the cases in OPD bases but it lead to high rate of shortening and nonunion. In few case Operative should be done to restore the normal functional of shoulder intregreity

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