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The Capital Region of Denmark - a part of Copenhagen University Hospital
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Changes in clavicle length in acute fractures within 3 weeks: a prospective ultrasonographic study of 59 patients

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  2. Bone shortening of clavicular fractures: comparison of measurement methods

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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.

Original languageEnglish
JournalBMC Musculoskeletal Disorders
Volume18
Issue number1
Pages (from-to)503
ISSN1471-2474
DOIs
Publication statusPublished - 29 Nov 2017

    Research areas

  • Journal Article

ID: 52105349