Predictive Factors for Functional Outcome after Conservative Treatment of Midshaft Clavicular Fractures: A Retrospective Cohort Study

N.P. Hockers, R.J. Hillen, B.L. Fransen, J.I.P. Willems, Marco J. M. Hoozemans, B.J. Burger

Research output: Contribution to JournalArticleAcademicpeer-review

Abstract

Background
The aim of this study is to identify factors based on radiological characteristics and nature of presenting history, that are predictive in functional outcome at two to nine years follow-up, in patients that were treated conservatively after a midshaft clavicle fracture.

Methods
We performed a retrospective cohort study of all patients that presented to the emergency department of Noordwest Ziekenhuisgroep Alkmaar in the Netherlands, between 2004 and 2006. Follow-up was performed at 2 to 3 years and at 7 to 9 years after injury. This resulted in a total amount of 48 and 31 included patients, respectively. The Disabilities of the Arm, Shoulder and Hand score (DASH score) was used to assess patient reported functional outcome. Statistical analyses were performed to detect correlations between characteristics of the patient or fracture and functional outcome.

Results
There was a significant decrease of 4.3 in DASH scores between the mid-term and long-term follow-up of patients with complete angulation of their fracture (p=0.041) and of 2.6 in DASH of patients who were not involved in a high energetic trauma (p=0.031).

Conclusion
With regard to completely angulated clavicular fractures and noninvolvement in a HET, an increase of functional outcome is to be expected from mid- to long-term.
Original languageEnglish
Pages (from-to)1-4
Number of pages4
JournalClinical Research in Orthopedics
Volume1
Issue number1
Publication statusPublished - 22 Mar 2017

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Cohort Studies
Retrospective Studies
Clavicle
Wounds and Injuries
Netherlands
Conservative Treatment
Hospital Emergency Service
Arm
Hand
History

Cite this

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title = "Predictive Factors for Functional Outcome after Conservative Treatment of Midshaft Clavicular Fractures: A Retrospective Cohort Study",
abstract = "BackgroundThe aim of this study is to identify factors based on radiological characteristics and nature of presenting history, that are predictive in functional outcome at two to nine years follow-up, in patients that were treated conservatively after a midshaft clavicle fracture.MethodsWe performed a retrospective cohort study of all patients that presented to the emergency department of Noordwest Ziekenhuisgroep Alkmaar in the Netherlands, between 2004 and 2006. Follow-up was performed at 2 to 3 years and at 7 to 9 years after injury. This resulted in a total amount of 48 and 31 included patients, respectively. The Disabilities of the Arm, Shoulder and Hand score (DASH score) was used to assess patient reported functional outcome. Statistical analyses were performed to detect correlations between characteristics of the patient or fracture and functional outcome.ResultsThere was a significant decrease of 4.3 in DASH scores between the mid-term and long-term follow-up of patients with complete angulation of their fracture (p=0.041) and of 2.6 in DASH of patients who were not involved in a high energetic trauma (p=0.031).ConclusionWith regard to completely angulated clavicular fractures and noninvolvement in a HET, an increase of functional outcome is to be expected from mid- to long-term.",
author = "N.P. Hockers and R.J. Hillen and B.L. Fransen and J.I.P. Willems and Hoozemans, {Marco J. M.} and B.J. Burger",
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language = "English",
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Predictive Factors for Functional Outcome after Conservative Treatment of Midshaft Clavicular Fractures: A Retrospective Cohort Study. / Hockers, N.P.; Hillen, R.J.; Fransen, B.L.; Willems, J.I.P.; Hoozemans, Marco J. M.; Burger, B.J.

In: Clinical Research in Orthopedics, Vol. 1, No. 1, 22.03.2017, p. 1-4.

Research output: Contribution to JournalArticleAcademicpeer-review

TY - JOUR

T1 - Predictive Factors for Functional Outcome after Conservative Treatment of Midshaft Clavicular Fractures: A Retrospective Cohort Study

AU - Hockers, N.P.

AU - Hillen, R.J.

AU - Fransen, B.L.

AU - Willems, J.I.P.

AU - Hoozemans, Marco J. M.

AU - Burger, B.J.

PY - 2017/3/22

Y1 - 2017/3/22

N2 - BackgroundThe aim of this study is to identify factors based on radiological characteristics and nature of presenting history, that are predictive in functional outcome at two to nine years follow-up, in patients that were treated conservatively after a midshaft clavicle fracture.MethodsWe performed a retrospective cohort study of all patients that presented to the emergency department of Noordwest Ziekenhuisgroep Alkmaar in the Netherlands, between 2004 and 2006. Follow-up was performed at 2 to 3 years and at 7 to 9 years after injury. This resulted in a total amount of 48 and 31 included patients, respectively. The Disabilities of the Arm, Shoulder and Hand score (DASH score) was used to assess patient reported functional outcome. Statistical analyses were performed to detect correlations between characteristics of the patient or fracture and functional outcome.ResultsThere was a significant decrease of 4.3 in DASH scores between the mid-term and long-term follow-up of patients with complete angulation of their fracture (p=0.041) and of 2.6 in DASH of patients who were not involved in a high energetic trauma (p=0.031).ConclusionWith regard to completely angulated clavicular fractures and noninvolvement in a HET, an increase of functional outcome is to be expected from mid- to long-term.

AB - BackgroundThe aim of this study is to identify factors based on radiological characteristics and nature of presenting history, that are predictive in functional outcome at two to nine years follow-up, in patients that were treated conservatively after a midshaft clavicle fracture.MethodsWe performed a retrospective cohort study of all patients that presented to the emergency department of Noordwest Ziekenhuisgroep Alkmaar in the Netherlands, between 2004 and 2006. Follow-up was performed at 2 to 3 years and at 7 to 9 years after injury. This resulted in a total amount of 48 and 31 included patients, respectively. The Disabilities of the Arm, Shoulder and Hand score (DASH score) was used to assess patient reported functional outcome. Statistical analyses were performed to detect correlations between characteristics of the patient or fracture and functional outcome.ResultsThere was a significant decrease of 4.3 in DASH scores between the mid-term and long-term follow-up of patients with complete angulation of their fracture (p=0.041) and of 2.6 in DASH of patients who were not involved in a high energetic trauma (p=0.031).ConclusionWith regard to completely angulated clavicular fractures and noninvolvement in a HET, an increase of functional outcome is to be expected from mid- to long-term.

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