2017 ISAKOS Biennial Congress ePoster #2125
Minimally Invasive Double Endobutton Fixation Of Displaced Lateral Clavicle Fractures In Athletes
Maximiliano Ranalletta, MD, Buenos Aires, Buenos Aires ARGENTINA
Luciano Rossi, PhD, Buenos Aires ARGENTINA
Santiago Luis Bongiovanni, MD, Buenos Aires ARGENTINA
Gaston Daniel Maignon, MD, Buenos Aires ARGENTINA
Ignacio Tanoira, MD PhD, Buenos Aires ARGENTINA
Hugo Barros, MD, Buenos Aires ARGENTINA
Francisco Nally, MD, Buenos Aires ARGENTINA
Italian Hospital , Buenos Aires, ARGENTINA
FDA Status Not Applicable
Summary
Early union and rapid return to prior function is the priority in young athletes with lateral clavicular fractures. Furthermore it is essential to avoid nonunion in this subgroup of patients since it is frecuently associated with persistent pain, restriction of movement and loss of strength and endurance of the shoulder.
ePosters will be available shortly before Congress
Abstract
Background
Early union and rapid return to prior function is the priority in young athletes with lateral clavicular fractures. Furthermore it is essential to avoid nonunion in this subgroup of patients since it is frecuently associated with persistent pain, restriction of movement and loss of strength and endurance of the shoulder.
Study Design: Case series; Level of evidence, 4.
Methods
A total of 21 athletes with displaced lateral clavicle fractures were treated with closed reduction and minimally invasive double endobutton fixation between March 2008 and October 2013. Patients completed a questionnaire focused on the time to return-to-sport and treatment course. Functional outcomes were assessed with the Constant score and short version of the Disabilities of the Arm, Shoulder, and Hand (Quick DASH) questionnaire. Pain was evaluated with the visual analog scale (VAS). Radiographs were reviewed to identify radiographic union time, malunion, and nonunion.
Results
Of the 21 patients, 20 returned to sports after closed reduction and minimally invasive double endobutton fixation; 100 % returned to the same level. The mean time to return to play was 78 days (range, 41 - 120 days). Four patients (19%) returned to sports in less than 6 weeks after surgery Fourteen (67%) returned to sports between 6 and 12 weeks after surgery and three (14%) returned to sports after 12 weeks. The mean Constant was 89.1 ± 4.2 (range, 79-100) The average Quick-DASH was 0.4 ± 2.6 (range, 0-7.1). Pain was 0.4 ± 1.0 (range, 0-3) at final follow-up according to VAS. The only complication was an asymptomatic nonunion. Hardware removal was not necessary in any patient.
Conclusion
Closed reduction and minimally invasive double endobutton fixation of displaced lateral clavicular fractures in athletes was successful in terms of return to previous level of athletic activity, having excellent clinical results, and a low rate of complications.