FUCTIONAL OUTCOME OF NON OPERATIVE TREATMENT FOR DISPLACED MIDSHAFT CLAVICLE FRACTURE

Objective: To determine functional outcome of non operative treatment for displaced mid shaft clavicle fracture
Study Design: Descriptive study.
Place and Duration: The Study was conducted in Orthopaedic Unit, Hayatabad Medical Complex, Peshawar,
Pakistan from 5th June 2010 to 5th June 2011.
Methodology: Eighty six (86) patients with mid-shaft displaced Clavicle fracture meeting the inclusion and exclusion
criteria were managed non-operatively via cuff and collar sling, and after a fixed follow up duration, assessed for
functional outcome by a questionnaire based on Constant Murely Score.
Results: Mean age of patient was 30.71 years (+/- 10.07 SD) with mean Constant Murely Scores of 78.14. Out of 86
patients who had mid-shaft displaced clavicle fractures Sixty Eight patients (79.07%) were satisfied (good functional
outcome) with non-operative treatment. These patients had Constant Murely Scores above the threshold of 60.
Eighteen patients (20%) were not satisfied (poor functional outcome) with the non-operative treatment for displaced
mid-shaft Clavicle fracture, with complaints of pain, decrease range of motion and decreased strength as compared
to opposite shoulder. The difference proved to be statistically significant (P value <0.001)
Conclusion: Our study demonstrated that majority of patients were satisfied with good functional outcome treated
non-operatively for displaced mid-shaft Clavicle fractures. Their individual parameters were also satisfactory with no
pain, slight reduction in range of motion and acceptable power.
Keywords: Mid-shaft clavicle fracture, Conservative treatment, cuff and collar sling.