Journal of Shoulder and Elbow Surgery
Volume 16, Issue 5 , Pages 514-518 , September 2007

Does delay matter? The restoration of objectively measured shoulder strength and patient-oriented outcome after immediate fixation versus delayed reconstruction of displaced midshaft fractures of the clavicle

  • Jeffrey M. Potter, BSc (Kin)

      Affiliations

    • Division of Orthopaedics, St. Michael’s Hospital and the University of Toronto, Toronto, Ontario, Canada
    • ,
  • Caroline Jones, BSc, PT

      Affiliations

    • Division of Orthopaedics, St. Michael’s Hospital and the University of Toronto, Toronto, Ontario, Canada
    • ,
  • Lisa M. Wild, RN, MN, ACNP

      Affiliations

    • Division of Orthopaedics, St. Michael’s Hospital and the University of Toronto, Toronto, Ontario, Canada
    • ,
  • Emil H. Schemitsch, MD, FRCS(C)

      Affiliations

    • Division of Orthopaedics, St. Michael’s Hospital and the University of Toronto, Toronto, Ontario, Canada
    • ,
  • Michael D. McKee, MD, FRCS(C)

      Affiliations

    • Department of Surgery, St. Michael’s Hospital and the University of Toronto, Toronto, Ontario, Canada.
    • Corresponding Author InformationReprint requests: Michael D. McKee, MD, 55 Queen St E, Suite 800, Toronto, Ontario M5C 1R6, Canada.

References 

  1. Bosch U, Skutek M, Peters G, Tscherne H. Extension osteotomy in malunited clavicular fractures. J Shoulder Elbow Surg. 1998;7:402–405
  2. Canadian Orthopaedic Trauma Society. A multi-center randomized clinical trial of non-operative treatment versus plate fixation for displaced mid-shaft fractures of the clavicle. J Bone Joint Surg Am JBJS(A). 2007;1:1–10
  3. Chan K, Jupiter J, Leffert R, Marti M. Clavicle malunion. J Shoulder Elbow Surg. 1999;8:287–290
  4. Chen DJ, Chuang DC, Wei FC. Unusual thoracic outlet syndrome secondary to fractured clavicle. J Trauma. 2002;52:393–399
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  6. Crenshaw AH. Fractures of shoulder, arm, and forearm. In:  Crenshaw AH editors. Campbell’s operative orthopaedics. 8th ed.. St. Louis, MO: Mosby-Yearbook Inc; 1992;p. 989–1055
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  10. Jupiter J, Ring D. A comparison of early and late reconstruction of malunited fractures of the distal end of the radius. J Bone Joint Surg Am. 1996;78:739–748
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  12. Lochner HV, Bhandari M, Tornetta P. Type-II error rates (beta error) of randomized trials in orthopaedic trauma. J Bone Joint Surg Am. 2001;83:1650–1655
  13. McKee MD, Wild LM, Schemitsch EH. Midshaft malunions of the clavicle. J Bone Joint Surg Am. 2003;85:790–797
  14. McKee MD, Pedersen EM, Jones C, Stephen DJ, Kreder HJ, Schemitsch EH, et al. Deficits following non-operative treatment of displaced, midshaft clavicle fractures. J Bone Joint Surg Am. 2006;88:35–40
  15. Nordqvist A, Redlund-Johnell I, von Scheele A, Petersson CJ. Shortening of the clavicle after fracture: incidence and clinical significance, a 5-year follow-up of 85 patients. Acta Orthop Scand. 1997;68:349–351
  16. Nowak J, Holgersson M, Larsson S. Can we predict long-term sequelae after fractures of the clavicle based on initial findings? (A prospective study with nine to ten years follow-up). J Shoulder Elbow Surg. 2004;13:479–486
  17. Olsen BS, Væsel MT, Sojøberg JO. Treatment of midshaft clavicular nonunion with plate fixation and autologous bone grafting. J Shoulder Elbow Surg. 1995;4:337–344
  18. Poigenfürst J, Rappold G, Fischer W. Plating of fresh clavicular fractures: results of 122 operations. Injury. 1991;23:237–241
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PII: S1058-2746(07)00317-5

doi: 10.1016/j.jse.2007.01.001

Journal of Shoulder and Elbow Surgery
Volume 16, Issue 5 , Pages 514-518 , September 2007

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