Authors: Huh, Jeannie¹; A. Posner, Matthew²; Bear, Russell R.²; Banerjee, Rahul³; Owens, Brett D.⁴; Hsu, Joseph R.⁵; Skeletal Trauma Research Consortium STReC‖,⁵

Source: Military Medicine, Volume 176, Number 8, August 2011 , pp. 950-955(6)

Publisher: AMSUS - Association of Military Surgeons of the U.S.

Abstract:

ABSTRACT

Management of displaced midshaft clavicle fractures in the military, a largely shoulder-bearing population, is controversial. We aimed to report the military-relevant functional outcomes after plate fixation. We performed a nested cross-sectional analysis of active duty service members enrolled in an ongoing multicenter, randomized trial on clavicle plating. For this analysis, we included subjects with ≥6 months follow-up. Outcome measures included radiographic appearance, physical examination, a military-specific questionnaire, and validated shoulder surveys. Mean follow-up for 28 clavicle fractures was 13 months. Union rate by 12 weeks was 93% (26/28). There was one case of soft tissue irritation requiring hardware removal. At latest follow-up, 75% of patients were satisfied; 68% had mild/no pain; 79% had full range of motion; 75% could perform push-ups; and 21% have deployed. For the majority of active duty personnel, rapid healing, return to military-specific tasks, and satisfaction with outcome are possible after plate fixation of clavicle fractures. However, approximately 25% report some functional limitations at 1 year.

Document Type: Research article

Affiliations: 1: Brooke Army Medical Center, 3851 Roger Brooke Drive, Fort Sam Houston, TX 78234. 2: William Beaumont Medical Center, 5005 North Pierdras Street, El Paso, TX 79920. 3: University of Texas Southwestern Medical Center, 5323 Harry Hines Boulevard, Dallas, TX 75390. 4: Keller Army Community Hospital, 900 Washington Road, West Point, NY 10996. 5: U.S. Army Institute of Surgical Research, 3400 Rawley E. Chambers Avenue, Fort Sam Houston, TX 78234.

Publication date: 2011-08-01

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• Military Medicine is the Association's official monthly journal. The objective of the Journal is to promote awareness of Federal medicine by providing a forum for responsible discussion of common ideas and problems relevant to Federal healthcare. Its mission is: To increase healthcare education by providing scientific and other information to its readers; to facilitate communication; and to offer a prestige publication for members' writings.
  
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