The out come of conservative treatment of displaced midclavicular fractures in adolescent, experience at King Hussein medical center

Abstract EN

Objective: To evaluate the outcome of conservative treatment of displaced midclavicular fractures in adolescent population.

Methods: A retrospective review of all displaced mid clavicle fractures in children aged from ten to sixteen years over a period of four years in King Hussein Medical Center was done; the outcome was evaluated regarding the complications, duration of treatment and the functional outcome with the Constant Shoulder Score .

Result: A total of 79 displaced fractures with a mean age of 13.4 years were included in the study, 56 boys and 23 girls.

The mean fracture shortening was 14.3 mm (range,5 to 28 mm),the mean fracture displacement was18.4 mm (range, 4 to 23 mm), mean follow up was 20 months (range, 13 to 34 months), all patients were treated conservatively .the mean time to radiological union was 7.9 weeks (range ,6 to 11 weeks),the mean time to return to activity was13.1 weeks(range, 8 to 19 weeks), and the mean Constant Shoulder Score was 97.8 (range, 89 to 100).

Conclusion: Conservative treatment of mid clavicle fractures in adolescents gives good results, and the surgical treatment for this fracture in the adolescent patients is not necessary.