Universität zu Köln

Jubel, A., Schiffer, G., Andermahr, J., Ries, C. and Faymonville, C. (2016). Shortening deformities of the clavicle after diaphyseal clavicular fractures. Influence on patient-oriented assessment of shoulder function. Unfallchirurg, 119 (6). S. 508 - 517. NEW YORK: SPRINGER. ISSN 1433-044X

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Abstract

The aim of this study was the evaluation of patient-oriented outcome scores for shoulder function and residual complaints after diaphyseal clavicular fractures with respect to shortening deformities. The analysis was based on data of 172 adult patients (mean age 39 +/- 14 years) with healed clavicular fractures treated operatively (n = 104) or conservatively (n = 67). The control population consisted of 35 healthy adults without shoulder problems and 25 patients with nonunion after conservative treatment. The subjective estimation of the level of pain was collated on a visual analog scale (VAS 1-100 points), together with the relative Constant and Murley score, the Cologne clavicle score, the disabilities of the arm, shoulder and hand (DASH) score and a bilateral comparison of the length difference of the clavicles. Patients with a clavicular length difference of > 2 cm had significantly (p < 0.001) more pain, a greater loss of mobility and significantly lower values in the scoring system of Constant and Murley, the DASH and Cologne clavicle scores compared to patients with clavicular length differences < 0.5 cm and healthy controls (p < 0.001). The results of this study showed that shortening deformities after clavicular fractures in adults have a large impact on the functional result and patient-oriented outcome scores. The aim of the therapy of diaphyseal clavicular fractures should therefore concentrate on reconstruction of the anatomical length of the clavicle.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Jubel, A. UNSPECIFIED UNSPECIFIED UNSPECIFIED Schiffer, G. UNSPECIFIED UNSPECIFIED UNSPECIFIED Andermahr, J. UNSPECIFIED UNSPECIFIED UNSPECIFIED Ries, C. UNSPECIFIED UNSPECIFIED UNSPECIFIED Faymonville, C. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-273723
DOI:	10.1007/s00113-014-2648-6
Journal or Publication Title:	Unfallchirurg
Volume:	119
Number:	6
Page Range:	S. 508 - 517
Date:	2016
Publisher:	SPRINGER
Place of Publication:	NEW YORK
ISSN:	1433-044X
Language:	German
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language MIDCLAVICULAR FRACTURES; NONOPERATIVE TREATMENT; INTRAMEDULLARY; ADULTS Multiple languages Emergency Medicine; Surgery Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/27372