Short-term Recovery After Displaced Adolescent Clavicle Fractures: Do Differences an Exist Between Surgical and Non-Surgical Treatments?...Pediatric Research in Sports Medicine (PRiSM) 9th Annual Meeting, January 27-29, 2022, Houston, Texas.
Introduction: Clavicle fractures are common in the young, active adolescent population. It is increasingly recognized that displaced clavicle fractures treated either conservatively or surgically have good outcomes at 1 year. Currently, it is not well established whether any differences in the short...
| Publicado en: | Orthopaedic Journal of Sports Medicine Vol. 10; pp. 1 - 3 |
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| Autores principales: | , , |
| Formato: | abstract proceedings research Journal Article |
| Publicado: |
Sage Publications Inc.
2022 Suppl 2
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=159163145&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 159163145 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 23259671 FUGT jtl: Orthopaedic Journal of Sports Medicine issn: 23259671 maglogo: Y pubinfo: dt: 2022 Suppl 2 vid: 10 pid: 344 pub: Sage Publications Inc. place: Thousand Oaks, California artinfo: ui: 159163145 159163145 159163145 10.1177/2325967121S00495 159163145 ppf: 1 ppct: 2 formats: tig: atl: Short-term Recovery After Displaced Adolescent Clavicle Fractures: Do Differences an Exist Between Surgical and Non-Surgical Treatments?...Pediatric Research in Sports Medicine (PRiSM) 9th Annual Meeting, January 27-29, 2022, Houston, Texas. aug: au: Block, Andrew M. Ganapathy, Aravinda Nepple, Jeffrey J. affil: Washington University School of Medicine, St. Louis, MO sug: subj: Recovery Evaluation Clavicle Fractures Surgery Clavicle Fractures Therapy Conservative Treatment Patient-Reported Outcomes Congresses and Conferences Texas Texas Upper Extremity Physiology Adolescence Adolescent: 13-18 years ab: Introduction: Clavicle fractures are common in the young, active adolescent population. It is increasingly recognized that displaced clavicle fractures treated either conservatively or surgically have good outcomes at 1 year. Currently, it is not well established whether any differences in the short-term recovery (<3 months) exist. Patient-Reported Outcomes Measurements Information System (PROMIS) computer adaptive testing (CAT) has been shown to be a valid and reliable means to assess PROs. Purpose: To compare short-term recovery between surgical and non-surgical treatment of displaced clavicle fractures in adolescents utilizing PROMIS. Methods: Patients with displaced clavicle fractures were assessed prospectively utilizing PROMIS at each clinic visit. Patients completed the Pediatric PROMIS CAT domains Upper Extremity Function and Pain Interference. Inclusion criteria included patients <18 years old, treatment either surgically or conservatively, and at least two follow up time points within 2 months post-op. Time points were calculated as <10 days, 7-21 days, 6 weeks (22-52 days), and 3 month (70-110 days) post-injury. Time points were compared utilizing a mixed-linear regression model. Ceiling or Floor Effects were present when ≥15% of study cohort had reached the maximum or minimum possible score. Results: A total of 52 patients with displaced clavicle fractures were identified (26 surgically treated and 26 conservatively treated). Mean age was similar (15.4 v. 14.1, respectively). No differences in mean PROMIS scores between treatment modalities were present at baseline (p>0.05). For Pain Interference and Upper Extremity Function, significant improvement by 6 weeks was seen in both surgically and conservatively treated patients (Figure 1). For Pain Interference, significant improvement by 6 weeks was seen in both surgically (Δ=-6.8, p=0.03) and conservatively treated patients (Δ=-8.3, p=0.003). More surgically treated patients reached a floor effect for Pain Interference at 6 weeks (24%), compared to conservatively treated patients (4%). For the Upper Extremity function, significant improvement was seen by 6 weeks in both surgically (Δ=7.2, p=0.042) and conservatively (Δ=11.9, p=0.003) treated patients. For UE Function, 21% of surgically treated patients reached a ceiling effect at 6 weeks, compared to 13% for conservative treatment (p>0.05). No differences were present at 3 months post-injury. Conclusions: While both surgical and conservative treatment of adolescent displaced clavicle fractures demonstrate similar trends of PROMIS recovery, surgical treatment may allow for rapid recovery at 6 weeks compared to conservative treatment in some patients. pubtype: Academic Journal doctype: abstract proceedings research Journal Article ougenre: Unknown language: English refInfo: holdings: @attributes: islocal: N |
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