Détail de la notice
Titre du Document
Open clavicle fractures and associated injuries
Auteur(s)
TAITSMAN Lisa A. ; NORK Sean E. ; COLES Chad P. ; ...
Résumé
Objectives: To describe the associated injuries, demographic distribution, and management of patients sustaining open clavicle fractures. Design: Retrospective case series. Setting: A single level-1 trauma center. Patients: Twenty patients with open clavicle fractures were identified from a prospectively collected orthopaedic trauma registry. Intervention: All patients were managed with surgical irrigation and debridement with or without internal fixation. Results: Thirteen patients (65%) had a closed head injury. Fifteen patients (75%) had a significant associated pulmonary injury. In that group, there were 10 patients who had a pneumothorax (7 bilateral). Additionally, 12 patients had rib fractures and 11 had documented pulmonary contusions or effusions. Seven patients (35%) had a cervical or thoracic spine fracture or dislocation. Eight patients (40%) had concomitant scapula fractures. Six patients (30%) had additional ipsilateral upper extremity injuries remote from the shoulder girdle. One patient had a scapulothoracic dissociation. Eleven patients (55%) sustained significant facial trauma including fractures (5 patients), lacerations, and hematomas. Fourteen patients (70%) were treated with open reduction internal fixation. Fifteen patients (75%) were followed to healing (mean: 111 wk, median: 56 wk, range: 13 to 333 wk). There were no other complications related to the operative fixations. There were no known infections or nonunions. Conclusions: Open clavicle fracture
Editeur
Lippincott Williams & Wilkins
Identifiant
ISSN : 0890-5339
Source
Journal of orthopaedic trauma A. 2006, vol. 20, n° 6, pp. 396-399 [4 pages] [bibl. : 40 ref.]
Langue
Anglais
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