Operative treatment provided faster return to sport for athletes with clavicle fractures
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NASHVILLE, Tenn. — Compared with nonoperative treatment, operative treatment of comminuted or severely shortened midshaft clavicle fractures allowed for faster return to sport in older adolescent athletes, according to a presenter.
“Adolescent clavicle fractures, as we know, are a common injury with 80% occurring in the middle third of the bone. They are twice as common in adolescents than in any other age group, and the most common mechanism is sports,” David D. Spence, MD, an orthopedic surgeon at Campbell Clinic Orthopaedics in Germantown, Tennessee, said during his presentation at the American Orthopaedic Society for Sports Medicine and Arthroscopy Association of North America Combined Meeting.
In their prospective, multicenter, level-2 cohort study, Spence and colleagues analyzed 137 older adolescent patients (aged 14 to 18 years) with comminuted or severely shortened (greater than 25 mm) midshaft clavicle fractures.
Researchers created two cohorts that were matched for age, sex, hand dominance, shortening and comminution: a nonoperative cohort of 70 patients who did not undergo surgery and an operative cohort of 67 patients who underwent surgery. Overall, 2% of patients from each cohort experienced delayed union; however, no patients from either cohort experienced nonunion. At 2-year follow-up, 52 nonoperative and 48 operative patients remained.
Spence and colleagues detected no significant differences in complications, patient-reported outcomes or level of return to sport between the two cohorts; however, they noted return to sport was 3.1 weeks faster for the operative cohort.
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Spence D, et al. MPFL reconstruction in the pediatric population: Does skeletal maturity affect outcomes and surgical success? Presented at: American Orthopaedic Society for Sports Medicine and Arthroscopy Association of North America Combined Meeting; July 7-11, 2021; Nashville, Tennessee.
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