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Titre du document / Document title

Open clavicle fractures and associated injuries

Auteur(s) / Author(s)

TAITSMAN Lisa A. (1) ; NORK Sean E. (1) ; COLES Chad P. (2) ; BAREI David P. (1) ; AGEL Julie (1) ;

Affiliation(s) du ou des auteurs / Author(s) Affiliation(s)

(1) Department of Orthopaedics, Box 359798, 325 9th Avenue, Seattle, WA 98104, ETATS-UNIS
(2) Dalhousie University, Halifax, NS, B3H 3A7, CANADA

Résumé / Abstract

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 fractures are a rare injury. Patients often have associated pulmonary and cranial injuries. Ipsilateral upper extremity and shoulder girdle injuries are common, whereas concomitant neurologic and vascular injuries are infrequent. The majority of patients have rapid and uneventful healing of their fractures after surgical treatment.

Revue / Journal Title

Journal of orthopaedic trauma    ISSN  0890-5339 

Source / Source

2006, vol. 20, no6, pp. 396-399 [4 page(s) (article)] (40 ref.)

Langue / Language

Anglais

Editeur / Publisher

Lippincott Williams & Wilkins, Hagerstown, MD, ETATS-UNIS  (1987) (Revue)

Mots-clés anglais / English Keywords

Pleural disease

;

Respiratory disease

;

Osteosynthesis

;

Nervous system diseases

;

Diseases of the osteoarticular system

;

Skin disease

;

Internal fixation

;

Bone

;

Dissociation

;

Shoulder

;

Upper limb

;

Upper extremity

;

Ipsilateral

;

Scapula

;

Thorax

;

Cervical spine

;

Effusion

;

Contusion

;

Rib(bone)

;

Bilateral

;

Pneumothorax

;

Lung

;

Craniocerebral

;

Surgery

;

Identification

;

Human

;

Treatment

;

Clavicle

;

Debridment

;

Fracture dislocation

;

Head trauma

;

Open fracture

;

Mots-clés français / French Keywords

Plèvre pathologie

;

Appareil respiratoire pathologie

;

Ostéosynthèse

;

Système nerveux pathologie

;

Système ostéoarticulaire pathologie

;

Peau pathologie

;

Fixation interne

;

Os

;

Dissociation

;

Epaule

;

Membre supérieur

;

Extrémité supérieure

;

Homolatéral

;

Omoplate

;

Thorax

;

Rachis cervical

;

Epanchement

;

Contusion

;

Côte(os)

;

Bilatéral

;

Pneumothorax

;

Poumon

;

Crânioencéphalique

;

Chirurgie

;

Identification

;

Homme

;

Traitement

;

Clavicule

;

Débridement

;

Fracture luxation

;

Traumatisme crânien

;

Fracture ouverte

;

Mots-clés espagnols / Spanish Keywords

Pleura patología

;

Aparato respiratorio patología

;

Osteosíntesis

;

Sistema nervioso patología

;

Sistema osteoarticular patología

;

Piel patología

;

Hueso

;

Disociación

;

Hombro

;

Miembro superior

;

Extremidad superior

;

Ipsilateral

;

Omoplato

;

Tórax

;

Raquis cervical

;

Derrame

;

Contusión

;

Costilla(hueso)

;

Bilateral

;

Neumotórax

;

Pulmón

;

Craneoencefálico

;

Cirugía

;

Identificación

;

Hombre

;

Tratamiento

;

Clavícula

;

Debridación

;

Fractura luxación

;

Traumatismo craneoencefálico

;

Fractura abierta

;

Mots-clés d'auteur / Author Keywords

clavicle fracture

;

open fracture

;

pneumothorax

;

polytrauma

;

Localisation / Location

INIST-CNRS, Cote INIST : 21118, 35400013901294.0040

Nº notice refdoc (ud4) : 17966611



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