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Since nonsurgical treatments are the most prevalent in current clinical practice, the authors of this study chose to evaluate the effects (benefits and harms) of conservative interventions: the figure-of-eight bandage versus the arm sling, for treating middle-third clavicle fractures.
4 Μαΐ 2016 · The objective of this study is to evaluate the effects (benefits and harms) of two commonly-used conservative interventions: the figure-of-eight bandage versus the arm sling as treatments...
We propose to recruit 110 adults, aged 18 years or older, with an acute (less than 10 days since injury) middle-third clavicle fracture. The primary outcomes to be evaluated will be function and/or disability measured by the Disability of the Arm, Shoulder, and Hand (DASH) questionnaire.
The figure-of-8 splint is generally uncomfortable, difficult to wear nonstop for six or eight weeks and can result in skin problems and a smelly patient because it should not be removed to wash the armpit.
In addition, brachial plexus can be avulsed over the clavicle or directly from the spinal cord. Acute injury of brachial plexus can also occur after immobilization of a clavicular fracture with figure-of-8 bandage or afteintramedullary fixation of the fracture with Kirschner wires.
5 Ιουλ 2024 · Midshaft Clavicle fractures are common traumatic injuries caused by a direct impact to the shoulder girdle and is most commonly seen in young, active adults. Diagnosis can be made radiographically with AP and cephalic tilt clavicle x-rays.
With better pain relief, faster functional recovery, fewer union related complications and overall better patient compliance, we found broad arm sling to be a better modality of conservative management of middle third clavicle fractures, and thus strongly advocate its use over figure of 8 brace.
