2023 AOSSM Annual Meeting Recordings with CME-5 Year Radiographic and Functional Outcomes of Non-Operative Treatment of Completely Displaced Clavicle Fractures in Teenagers, A Prospective Study

5 Year Radiographic and Functional Outcomes of Non-Operative Treatment of Completely Displaced Clavicle Fractures in Teenagers, A Prospective Study

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Video Transcription

Video Summary

In this video, Sammy Polinsky discusses a prospective study conducted at Rady Children's in San Diego on clavicle fractures in adolescents. Polinsky explains that clavicle fractures are common, with 90% occurring in the midshaft and 50% being completely displaced. They mention that limited data exists for this teenage population, and most of it is retrospective and short-term. Polinsky mentions a 2020 paper that shows clavicles continue to grow until age 25 and suggests that adolescents tend to heal better than adults due to fracture remodeling. The study aims to evaluate nonoperatively treated adolescents and quantify the amount of remodeling that occurs five years after injury, as well as assess any association with functional outcome scores. They analyzed a subset of 24 patients, conducting surveys, physical exams, and radiographic imaging. The results show significant improvement in shortening, superior displacement, and angulation, with 82% of patients undergoing complete to near-complete remodeling. The long-term patient-reported outcomes were positive, with excellent functional outcome scores and a high rate of return to sport. However, the study has limitations, including a small sample size and lack of a comparison or operative group. Nonetheless, the results emphasize the need for more data and appropriate treatment selection for clavicle fractures in adolescents.

Asset Caption

Samuel Polinsky, BA

Keywords

Sammy Polinsky

prospective study

clavicle fractures

adolescents

remodeling