title: [Functional and aesthetic results of orthopaedic treatment of midshaft fractures of the clavicle. A 22 years follow-up study].
abstract: OBJECTIVE
  To evaluate the functional results of the orthopaedic treatment of midshaft clavicle fractures with a minimum follow-up of 15 years.
  
  
  METHODS
  A retrospective study was conducted on 40 patients, mean age 35 years (18-64) with a non-surgically treated clavicle fracture. The mean follow-up was more than 22 years (15-32). The clinical evaluation was performed with the Disability of Arm, Shoulder and Hand score (DASH), Constant Shoulder Score test (CSS), EVA score, and a subjective assessment of the final result. Fractures were classified according to Neer's criteria. The radiological evaluation was performed with an anteroposterior and 45° cefalic anteroposterior oblique X-Ray.
  
  
  RESULTS
  A mean DASH score 2.17 points (0-20.82), the mean CSS score was 98.2 (79-100), the mean EVA score was 0.42 (0-6), and 100% patients were satisfied, with good or excellent results. The control X-Ray showed 39 healed fractures (97.5%) with a mean shortening of 6.4mm (0-20).
  
  
  CONCLUSIONS
  The presence of comminution and/or shortening of 15 mm or more had the worst functional and radiographic results. Despite this, non-surgical treatment showed excellent functional and radiographic results, and a high personal satisfaction.
authors.affiliation: Servicio de Cirugía Ortopédica y Traumatología, Hospital de Tortosa Verge de la Cinta, Tortosa, Tarragona, España. Electronic address: enricsirvent82@gmail.com.
authors.forename: E
authors.initials: E
authors.lastname: Sirvent-Díaz
authors.affiliation: Servicio de Cirugía Ortopédica y Traumatología, Hospital Universitario de Tarragona Joan XXIII, Tarragona, España.
authors.forename: J
authors.initials: J
authors.lastname: Calmet-García
authors.affiliation: Servicio de Cirugía Ortopédica y Traumatología, Hospital de Tortosa Verge de la Cinta, Tortosa, Tarragona, España.
authors.forename: J
authors.initials: J
authors.lastname: Capdevila-Baulenes
mesh_terms: D000293:Adolescent; D000328:Adult; D002968:Clavicle / Q000293:injuries*; D004954:Esthetics; D005260:Female; D005500:Follow-Up Studies; D050723:Fractures, Bone / Q000628:therapy*; D006801:Humans; D008297:Male; D008875:Middle Aged; D019637:Orthopedic Procedures; D020127:Recovery of Function; D012189:Retrospective Studies; D013997:Time Factors; D055815:Young Adult
keywords: Clavicle fracture; Fractura clavícula; Non-surgical treatment; Non-union; Seudoartrosis; Tratamiento ortopédico