title: [Functional and radiological evaluation of patients with midshaft clavicle fracture surgically treated].
abstract: BACKGROUND
  Functional and radiographic evaluation at midshaft clavicle fractures is better with surgical than conservative management. The aim of this paper is to describe the functional and radiological evaluation of patients with midshaft clavicle fracture surgery at the Hospital de Traumatología y Ortopedia of the Instituto Mexicano del Seguro Social.
  
  
  METHODS
  Descriptive studies, conducted during the period June 2014 to June 2015, patients undergoing surgical treatment for midshaft clavicle fracture were included. Constant-Murley and Montoya Scales were used to evaluate the functionality and radiological consolidation 6 months after the treatment.
  
  
  RESULTS
  There were 90 patients, average age was 33.63 years, 78.9% were men, left side affected in 53.3% patients. At 6 months after surgery, functional results were excellent in 87.8% of patients, in 91% there was disappearance of fracture line regardless callus. The group of patients aged 18 and 40 years present better functional and radiographic results compared to the other groups (p <0.05).
  
  
  CONCLUSIONS
  The management of patients with diaphyseal clavicle fracture should be surgical, ages between 18 to 40 years and between 61 to 76 years have better functional outcomes with greater consolidation of fracture line regardless of the callus.
authors.affiliation: División de Investigación en Salud, Hospital de Traumatología y Ortopedia, Centro Médico Nacional "Manuel Ávila Camacho", Instituto Mexicano del Seguro Social, Puebla, Puebla, México. rgbh@prodigy.net.mx.
authors.forename: Ángel Jesús
authors.initials: ÁJ
authors.lastname: Ojeda-Reyes
authors.forename: Rodolfo Gregorio
authors.initials: RG
authors.lastname: Barragán-Hervella
authors.forename: Hernán
authors.initials: H
authors.lastname: Vallecillo-Velázquez
authors.forename: Iván
authors.initials: I
authors.lastname: Alvarado-Ortega
authors.forename: María Socorro
authors.initials: MS
authors.lastname: Romero-Figueroa
authors.forename: Álvaro José
authors.initials: ÁJ
authors.lastname: Montiel-Jarquín
mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000368:Aged; D002968:Clavicle / Q000000981:diagnostic imaging / Q000293:injuries* / Q000502:physiology; D003430:Cross-Sectional Studies; D005260:Female; D005592:Fracture Fixation; D050723:Fractures, Bone / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D006305:Health Status Indicators; D006801:Humans; D008297:Male; D008875:Middle Aged; D011859:Radiography; D020127:Recovery of Function; D016896:Treatment Outcome; D055815:Young Adult
keywords: Bone fractures; Bones of upper extremity ; Bony callus; Clavicle