2021 Annual Meeting Shoulder Access Pass-Operative Versus Non-Operative Treatment of Severely Shortened or Comminuted Clavicle Fractures in Older Adolescent Athletes: Results from A Prospective, Multicenter, Level 2 Cohort Study

Operative Versus Non-Operative Treatment of Severely Shortened or Comminuted Clavicle Fractures in Older Adolescent Athletes: Results from A Prospective, Multicenter, Level 2 Cohort Study

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Video Summary

This video summary discusses a study on adolescent clavicle fractures and the potential benefits of surgical stabilization. The study, conducted by the FACT study group, analyzed a cohort of 137 patients aged 14 to 18 with comminuted fractures or shortening greater than 25mm, who were also active in sports. The patients were divided into non-operative and operative groups. The study found no difference in complications, patient-reported outcomes, or rate/level of return to sport between the two groups. However, the operative group had a slightly faster time to return to sport, approximately 3.1 weeks earlier. Overall, the study suggests that surgical treatment may not provide superior outcomes for severe clavicle fractures in athletic adolescents.

Asset Caption

Dr. David Spence

Keywords

adolescent clavicle fractures

surgical stabilization

FACT study group

non-operative group

operative group