Overview
A randomized control trial was conducted to compare the outcomes of conservative management for closed midshaft clavicular fractures using self-adjustable clavicular brace and standard clavicular brace.
Description
Ten patients aged 18-75 years with midshaft clavicle fractures were enrolled in the study during February 2022 to February 2023. 6 patients were managed with standard clavicular brace and 4 patients with self-adjustable clavicular brace. All patients were scheduled for follow-up appointments at 1 week, 2 weeks, 4 weeks, 6 weeks and 12 weeks. Results were assessed based on clinical, functional and radiographic outcomes using the DASH questionnaire, pain, measured by VAS, analgesic usage, displacement, shortening, time to union, and patient satisfaction,
Eligibility
Inclusion Criteria:
- Patient with aged between 18 - 75 years old
- Closed isolated fracture midshaft of clavicle within 9 days after the injury date
Exclusion Criteria:
- After bracing, fracture displacement and/or shortening > 2 cm or fracture comminution > 3 fragments
- Segmental fracture
- Open fracture
- Impending open fracture (soft tissue compromise/skin lesion)
- Ipsilateral upper extremities fracture which disturbs clavicular bracing
- Floating shoulder which surgical treatment is indicated.
- Patients with other injuries (e.g. head injury, chest and abdomen injury) which interrupted clavicular bracing
- Pathologic fracture
- Patient has limitation for clavicular brace application
- Pregnant women