Overview
A multicentre multinational RCT to investigate whether non-surgical treatment is non-inferior to surgical treatment for displaced extraarticular lateral clavicle fractures in adults.
Description
The aim of this study is to investigate whether non-surgical treatment is non inferior to surgical treatment for displaced lateral clavicle fractures with regards to functional outcome measured with different patient-reported outcome measures. Patients aged 18-65 years will be randomized to non-surgical or surgical (pragmatic) treatment. The primary outcome is the Disabilities of Arm Hand and Shoulder (DASH) score at 1 year.
Eligibility
Inclusion Criteria:
\- Displaced extraarticular lateral clavicle fracture (type II or V according to the modified Neer classification)
Exclusion Criteria:
- Pathological fracture
- Open fracture
- Neurovascular injury
- Same-time fracture in the upper extremity
- Polytrauma
- Contraindications to surgery and/or anesthesia
- Unable to give informed consent
- Inability to complete follow-up