FUNCTIONAL OUTCOME OF CONSERVATIVE MANAGEMENT OF CLAVICLE FRACTURE: A PROSPECTIVE STUDY

Abstract

INTRODUCTION: A weak site is seen in the mid-clavicular region of clavicle, which accounts for most fractures occurring in this region. Alot of muscular and ligamentous forces act on the clavicle, and a knowledge of these differing forces is necessary to understand the nature of displacement of clavicle fractures and to conclude why certain fracture patterns are problematic if not reduced and surgically stabilized AIM AND OBJECTIVE: To determine the functional outcomes of clavicle fractures in non-surgically treated patients, Methodology: This is the Prospective Study conducted in Department of Orthopaedics and Out-Patient department, RIMS Ranchi, between September 2018 to february 2020 on All patients with displaced middle third fracture clavicle in the age group 18 to 60 years, The clinical outcomes of the nonsurgically treated clavicle fractures were evaluated after 6 months of follow- up using the Constant scoring technique developed by Constant and Murley. RESULT: These values indicate that there was no signicant correlation between the clavicle fracture location and Constant score. In other words, the clavicle fracture location did not affect shoulder function. In addition, the low standardized residual (0.2 to 0.9) shows that the observed frequency and fracture location did not affect shoulder function. In addition, the low standardized residual (0.2 to 0.9) shows that the observed frequency and expected frequency were too small to allow us to reject the null hypothesis. CONCLUSION: comminuted fracture, a fracture displacement of 21 mm or more, a shortening of 15 mm or more and fractures complicated by malunion and nonunion may lead to further shortening and can reduce shoulder function.