Kamaci Saygin, Bess Laura, Glogovac Georgina, Colosimo Angelo J
Division of Sports Medicine, Department of Orthopaedic Surgery, University of Cincinnati College of Medicine, Cincinnati, Ohio.
Department of Orthopaedic Surgery, Hacettepe University Faculty of Medicine, Ankara, Turkey.
J Pediatr Orthop B. 2022 Jan 1;31(1):1-6. doi: 10.1097/BPB.0000000000000810.
Surgical treatment of mid-shaft clavicle fractures via anatomical plates in adult athletes is documented to be safe and effective. Functional and cosmetic outcomes in adolescent contact sports athletes have not been well documented. Adolescent athletes (age 11-19) surgically treated for mid-shaft clavicle fractures between 1 May 2011 and 30 October 2017 were included in this study. Twenty-one adolescent athletes with a mean follow-up of 44 months were reviewed. Retrospective chart reviews were performed. Functional and cosmetic outcomes, return to sports time/rate were analyzed using Nottingham Clavicle Scores and a 'Custom Questionnaire'. Return of function and healing, evidenced on radiographs, was achieved in all 21 patients. All patients returned back to competitive sports. The mean time to return back to training was 45.9 ± 16 (24-76) days. Sixteen (76.1%) of the patients reported Nottingham Clavicle Scores with a mean score of 91.7 (85-98). In the Custom Questionnaire, 16 patients who participated in the phone interview were satisfied with the cosmetic outcomes. The most common complaint was implant prominence and irritation in 6 (40%) patients, subsequently requiring implant removal in 3 (18.8%). Surgical fixation of mid-shaft clavicle fractures can lead to excellent union and cosmetic outcomes and a rapid return to sports in adolescent contact sport athletes. However, one should consider the outcomes of implant-related complaints and the possibility of implant removal surgery in the future.
据记载，在成年运动员中，通过解剖钢板对锁骨中段骨折进行手术治疗是安全有效的。然而，对于青少年接触性运动运动员的功能和美容效果，目前尚未有充分的文献记载。本研究纳入了2011年5月1日至2017年10月30日期间因锁骨中段骨折接受手术治疗的青少年运动员（年龄11 - 19岁）。对21名平均随访44个月的青少年运动员进行了回顾性研究。通过回顾病历进行分析。使用诺丁汉锁骨评分和一份“定制问卷”对功能和美容效果、恢复运动的时间/比率进行了分析。所有21例患者均实现了功能恢复和骨折愈合，影像学检查有明确证据。所有患者均恢复了竞技运动。恢复训练的平均时间为45.9 ± 16（24 - 76）天。16名（76.1%）患者报告了诺丁汉锁骨评分，平均得分为91.7（85 - 98）。在定制问卷中，16名参与电话访谈患者对美容效果满意。最常见的抱怨是6名（40%）患者出现植入物突出和刺激，其中3名（18.8%）患者随后需要取出植入物。锁骨中段骨折的手术固定可使青少年接触性运动运动员实现良好的骨折愈合和美容效果，并能快速恢复运动。然而，应考虑与植入物相关的抱怨的后果以及未来进行植入物取出手术的可能性。
