Sisman Ali, Poyraz Caner, Cicek Ali Can, Kor Suleyman, Cullu Emre
University Of Health Sciences Istanbul Ümraniye Training and Research Hospital, Istanbul, Turkey.
Department of Orthopaedic and Traumatology, Adnan Menderes University Medical School, Aydin, Turkey.
J Child Orthop. 2021 Dec 1;15(6):540-545. doi: 10.1302/1863-2548.15.210139.
Clavicle fractures are treated conservatively in the paediatric age group, except in rare types of fractures. We investigated whether there was a difference between using shoulder-arm sling and figure-of-eight bandage in this age group.
This study was designed as a retrospective study. In all, 41 children among 53 who underwent conservative treatment with a shoulder-arm sling or figure-of-eight bandage between 2014 and 2019 were included in the study and divided into two groups. Treatment results were compared clinically with respect to pain intensity, muscle strength and radiological examinations.
Group A comprised 20 children with a figure-of-eight bandage and group B comprised 21 children with shoulder sling. According to the Robinson classification, ten fractures were displaced in group A and 12 in group B (p = 0.647). The mean time until the first appointment after the index visit that started the management course was 25.5 days (21 to 31) in group A and 24 days (20 to 30) in group B (p = 0.129). Fracture healing was observed in all patients at the first follow-up and the treatment was discontinued. There was no difference between the groups in the muscle strength examination and shoulder joint range of movement examination at the first-year follow-up (p = 1.00).
In the paediatric age group, there was no significant difference between shoulder-arm sling and figure-of-eight bandage in the conservative treatment of clavicle fractures. Since the shoulder-arm sling is more suitable for treatment, it may be the primary preference.
Level III (retrospective comparative study).
除罕见类型骨折外，小儿锁骨骨折通常采用保守治疗。我们研究了该年龄组使用肩臂吊带和“8”字绷带治疗是否存在差异。
本研究设计为回顾性研究。2014年至2019年间，53例接受肩臂吊带或“8”字绷带保守治疗的患儿中，41例纳入研究并分为两组。从疼痛强度、肌肉力量和影像学检查等方面对治疗结果进行临床比较。
A组20例患儿使用“8”字绷带，B组21例患儿使用肩吊带。根据罗宾逊分类法，A组有10例骨折移位，B组有12例（p = 0.647）。A组开始治疗过程的首次就诊后至首次复诊的平均时间为25.5天（21至31天），B组为24天（20至30天）（p = 0.129）。首次随访时所有患者均观察到骨折愈合，治疗终止。两组在第一年随访时的肌肉力量检查和肩关节活动范围检查无差异（p = 1.00）。
在小儿年龄组，肩臂吊带和“8”字绷带在锁骨骨折保守治疗中无显著差异。由于肩臂吊带更适合治疗，可能是首选。
Ⅲ级（回顾性比较研究）。
