BACKGROUND: Recent prospective randomized trials support primary plate fixation of displaced midshaft @entity174 . However, the safety and efficacy of this practice have not been well documented in @entity2587 , nor has the time to return-to-sport. PURPOSE: To analyze the time to return-to-sport, functional outcomes, and complications in a group of @entity2587 with displaced midshaft @entity174 treated using precontoured locking plates. STUDY DESIGN: Case series; Level of evidence, 4. METHODS: A total of 54 @entity2587 with displaced midshaft @entity174 were treated with plate fixation between November 1, 2008, and December 31, 2012. The mean follow-up time was 22.4 months. @entity1 completed a questionnaire focused on the time to return-to-sport and treatment course. Functional outcomes were assessed with the Constant score and short version of the Disabilities of the Arm, Shoulder, and Hand (QuickDASH) questionnaire. @entity158 was evaluated with the visual analog scale (VAS). Radiographs were reviewed to identify radiographic union time, malunion, and nonunion. RESULTS: Of the 54 @entity1 , 53 returned to sports after open reduction and internal fixation of their @entity174 ; 94% returned to the same level. The mean time to return-to-sport was 68 days (range, 5-180 days). Nine (16.6%) of the cases returned to sports before 6 weeks after surgery, 40 (74%) returned between 6 and 12 weeks, and 5 @entity1 (9.2%) returned 12 weeks after surgery. The mean Constant score was 94.1    5.2 (range, 78-100), and the mean QuickDASH score was 0.4    4.7 (range, 0-7.1). The mean VAS @entity158 score during follow-up was 0.29    1.0 (range, 0-5). Three major complications occurred: 1 extrinsic compression of the subclavian vein, 1 nonunion, and 1 hardware loosening. Hardware removal was necessary in 5 @entity1 (9.3%). CONCLUSION: Plate fixation of displaced @entity174 in @entity2587 is a safe procedure resulting in excellent functional outcomes, with an early return to the same level of sports in the majority of @entity1 .

Return to Sports After Plate Fixation of Displaced Midshaft XXXX in Athletes.

@entity2587 :: ('MESH:D001265', 'Disease') :: ['athletes'] @entity1 :: ('9606', 'Species') :: ['Patients', 'patients'] @entity158 :: ('MESH:D010146', 'Disease') :: ['Pain', 'pain'] @entity174 :: ('MESH:D050723', 'Disease') :: ['clavicle fractures', 'fracture']
@entity174 :: (MESH:D050723,Disease) :: ['Clavicular Fractures']
