BACKGROUND: In the treatment of @entity174 , the choice of procedure depends on the possibility of restoring the anatomical functional integrity of the shoulder. METHODS: We examined 71 @entity1 (51 males and 20 females, mean age 38.9 years) who were affected by clavicle @entity174 sequelae. Demographic and clinical data and the site of the lesion were recorded for each partecipant. The dissatisfaction of the @entity1 was determined by the presence of 1 or more affirmative answers on the Simple Shoulder Test. The Constant Shoulder Score was also included in the functional and clinical exams. We measured the length of the healthy clavicle and the previously @entity174 , and we expressed the difference in length in mm and in percentage @entity3207 . We then examined the correlations between the @entity3207 of the bone and the clinical and functional outcomes of the @entity1 . RESULTS: Sixty @entity1 had a lesion of the diaphysis, 8 @entity1 had a lesion of the lateral third of the clavicle, and 3 @entity1 had a lesion of the medial third of the clavicle. The mean Constant Shoulder Score was 77.9, and 51 of the 71 @entity1 were satisfied with their treatment. Radiography showed a mean clavicle @entity3207 of 10 mm (mean percentage 6.5%). In the 20 dissatisfied @entity1 , the mean clavicle @entity3207 was 15.2 mm (9.7%). In these @entity1 , we found a highly significant association between dissatisfaction with treatment and the amount of bone @entity3207 , (p < 0.0001), as well as with a diaphyseal location (p < 0.05) and with the female sex (p = 0.004). No other variable related to the @entity1 , the type of treatment or the @entity174 characteristics correlated with the treatment outcome. CONCLUSIONS: In the literature, measurements of the @entity3207 of the bone segment following a @entity174 range between 15 and 23 mm, and marked @entity3207 is correlated with the failure of conservative treatment. However, these data need to be reinterpreted in light of the physiological variability of the clavicle length, which ranges from 140 to 158 mm in the healthy population. Shortening of the bone by more than 9.7% should be the cut-off for predicting failure of conservative treatment.

Conservative treatment of XXXX of the clavicle.

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity3207 :: ('MESH:C535850', 'Disease') :: ['shortening'] @entity174 :: ('MESH:D050723', 'Disease') :: ['fractured clavicle', 'clavicle fractures', 'fracture']
@entity174 :: (MESH:D050723,Disease) :: ['fractures']
