Displaced clavicle fracture: Non-operative treatment leads to increased rate of non-union .
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Sling Compared with Plate Osteosynthesis for Treatment of Displaced Midshaft Clavicular Fractures: A Randomized Clinical Trial
J Bone Joint Surg Am. 2012 Sep 5;94(17):1546-53.60 patients with completely displaced midshaft clavicular fractures were randomized to operative plate fixation or non-operative sling treatment to assess functional and disability outcomes. Assessment using the Constant shoulder score and the Disabilities of the Arm, Shoulder and Hand score (DASH) indicated no difference between groups over a 12 month follow-up period. However, there was a significantly greater rate of non-union in the non-operative group.
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