It is unclear whether all completely displaced midshaft clavicle fractures require primary surgical intervention. The aim of this study was to elucidate the radiological and clinical outcomes after conservative treatment, and to identify subgroups at risk of an inferior outcome.Retrospective case series.Level II trauma center.Between 2005 and 2008, 122 patients were conservatively treated for a completely displaced midshaft clavicle fracture of whom 92 were eligible for inclusion in this study. Of these, 59 completed the study after a median of 2.7 years after the fracture (min-max, 1.1-4.9).The patients received the standard treatment administered at our institution at the time: nonsurgically with a sling without physiotherapy. Patients with painful nonunions were subsequently offered surgery.At follow-up, the patients' Disabilities of Arm, Shoulder, and Hand (DASH) and the Constant scores were evaluated. Radiographs were taken at follow-up and compared to those taken acutely.Nonunion was found in 9 of the 59 (15.3

作者：Hendrik F S, Fuglesang；Gunnar B, Flugsrud；Per-Henrik, Randsborg；Knut, Stavem；Stein E, Utv?g

来源：Archives of orthopaedic and trauma surgery 2016 年 136卷 1期