Paper 15: 5 Year Radiographic and Functional Outcomes of Non-Operative Treatment of Completely Displaced Clavicle Fractures in Teenagers, A Prospective Study

Objectives: Optimal treatment for displaced clavicle fractures in adolescents remains controversial, with many surgeons favoring operative reduction and fixation. To prospectively assess patient reported outcomes (PROs) teenagers undergoing non-operative of a completely fracture ≥ 5 years post-injury. Furthermore, bilateral imaging was used to determine the association between these presence or absence bony remodeling. Methods: This study subset patients previously enrolled multicenter looking at adolescent fractures. Patients from single institution 13 time injury, non-operatively treated who were ≥5 out their initial injury able participate study. clinically evaluated evidence scapular dyskinesia, strength deficits, cosmetic concerns. Bilateral residual shortening, displacement, angulation. PROs included: ASES, QuickDASH, Marx Shoulder Activity Scale, return sport data. Results: Twenty-four available follow-up, whom 17 (71%) consented additional imaging. The mean age 14.5±1.1 89% being male. At follow-up 6.1 years, all healed no interventions necessary (Figure 1). Significant remodeling observed across measurements improvements 70% shortening (22.8 mm 6.8 mm, p<0.001), 73% superior displacement (13.4 3.6 83% angulation (10.4˚ 1.8˚, p<0.001) 2). Thirteen (72%) had > 2 cm remodeled < cm. almost universally excellent reporting shoulder pain quickDASH, activity scores of99±3, 1±3, 20±1, respectively, 79% perfect 3 domains. Majority (58%) satisfied appearance shoulder, 38% more than not, one (4%) neither nor dissatisfied, dissatisfied. All except 1 returned sporting activities if interested. No associated (p>0.05). Conclusions: Teenage can expect radiographic clinical post-injury non-operatively. further supports role teenagers, nearly bringing into question acute management given its risks costs.