The deformities of acute diaphyseal clavicular fractures: a three-dimensional analysis.

Humans Male Rib Fractures Clavicle / diagnostic imaging Shoulder Fractures Orthopedics Risk Factors Thoracic Injuries
3D Clavicle Computed tomography Diaphyseal clavicular fracture Fracture Shortening

Journal

Biomedical engineering online
ISSN: 1475-925X
Titre abrégé: Biomed Eng Online
Pays: England
ID NLM: 101147518

Informations de publication

Date de publication:
10 May 2023
Historique:
received: 19 03 2023
accepted: 02 05 2023
medline: 11 5 2023
pubmed: 10 5 2023
entrez: 10 5 2023
Statut: epublish

Résumé

Although minimally invasive surgeries have gained popularity in many orthopaedic fields, minimally invasive approaches for diaphyseal clavicular fracture have not been widely performed, which is attributed to difficulties in performing a closed reduction of fracture deformities of a curved bone in a three-dimensional space. The goal of this study was to investigate the radiographic parameters of fracture deformities in a three-dimensional space and to identify the risk factors for deformities. The computed tomography images of 100 patients who sustained a clavicle fracture were included. Five parameters were used to analyze the deformities: change in clavicle length, fracture displacement, and fragment rotation around the X, Y, Z axes. The change in length was assessed using the length of the endpoint line. The displacement was assessed using the distance between the fracture midpoints. The rotation deformities were assessed using the Euler angles. The correlation between the parameters was evaluated with the Pearson correlation coefficient. The risk factors were evaluated using univariable analysis and multiple regression analysis. The average change in length was - 5.3 ± 8.3 mm. The displacement was 11.8 ± 7.1 mm. The Euler angles in the Z-Y-X sequences were -1 ± 8, 1 ± 8, and - 8 ± 13 degrees. The correlation coefficient between the change in length and the displacement was - 0.724 (p < 0.001). The variables found to increase the risk of shortening and displacement were right-sided fracture (p = 0.037), male sex (p = 0.015), and multifragmentary type (p = 0.020). The variables found to increase the risk of rotation deformity were the number of rib fractures (p = 0.001) and scapula fracture (p = 0.025). There was a strong correlation between shortening and displacement. The magnitude of anterorotation around the X axis was greater than the magnitude of retraction around the Z axis and depression around the Y axis. The risk factors for shortening and displacement included right-sided fracture, male sex, and multifragmentary type. The risk factor for retraction around the Z axis was the number of rib fractures, and the risk factor for depression around the Y axis was scapula fracture. These results could be useful adjuncts in guiding minimally invasive surgical planning for diaphyseal clavicular fractures.

Sections du résumé

BACKGROUND BACKGROUND
Although minimally invasive surgeries have gained popularity in many orthopaedic fields, minimally invasive approaches for diaphyseal clavicular fracture have not been widely performed, which is attributed to difficulties in performing a closed reduction of fracture deformities of a curved bone in a three-dimensional space. The goal of this study was to investigate the radiographic parameters of fracture deformities in a three-dimensional space and to identify the risk factors for deformities.
METHODS METHODS
The computed tomography images of 100 patients who sustained a clavicle fracture were included. Five parameters were used to analyze the deformities: change in clavicle length, fracture displacement, and fragment rotation around the X, Y, Z axes. The change in length was assessed using the length of the endpoint line. The displacement was assessed using the distance between the fracture midpoints. The rotation deformities were assessed using the Euler angles. The correlation between the parameters was evaluated with the Pearson correlation coefficient. The risk factors were evaluated using univariable analysis and multiple regression analysis.
RESULTS RESULTS
The average change in length was - 5.3 ± 8.3 mm. The displacement was 11.8 ± 7.1 mm. The Euler angles in the Z-Y-X sequences were -1 ± 8, 1 ± 8, and - 8 ± 13 degrees. The correlation coefficient between the change in length and the displacement was - 0.724 (p < 0.001). The variables found to increase the risk of shortening and displacement were right-sided fracture (p = 0.037), male sex (p = 0.015), and multifragmentary type (p = 0.020). The variables found to increase the risk of rotation deformity were the number of rib fractures (p = 0.001) and scapula fracture (p = 0.025).
CONCLUSIONS CONCLUSIONS
There was a strong correlation between shortening and displacement. The magnitude of anterorotation around the X axis was greater than the magnitude of retraction around the Z axis and depression around the Y axis. The risk factors for shortening and displacement included right-sided fracture, male sex, and multifragmentary type. The risk factor for retraction around the Z axis was the number of rib fractures, and the risk factor for depression around the Y axis was scapula fracture. These results could be useful adjuncts in guiding minimally invasive surgical planning for diaphyseal clavicular fractures.

Identifiants

DOI: 10.1186/s12938-023-01112-z PMID: 37161417 PMC: PMC10170817
pubmed: 37161417
doi: 10.1186/s12938-023-01112-z
pii: 10.1186/s12938-023-01112-z
pmc: PMC10170817
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

42

Informations de copyright

© 2023. The Author(s).

Références

J Shoulder Elbow Surg. 2018 Jul;27(7):1251-1257
pubmed: 29706417
Orthopedics. 2018 Sep 1;41(5):e649-e654
pubmed: 30011053
J Orthop Trauma. 2018 Jan;32 Suppl 1:S1-S170
pubmed: 29256945
J Pediatr Orthop. 2013 Apr-May;33(3):e19-22
pubmed: 23482275
Can J Surg. 2014 Jun;57(3):169-74
pubmed: 24869608
Acta Orthop. 2007 Jun;78(3):424-9
pubmed: 17611859
Clin Orthop Surg. 2016 Dec;8(4):367-372
pubmed: 27904717
J Shoulder Elbow Surg. 2019 Oct;28(10):1877-1885
pubmed: 31272891
EFORT Open Rev. 2018 Jun 20;3(6):374-380
pubmed: 30034818
J Orthop Trauma. 2017 Nov;31(11):e385-e389
pubmed: 29053545
J Orthop Trauma. 2008 Aug;22(7):458-62
pubmed: 18670285
BMC Musculoskelet Disord. 2017 Dec 19;18(1):537
pubmed: 29258501
J Orthop Surg Res. 2020 Sep 15;15(1):411
pubmed: 32933527
Orthop Traumatol Surg Res. 2017 Feb;103(1S):S53-S59
pubmed: 28043849
Am J Orthop (Belle Mead NJ). 2015 Oct;44(10):E365-9
pubmed: 26447412

Auteurs

Yi-Hsuan Chao (YH)

Department of Biomedical Engineering, National Yang Ming Chiao Tung University, No. 155, Sec. 2, Linong Street, Taipei, 112, Taiwan.
Department of Orthopaedic Surgery, Taipei City Hospital, No. 10, Sec. 4, Ren'ai Rd., Da'an Dist., Taipei, 106, Taiwan.
Innovation & Translation Center of Medical Device, National Yang Ming Chiao Tung University, No. 155, Sec. 2, Linong Street, Taipei, 112, Taiwan.

Ying-Chao Chou (YC)

Department of Orthopedics, Chang Gung Memorial Hospital, No. 5, Fuxing St., Guishan Dist., Taoyuan, 333, Taiwan.

Chun-Li Lin (CL)

Department of Biomedical Engineering, National Yang Ming Chiao Tung University, No. 155, Sec. 2, Linong Street, Taipei, 112, Taiwan. cllin2@nycu.edu.tw.
Innovation & Translation Center of Medical Device, National Yang Ming Chiao Tung University, No. 155, Sec. 2, Linong Street, Taipei, 112, Taiwan. cllin2@nycu.edu.tw.

Articles similaires

[Redispensing of expensive oral anticancer medicines: a practical application].

Lisanne N van Merendonk, Kübra Akgöl, Bastiaan Nuijen
1.00
Humans Antineoplastic Agents Administration, Oral Drug Costs Counterfeit Drugs

Smoking Cessation and Incident Cardiovascular Disease.

Jun Hwan Cho, Seung Yong Shin, Hoseob Kim et al.
1.00
Humans Male Smoking Cessation Cardiovascular Diseases Female

Evaluation of Low-Value Services Across Major Medicare Advantage Insurers and Traditional Medicare.

Ciara Duggan, Adam L Beckman, Ishani Ganguli et al.
1.00
Humans United States Aged Cross-Sectional Studies Medicare Part C

Effectiveness of Virtual Yoga for Chronic Low Back Pain: A Randomized Clinical Trial.

Hallie Tankha, Devyn Gaskins, Amanda Shallcross et al.
1.00
Humans Yoga Low Back Pain Female Male

Classifications MeSH

questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › The deformities of acute diaphyseal clavicular...
questionsmedicales.fr › Plaies et blessures › Blessures du thorax › Fractures de côte › The deformities of acute diaphyseal clavicular...
questionsmedicales.fr › Appareil locomoteur › Squelette › Os du membre supérieur › Clavicule › The deformities of acute diaphyseal clavicular...
questionsmedicales.fr › Plaies et blessures › Lésions de l'épaule › Fractures de l'épaule › The deformities of acute diaphyseal clavicular...
questionsmedicales.fr › Professions de santé › Médecine › Spécialités chirurgicales › Orthopédie › The deformities of acute diaphyseal clavicular...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Statistiques comme sujet › Probabilité › Risque › Facteurs de risque › The deformities of acute diaphyseal clavicular...
questionsmedicales.fr › Plaies et blessures › Blessures du thorax › The deformities of acute diaphyseal clavicular...