NGHIÊN CỨU ĐẶC ĐIỂM LÂM SÀNG VÀ X QUANG Ở BỆNH NHÂN GÃY KÍN 1/3 GIỮA XƯƠNG ĐÒN TẠI BỆNH VIỆN ĐA KHOA TRUNG ƯƠNG CẦN THƠ

Abstract

Background: Clavicle fractures are the most common fractures in the shoulder and upper limbs. Evaluate the clinical and paraclinical characteristics and analyze and learn from them to choose effective treatment methods. Objectives: Survey clinical and x-ray characteristics in patients with closed middle 1/3 clavicle fractures treated at Can Tho Central General Hospital from January 2023 to the end of December 2023. Research method: Retrospective description of 59 patients with closed middle 1/3 clavicle fractures at Can Tho Central General Hospital from January 1, 2023 to December 31 /2023. Results: The group of patients with clavicle fractures is mainly men (81.4%), in the working age group 30 - 60 years old (69.5%), working as farmers/workers and the cause is common. The most common is traffic accidents (84.7%). The mechanism of injury is 69.5% of falls on hands and 30.5% of falls on shoulders. 98.3% had symptoms of swelling and pain, 39% of cases had bulging bones under the skin, 32.2% had shortened shoulders, 11.9% had drooping arms, and 10% had sharp pain and bone crunching. Lateral displacement is the most common type of displacement, accounting for 55.94% of cases. This is followed by angulation in 30.5% of cases. Distal displacement and short overlap both account for about 6.78% of cases. Regarding fracture type, Transverse Fracture (A3) is the most common fracture type, accounting for 49.15% of cases. Conclusion: Clavicle fusion surgery with screws is quite good clinically and radiologically, with high success rate, short hospital stay and few complications. This is an effective treatment option for clavicle fractures.