Evaluation and Management of Distal Clavicle Fracture in a Tertiary Care Hospital LRH, Peshawar

Main Article Content

Shah Fahad Qayyum
Hamza Khan
Azeem Khan


Background: Background: Distal clavicle fractures, constituting 10–30% of all clavicle fractures, present a significant challenge in orthopedic surgery due to their high propensity for displacement and subsequent complications such as nonunion and malunion. The Revised NEER classification system guides the management approach, distinguishing between stable and unstable fracture types, with varying recommendations for surgical and non-operative treatments.

Objective: This study aims to elucidate the patterns of distal clavicle fractures based on the NEER classification and to evaluate the outcomes of different management strategies in a tertiary care setting.

Methods: Conducted at the Department of Orthopedics, Lady Reading Hospital, Peshawar, this cross-sectional study spanned four months, from September to December 2023, following ethical approval. It employed a non-probability convenience sampling technique, including patients aged 20 to 60 years with radiographically confirmed lateral third clavicle fractures. Exclusion criteria encompassed patients without fractures or with healed fractures. Data on demographics, injury mechanism, comorbidities, and treatment were collected. The statistical analysis was performed using IBM SPSS version 25, focusing on frequencies, percentages, means, and standard deviations, with a p-value of ≤ 0.05 considered significant.

Results: Out of 70 participants, the mean age was 34.39 years (SD = 9.42), with 75.7% males. The majority of injuries were due to road traffic accidents (60%), followed by falls (17.1%), sports injuries (14.3%), and physical assaults (8.6%). Regarding comorbidities, 10% were smokers, 2.9% had hypertension, 1.4% diabetes, and 84.3% had no comorbidities. NEER classification revealed Type 2A fractures as the most common (28.6%), followed by Types 1 and 2B (18.6% each). Surgical management was predominant, with plating (58.6%) and conservative treatment (28.6%) being the most utilized methods.

Conclusion: The study highlights the prevalence of surgical intervention, particularly plating, in managing distal clavicle fractures, predominantly caused by road traffic accidents. These findings suggest a need for specific surgical protocols tailored to the fracture type to optimize patient outcomes and minimize complications.

Article Details

How to Cite
Qayyum, S. F., Khan, H., & Khan, A. (2024). Evaluation and Management of Distal Clavicle Fracture in a Tertiary Care Hospital LRH, Peshawar. Journal of Health and Rehabilitation Research, 4(1), 843–847. https://doi.org/10.61919/jhrr.v4i1.509
Author Biographies

Hamza Khan, Gajju Khan Medical College Swabi KPK Pakistan.

Resident Surgeon, General Surgery, Gajju Khan Medical College Swabi KPK Pakistan.

Azeem Khan, KTH Khyber Teaching Hospital Peshawar Pakistan.

Resident Orthopedic Surgeon, Orthpedics Department, KTH Khyber Teaching Hospital Peshawar Pakistan.


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