Orthopaedic Session II
AB119. SOH24AB_077. Return to play following clavicular fracture: a systematic review
Conor James Kilkenny1, Gordon Richard Daly2, Sean Paul Whelehan3, Maen AlRawashdeh2, Gavin Paul Dowling2, Thomas Moore4
1Department of Surgery, Tallaght University Hospital, Tallaght, Dublin, Ireland;
2Department of Surgery, Royal College of Surgeons in Ireland (RCSI), Dublin, Ireland;
3Faculty of Education & Health Services, University of Limerick School of Medicine, Garraun, Castletroy, Co. Limerick, Ireland;
4Sports Surgery Clinic, Northwood Avenue, Santry, Dublin, Ireland
Background: Debate exists within the literature on how best to treat athletes following a clavicular fracture. Little is known on return to play (RTP) outcomes in this cohort. The purpose of this study was to determine RTP outcomes for athletes following a clavicular fracture.
Methods: A systematic literature search was conducted based on Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, using the PubMed, EMBASE, CINAHAL, Cochrane, Web of Science and Scopus databases. Eligible for inclusion were clinical studies reporting on RTP following a clavicular fracture.
Results: In total, 33 studies with 1,087 clavicles were included in our analysis. The majority were male (81.4%), with a mean age of 28.4 years. The overall rate of RTP was 92%, with 86% returning to the same level of play. The mean RTP time was 3.35 months. Among collision athletes, the overall rate of RTP was 94%, with 95% of these returning to the same level of play. The mean RTP time among collision athletes was 3.47 months. Among patients who had surgical management the rate of RTP was 92%. The rate of RTP among patients managed non-operatively was 91%. Rates of RTP varied based on the type of clavicular fracture. RTP rates were 100% for medial clavicular fractures, 91% for mid clavicular fractures and 78% for lateral clavicular fractures.
Conclusions: High rates of RTP are seen following clavicular fractures with excellent RTP outcomes. The findings of this study are particularly encouraging for collision athletes who are at an increased risk of suffering this injury.
Keywords: Clavicle; fracture; return to play; sport; systematic review
Acknowledgments
Funding: None.
Conflicts of Interest: The authors have no conflicts of interest to declare.
Ethical Statement: The authors are accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Open Access Statement: This is an Open Access article distributed in accordance with the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 International License (CC BY-NC-ND 4.0), which permits the non-commercial replication and distribution of the article with the strict proviso that no changes or edits are made and the original work is properly cited (including links to both the formal publication through the relevant DOI and the license). See: https://creativecommons.org/licenses/by-nc-nd/4.0/.
doi: 10.21037/map-24-ab119
Cite this abstract as: Kilkenny CJ, Daly GR, Whelehan SP, AlRawashdeh M, Dowling GP, Moore T. AB119. SOH24AB_077. Return to play following clavicular fracture: a systematic review. Mesentery Peritoneum 2024;8:AB119.
