Risk Factors of Pecci and Kreher for Nonunion of a Midshaft Fracture of the Clavicle

Description

Pecci and Kreher listed risk factors for nonunion of a fracture in the midshaft of the clavicle following nonoperative management. These can help identify a patient who may benefit from open reduction with fixation. The authors are from Boston University.

Parameters:

(1) age of the patient

(2) gender

(3) shortening of the clavicle in mm (relative to the opposite and hopefully unfractured side)

(4) comminution or other indication of severe trauma

(5) displacement (of the fractured ends from each other)

Parameter	Finding	Points
age of the patient	younger	0
	older	1
gender	male	0
	female	1
shortening of the clavicle	< 15 mm	0
	>= 15 mm	1
comminution	absent	0
	present	1
displacement	absent	0
	present

where:

• The age limit for older is not given. In the implementation >= 65 years will be used.

number of risk factors for fracture nonunion =

= SUM(points for all 5 parameters)

Interpretation:

• minimum number of risk factors: 0

• maximum number of risk factors: 5

• The greater the number of risk factors the greater the risk of nonunion with nonoperative management..

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Risk Factors of Pecci and Kreher for Nonunion of a Midshaft Fracture of the Clavicle

Description

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