Partial excision of the clavicle for nonunion in National Hunt Jockeys.
Abstract: National Hunt jockeys suffer a disproportionate number of clavicular fractures and their return to riding may be considerably delayed by refracture and symptomatic nonunion, with obvious implications. We report six such cases in which excision of the clavicular fragment distal to the fracture was associated with an early return to work and no recurrent injury to the shoulder.
Publication Date: 1995-09-01 PubMed ID: 7559710
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- Journal Article
Summary
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The study explores how the partial removal of the clavicle bone can help National Hunt jockeys recover faster from non-healing fractures, potentially allowing them to return to their profession sooner without reinjury.
Objective of the Study
- The research was carried out with an aim to understand the impact, benefits, and potential concerns of the partial excision, or removal, of fragments from fractured clavicles in National Hunt jockeys, a group that experiences a high number of these fractures.
Problem Analysis
- National Hunt jockeys, engaged in a high-risk sport, are particularly susceptible to fractures of the clavicle, or collarbone. When these fractures do not heal properly (a condition known as nonunion), jockeys may face significant delays in returning to work and are at an increased risk of refracturing the bone.
Study Methodology
- The researchers studied six cases of such clavicle nonunion. In these cases, the broken fragment of bone closer to the shoulder (distal fragment) was surgically excised, or removed.
- The article does not detail the specific process of case selection, or the medical methodologies and techniques used for the partial excision procedures.
Key Findings
- Following the surgeries, it was observed that the jockeys could return to their profession earlier than expected.
- No recurring injuries to the shoulder were reported post the surgery, implying that the procedure may have additional benefits in reducing the risk of reinjury.
Implications of the Study
- The study suggests that the partial excision of the clavicle could be a valid solution for nonunion in clavicular fractures. This could aid in an early return to work, making it a potential game-changer for National Hunt jockeys and possibly other athletes prone to similar injuries.
- Future research can further explore the long-term benefits, potential risks, and other implications of the procedure.
Cite This Article
APA
Middleton SB, Foley SJ, Foy MA.
(1995).
Partial excision of the clavicle for nonunion in National Hunt Jockeys.
J Bone Joint Surg Br, 77(5), 778-780.
Publication
Researcher Affiliations
- Princess Margaret's Hospital, Swindon, England, UK.
MeSH Terms
- Accidents, Occupational
- Animals
- Athletic Injuries / diagnostic imaging
- Athletic Injuries / surgery
- Clavicle / diagnostic imaging
- Clavicle / injuries
- Clavicle / surgery
- Follow-Up Studies
- Fractures, Ununited / diagnostic imaging
- Fractures, Ununited / surgery
- Horses
- Humans
- Life Style
- Occupational Diseases / diagnostic imaging
- Occupational Diseases / surgery
- Patient Satisfaction
- Radiography
Citations
This article has been cited 2 times.- Teng HG, Liu AL. Partial claviculectomy after non-union of proximal clavicle fracture.. BMJ Case Rep 2013 Mar 29;2013.
- Turner M, McCrory P, Halley W. Injuries in professional horse racing in Great Britain and the Republic of Ireland during 1992-2000.. Br J Sports Med 2002 Dec;36(6):403-9.
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