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Return to elite-level sport after clavicle fractures
Jonah Hebert-Davies1, Julie Agel1
1Department of Orthopaedic Surgery and Sports Medicine, Harborview Medical Center, Seattle, Washington, USA.
Objective:
To determine if return to sport following clavicle fracture occurs earlier in high-level sports than the current standard of care allows for.
Design:
Observational study retrospective review of NHL prospective data.
Setting:
The study was performed at a university orthopaedic surgery department.
Patients:
NHL player with clavicle fracture.
Assessment Of Independent Variables:
The independent variable including time on injured reserve and type of treatment.
Main Outcome Measures:
The primary study outcome measure was successful return to NHL play.
Results:
15 athletes were identified; 10 were treated operatively and 5 non-operatively. The average return to ice hockey was 10 weeks. If the one outlier is removed, the average is 9.1 weeks. There was one re-fracture in the non-operative group. The average time from injury to return to sport was 65 days in the operative group and 97.6 days in the non-operative group. Two patients were unable to return play during the same season.
Conclusions:
High-end athletes safely return to at-risk sports after clavicle fracture much sooner than the average seen with non-elite athletes. Additional study may demonstrate that return to activity can likely be accelerated without significantly increasing complications.
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