NGHIÊN CỨU ĐẶC ĐIỂM LÂM SÀNG, HÌNH ẢNH X QUANG VÀ NGUYÊN NHÂN GÃY XƯƠNG ĐÒN TẠI BỆNH VIỆN ĐA KHOA TRUNG ƯƠNG CẦN THƠ VÀ BỆNH VIỆN TRƯỜNG ĐẠI HỌC Y DƯỢC CẦN THƠ

Abstract

Background: Clavicle fractures are a common trauma that can lead to severe complications. Understanding the clinical characteristics, X-ray images, and determining the causes of trauma play a crucial role in diagnosis and treatment. Objectives: To describe and study the clinical characteristics, X-ray images, and causes of clavicle fractures. Materials and Methods: 51 clavicle fracture patients were examined and admitted to the hospital from June 2022 to November 2023. We recorded the patient's general characteristics, clinical features, X-ray images, and causes of clavicle fractures, then analyzed the correlations among these features using SPSS software. Results: The average age was 33.0. Males had a ratio of 72.5%. The average BMI index was 23.1. Traffic accidents were the cause in 88.2% of cases. Falling onto the outer shoulder had a ratio of 66.7%, and falling on an outstretched hand accounted for 25.5%. 50/51 patients did not receive initial aid at the scene, and 52.3% did not receive aid at primary medical centers. Fractures at the middle shaft accounted for 86.3%, and 68.6% of cases were fragmentary. There was a significant association of pain score with first aid status and BMI index with fragmentary fractures. Conclusion: Most clavicle fracture patients were males with a mean age of 33. The leading cause of injury is traffic accidents with the mechanism of falling onto the outer shoulder. Most patients did not receive initial first aid at the scene or primary medical centers with significantly higher pain scores. Patients with high BMI have an increased risk of complex clavicle fractures.