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Decreased sleep disturbance
2%
27/1456
Decreased personal care and hygiene impairment
36/1456
Decreased rates of malunion
3%
41/1456
Improved long-term clinical outcomes
1%
16/1456
No advantage, equivalent result between a simple sling and figure-of-eight brace
91%
1328/1456
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Figure of eight braces have been shown to have no differences as compared to simple slings in regard to healing times, healing rates, and alignment at final follow-up. The referenced study by Andersen et al is a Level 1 randomized controlled study showing equivalent cosmetic and clinical outcomes with sling versus figure of eight bracing despite increased sleep disturbances and increased rate of personal care impairment in those treated with a figure of eight brace. The second referenced study by Nordqvist et al is a Level 4 case series designed to analyze the long-term outcome of mid-clavicle fractures in adults and to evaluate the clinical importance of displacement and fracture comminution. They found a 39/225 rate of moderate shoulder pain with figure of eight bracing. Overall they concluded that few patients with fractures of the mid-part of the clavicle require operative treatment.
3.7
(37)
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