Figure-of-eight versus Velpeau bandage for treating: results of a randomized controlled trial

Background: Although clavicle fracture is the most common fracture in children, the best method of its treatment is still a challenge. Objective: The purpose of this study is comparing the clinical outcomes in Velpeau bandage and figure of eight in treatment of pediatric mid-clavicle fracture. Method: This randomized clinical trial was conducted on ۷۴ children presented to our emergency department with mid clavicle fracture. Patients were randomly divided into two groups (the Velpeau bandage and the figure of eight). Patients were followed by telephone two weeks after presentation, regarding general satisfaction and comfort and severity of pain. Second follow up was performed six weeks after the initial presentation through an outpatient visit for evaluation of shoulder range of movement, any limitations of daily activity, bone shortening and probable complications. Results: There was no significant difference between two groups in term of limitation of shoulder range of movement (P = ۰.۶۹) after ۶ weeks and pain (P = ۰.۴۶), general satisfaction of treatment process (P = ۰.۱۳), and satisfaction with the comfort of the bandage (P = ۰.۲۸) after ۲ weeks. The mean of bone shortening was ۵.۱۵ ± ۳.۱۸ and ۷.۶۷ ± ۳.۱۴ in figure if figure of eight and Velpeau bandage respectively. Conclusion: There are no clinical differences between Velpeau bandage and figure of eight in treatment of mid clavicle fracture in children.

Keywords:

Pediatric , Clavicle fracture , Figure of eight , Velpeau bandage