Objective:

To compare the incidence of scapular dyskinesis (ScD) in patients with < 2 cm clavicular shortening treated surgically versus conservatively and to identify specific patient factors such as age, activity level, and comorbidities associated with ScD.

Key Findings:

• Surgical treatment may reduce the occurrence of ScD compared to conservative management in minimally displaced clavicle fractures, highlighting the need for careful consideration of treatment options.
• Even minor degrees of clavicular shortening can significantly alter scapulothoracic motion and increase the risk of ScD, emphasizing the importance of addressing these changes.
• Patient-specific factors such as age, activity level, and comorbidities influenced treatment decisions, indicating a need for personalized treatment approaches.

Interpretation:

The study highlights the clinical relevance of addressing even minor clavicular shortening to prevent functional limitations and optimize recovery outcomes, suggesting that early intervention may improve patient quality of life.

Limitations:

• Retrospective design may introduce selection bias, potentially affecting the reliability of the findings.
• Limited generalizability due to single-center study, which may not reflect broader patient populations.
• Potential confounding factors not fully controlled, which could influence the outcomes.

Conclusion:

Early recognition and appropriate management of scapular dyskinesis in patients with minimally displaced clavicle fractures are crucial for improving functional outcomes and preventing long-term complications.