State Emergency Department Databases (SEDD)
and State Ambulatory Surgery Databases (SASD) were used to identify patients
presenting with mid-shaft clavicle fractures from 2005 to 2010 in California
and New York State. Patients were identified by International Classification of
Disease, Ninth Edition (ICD-9) and Current Procedural Terminology (CPT) codes. Multivariable logistic regression analysis was
conducted to illustrate
any demographic trends regarding patients undergoing operative fixation.
Results: Operative fixation of mid-shaft
clavicle fractures increased by 368% and by 349% in California and New York,
respectively, while the number of patients with clavicle fractures presenting
to emergency departments remained stable.
Conclusion: The incidence of operative
fixation of mid-shaft clavicle fractures has increased substantially at a
similar rate in two states over a short period of time.
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