It found no difference in outcome, including the time for fracture healing, between the two groups. The fourth study compared therapeutic ultrasound with sham treatment in 120 people with clavicle fractures. None of the three studies found differences in time for fracture healing, adverse outcomes or time to return to school or work activities.
One participant was recorded as having surgery for a complication. Although data from two studies did not show a difference in pain at two weeks after injury, the third study reported more pain and discomfort in people in the figure-of-eight bandage group. The three studies (296 participants) comparing the figure-of-eight bandage versus an arm sling found similar shoulder function in the two groups at the end of follow-up.
The types of conservative treatments evaluated were figure-of-bandage versus arm sling in three trials and therapeutic ultrasound versus sham treatment (placebo) in one trial. The four small studies had methodological limitations that may affect the reliability of their findings. We searched the scientific literature up to January 2016 and found four relevant studies with a total of 416 participants. The main outcomes we were interested in were long-term function and pain. This review aimed to evaluate the effects of different conservative treatments for treating collarbone fractures in adolescents and adults without surgery. Common conservative treatments are arm slings, strapping and figure-of-eight bandages.
These fractures are frequently treated with conservative treatments that do not involve surgery. Most collarbone fractures occur in the middle-third section. A broken collarbone (clavicle fracture) is a common injury, particularly in adolescents, and accounts for up to 4% of all fractures.
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