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. 2016 Dec 15;2016(12):CD007121. doi: 10.1002/14651858.CD007121.pub4

NCT02398006.

Trial name or title Figure‐of‐eight bandage versus arm sling for treating middle third clavicle fractures in adults: a randomised controlled trial
Methods Study design: parallel randomised controlled trial
Random sequence generation: participants will be randomised according to computer generated randomisation
Allocation concealment: by sealed opaque envelope
Masking: open label
Participants Location: São Paulo, Brazil
Target sample size: 110 participants
Inclusion criteria:
  • Adults aged between 18 and 65 years with middle third clavicle fracture

  • Acute fracture (< 10 days), comprising all types of middle third clavicle fractures (non‐displaced and displaced fractures)

  • No medical contraindication to proposed methods of immobilisation

  • Understanding of Portuguese language and written informed consent


Exclusion criteria:
  • Pathological fracture

  • Open fracture

  • Neurovascular injury on physical examination

  • Associated head injury (Glasgow Coma Scale score < 12),·Ipsilateral upper limb fractures and/or dislocation (except hand and fingers)

  • History of frozen shoulder

  • Previous disease in the limb that could influence the results (e.g. rheumatoid arthritis),· Inability to comply with follow‐up (inability to read or complete forms)

Interventions Intervention 1: figure‐of‐eight bandage
Intervention 2: arm sling
Outcomes Outcomes: function or disability measured by: DASH questionnaire and UCLA score; pain measured by VAS; failure of treatment; adverse events measured by: a) cosmetic results: perception of deformity or asymmetry (dichotomous data); b) asymptomatic nonunion (i.e. the fracture has not radiographically healed, although pain is absent); c) stiffness/restriction of the shoulder movement (compared with contralateral side); and numbers returning to previous activities
Timing of outcomes measurement: 12 months
Starting date Main ID: NCT02398006
Date of registration: 12 March 2015
Last refreshed on: 19 March 2015
Date of first enrolment: January 2016
Status: recruiting
Contact information Name: Dr Mario Lenza
Address: Hospital Israelita Albert Einstein – Avenida Albert Einstein, 627/701 – Jardim Leonor – CEP: 05652‐900 – São Paulo, SP, Brazil
Telephone: 55 11 21511444
Email: mario.lenza@einstein.br
Affiliation: Hospital Israelita Albert Einstein
Notes A published protocol for this trial is available (Lenza 2016)

DASH: Disability of the Arm, Shoulder and Hand questionnaire
 UCLA: University of California, Los Angeles
 VAS: visual analog score