ReviewDeutsches Arzteblatt international2010
Midclavicular fracture: not just a trivial injury: current treatment options.
Review in Deutsches Arzteblatt international, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
10 citing papers in PubMed.
- Minimally invasive plate osteosynthesis (MIPO) with mini-open technique versus open reduction and internal fixation (ORIF) in the treatment of displaced midclavicular fracture: a retrospective study.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2025Article
- Reliability of preoperative conventional X-ray diagnostics for multifragmentary midclavicular fractures - a retrospective cohort study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Article
- [Clavicle shaft fractures in childhood and adolescence : Consensus report of the Pediatric Traumatology Section of the German Society for Trauma Surgery].Unfallchirurgie (Heidelberg, Germany) · 2023Article
- Predictors requiring special attention to prevent clavicle fracture nonunion: a systematic review of literature.Trauma surgery & acute care open · 2023Article
- The significance of a concomitant clavicle fracture in flail chest patients: incidence, concomitant injuries, and outcome of 12,348 polytraumata from the TraumaRegister DGUEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Article
- A Comparative Study Between Plate Fixation and Intramedullary Fixation for Displaced Mid-Shaft Clavicle Fractures in Adults.Malaysian orthopaedic journal · 2022Article
- [Fracture diagnosis: upper extremities : Shoulder and shoulder girdle].Der Radiologe · 2020Review
- [Complications after intramedullary stabilization of clavicle fractures].Der Unfallchirurg · 2018Article
- Complications of operative treatment of clavicle fractures in a Level I Trauma Center.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2014Article
- Titanium elastic stable intramedullary nailing of displaced midshaft clavicle fractures: A review of 38 cases.International journal of shoulder surgery · 2012Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundConservative treatment was long recommended for midclavicular fractures because of the excellent results that were reported in the 1960's and 70's. Recently, however, the rucksack bandage has received competition from surgical treatment. The spectrum of operations ranges from classic plate osteosynthesis to intramedullary techniques and angle-stable implants.
methodsWe present and evaluate the current treatment options on the basis of a selective review of the literature.
resultsRecent studies have confirmed some long-held concepts and refuted others. The risk of non-union after conservative treatment was previously reported as 1% to 2% but has turned out to be much higher in selected subgroups such as in patients with severe displacement, female patients, and patients of advanced age. Furthermore, new implants and techniques have made surgery safer and more likely to result in bony union.
conclusionIn any case of midclavicular fracture, the type of fracture should be precisely analyzed and an individual treatment strategy should be developed in view of the patient's particular situation. Current studies show with a high level of evidence (level 1) that patients with dislocated fractures benefit from surgery.
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