Trial reportClinical orthopaedics and related research2011
Function plateaus by one year in patients with surgically treated displaced midshaft clavicle fractures.
Trial report in Clinical orthopaedics and related research, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04622137 (An Alternative Conservative Treatment Method For Midshaft Clavicular Fractures), which is not on this map. Cited by 16 papers, 3 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
An Alternative Conservative Treatment Method For Midshaft Clavicular Fractures: Kinesiotaping Therapy
Who cites it
16 citing papers in PubMed, 3 syntheses or guidelines pooled it, 37 citations in OpenAlex.
- Pooled it
- Surgical versus conservative interventions for treating fractures of the middle third of the clavicle.The Cochrane database of systematic reviews · 2019Pooled it
- Pooled it
- Development of the Utrecht Score for clavicle fractures: a short and complete clavicle score with patient-reported and objective measures.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2019Trial
- High Irritation and Removal Rates After Plate or Nail Fixation in Patients With Displaced Midshaft Clavicle Fractures.Clinical orthopaedics and related research · 2017Trial
- Surgical fixation reduces scapular dyskinesis and mal-union rates in midshaft clavicle fractures: a retrospective comparative analysis.Musculoskeletal surgery · 2026Article
- Comparison of Surgical Treatment of Clavicle Fractures Using Superior and Anterior Plates: A Clinical Trial.The archives of bone and joint surgery · 2026Article
- Replicability of Highly Cited Comparative Studies in Orthopedic Journals.HCA healthcare journal of medicine · 2026Review
- Does the treatment modality affect nosocomial pneumonia and other in-hospital outcomes in patients with combined injuries to the ribs and clavicle? A propensity score weighted analysis of a retrospective cohort.Archives of orthopaedic and trauma surgery · 2024Article
- An evaluation of treatment options for medial, midshaft, and distal clavicle fractures: a systematic review and meta-analysis.JSES international · 2020Review
- Comparison between conservative treatment and plate fixation for displaced middle third clavicle fracture: clinical outcomes and complications.Acta bio-medica : Atenei Parmensis · 2019Article
- CORR InsightsClinical orthopaedics and related research · 2017Article
- Extrinsic subclavian vein compression after osteosynthesis of a midshaft clavicular fracture in an athlete.Case reports in orthopedics · 2015Article
- Titanium elastic nails, open reduction internal fixation and non-operative management for middle third clavicle fractures: a comparative study.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2014Article
- Article
- Validity and responsiveness of the Nottingham clavicle score in clavicle shaft fractures treated with titanium elastic nailing.Journal of clinical orthopaedics and traumaArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundBased on short-term (1 year or less) followup, primary fixation of displaced midshaft clavicle fractures reportedly results in better function compared with that reported for nonoperative methods. Whether better function persists beyond 1 year is unclear. QUESTIONS/PURPOSES: For displaced midshaft clavicle fractures, do the better mean Disabilities of the Arm, Shoulder and Hand (DASH) and Constant-Murley Shoulder (CSS) scores for operative versus nonoperative treatment at 1 year change between 1- and 2-year followup? PATIENTS AND
methodsWe previously reported 132 patients in a randomized prospective trial at 1 year, and here we report a further followup of 95 of the 132 patients (72%) at 2 years after injury. We evaluated all patients with the DASH and CSS scores.
resultsThe mean DASH and CSS scores were similar at 2 years compared with 1 year postinjury for both the nonoperated and operated patients. The mean scores for the operated patients remained higher than those in the nonoperative group (DASH operative 4.1 ± 7.0 versus DASH nonoperative 11.4 ± 19.7, CSS operative 97.1 ± 4.5 versus CSS nonoperative 91.6 ± 14.1) at 2 years postinjury.
conclusionsThe improvement in DASH and CSS scores seen with primary fixation of displaced clavicle fractures persists at 2 years but does not differ from values seen after 1 year of followup, suggesting a clinical steady state has been reached whereby outcome is unlikely to change with time. LEVEL OF EVIDENCE: Level I, therapeutic study. See Guidelines for Authors for a complete description of levels of evidence.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.