ArticleWorld journal of emergency surgery : WJES2013
Demographics of the injury pattern in severely injured patients with an associated clavicle fracture: a retrospective observational cohort study.
Article in World journal of emergency surgery : WJES, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.
- Epidemiology of combined clavicle and rib fractures: a systematic review.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Pooled it
- Identifying predictors of nosocomial pneumonia in trauma patients admitted to a level-1 trauma center.Archives of orthopaedic and trauma surgery · 2024Article
- 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
- Clavicle fixation to reduce short-term analgesia and improve respiratory function in patients with chest wall injuries.Archives of orthopaedic and trauma surgery · 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
- Influence of surgical stabilization of clavicle fractures in multiply-injured patients with thoracic trauma.Scientific reports · 2021Article
- Displaced medial clavicle fractures: operative treatment with locking compression plate fixation.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2020Article
- Associated thoracic injury in patients with a clavicle fracture: a retrospective analysis of 1461 polytrauma patients.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2019Article
- Cutaneous paresthesia after internal plate fixation of clavicle fractures and underlying anatomical observations.Medicine · 2018Observational
- Minimally invasive implantation of a novel flexible intramedullary nail in patients with displaced midshaft clavicle fractures.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2016Article
- Missed clavicle fractures on anterior-posterior views of skull X-rays: a retrospective, observational, and descriptive study.Clinical and experimental emergency medicine · 2015Article
- Predictors of clavicle fixation in multiply injured patients.Journal of orthopaedicsArticle
Corrections and comments
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Authors and funding
6 authors at 4 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDespite an increasing interest in the treatment of clavicle fractures, this is still a not yet defined area in severely injured patients as most studies exclude these patients. Analyzing fracture type and evaluate accompanying injuries can provide valuable information in an early stage of trauma care.
objectiveTo identify prevalence, fracture type and accompanying injuries of clavicle fractures in the severely injured patient.
methodsWe included all severely injured patients (ISS ≥ 16) with a clavicle fracture from January 2007 - December 2011. We prospectively collected data about demographics, injuries, trauma mechanism and mortality. Fractures were classified using the Robinson classification.
resultsA total of 1534 patients had an ISS ≥16, of which 164 (10.7%) patients had a clavicle fracture. Traffic related accidents were the main cause of injury (65%). Most fractures were midshaft fractures (66.5%) of which 56% were displaced. Seven patients were treated operatively. There was no significant difference in ISS between the three fracture types. 83% of the patients sustained additional injury to the head and neck; the most prevalent injuries were skull or skull base fractures (41.5%) and maxillofacial fractures (29%). Furthermore 77% of the patients had additional thoracic injury; the most prevalent injuries were rib fractures (59%) and a pneumothorax (38%). The mortality rate was 21.4%.
conclusionA clavicle fracture was present in more than 10% of the severely injured patients. Displaced midshaft clavicle fractures were the most common type of fracture. Additional injuries to the head and neck region occurred in 83% of the patients and thoracic injuries occurred in 77% of the patients.
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