SynthesisInternational orthopaedics2014
Predictors associated with nonunion and symptomatic malunion following non-operative treatment of displaced midshaft clavicle fractures--a systematic review of the literature.
Synthesis in International orthopaedics, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06652659 (Risk Factors for Development of Non-union of Displaced Midshaft Clavicle Fractures), which is not on this map. Cited by 24 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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.
Risk Factors for Development of Non-union of Displaced Midshaft Clavicle Fractures: A Prospective Double-center Cohort Study
Who cites it
24 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Reliability of measurements of the fractured clavicle: a systematic review.Systematic reviews · 2017Pooled it
- Prospective randomized study comparing results of fixation for clavicular shaft fractures with intramedullary nail or locking compression plate.International orthopaedics · 2017Trial
- Overtreatment of displaced midshaft clavicle fractures.Acta orthopaedica · 2016Trial
- Severely displaced rib fractures are independently associated with reduced pulmonary function at 3 months.World journal of emergency surgery : WJES · 2025Article
- Article
- Review
- Step-Cut Clavicle Osteotomy and T-Shaped Iliac Crest Graft for Clavicle Nonunion Using 3-Dimensionally Planned Custom-Made Surgical Guides and Plate Fixation.Arthroscopy techniques · 2025Article
- Outcomes of conservatively treated midshaft clavicle fractures with butterfly fragment.Joint diseases and related surgery · 2025Article
- Innovative Anatomical Plate for Surgical Fixation of Acromial-End Clavicle Fractures: A Case Report.Orthopedic reviews · 2025Article
- [Clavicle nonunion].Unfallchirurgie (Heidelberg, Germany) · 2024Article
- Do multiple fractures affect risk of fixation failure after surgical treatment of midshaft clavicle fracture? A retrospective cohort study.Archives of orthopaedic and trauma surgery · 2024Article
- Plate prebending using a three-dimensional-printed model affords effective anatomical reduction in clavicular shaft fractures.Clinics in shoulder and elbow · 2023Article
- Management of Displaced Midshaft Clavicle Fractures with Figure-of-Eight Bandage: The Impact of Residual Shortening on Shoulder Function.Journal of personalized medicine · 2022Article
- Three-dimensional reconstruction and virtual reposition of fragments compared to two dimensional measurements of midshaft clavicle fracture shortening.BMC musculoskeletal disorders · 2022Article
- Low-intensity extracorporeal shock wave therapy for midshaft clavicular delayed union: A case report and review of literature.World journal of clinical cases · 2021Article
- Acute plate fixation of displaced midshaft clavicular fractures is not associated with earlier return of normal shoulder function when union is achieved.Bone & joint open · 2021Article
- Intraoperative Nice knots assistance for reduction in displaced comminuted clavicle fractures.BMC musculoskeletal disorders · 2021Article
- Midshaft Clavicle Fractures Treated Nonoperatively Using Figure-of-Eight Bandage: Are Fracture Type, Shortening, and Displacement Radiographic Predictors of Failure?Diagnostics (Basel, Switzerland) · 2020Article
- Current concepts in the management of clavicle fractures.Journal of clinical orthopaedics and trauma · 2020Review
- Nonoperative Treatment of Midshaft Clavicle Fractures in Adults.The open orthopaedics journal · 2018Review
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe aim of this study was to survey existing literature in order to identify all reported predictors associated with nonunion or symptomatic malunion in adult patients with displaced midshaft clavicle fractures treated non-operatively.
methodA systematic literature search in Medline was carried out in order to identify publications in English, reporting on predictors for nonunion and malunion in adults with displaced midshaft clavicle fractures. After applying inclusion and exclusion criteria, eight publications were included in this systematic review.
resultsA total of 2,117 midshaft clavicle fractures were included in the eight publications. All publications reported on predictors for nonunion but none were found to report on predictors for malunion. The studies were characterized by different definitions for nonunion and symptomatic malunion if at all present. A total of 13 potential factors associated with nonunion were identified, six of these (displacement, comminution, shortening, age, gender and smoking) were reported as predictors for nonunion. Outcome definitions varied among the studies.
conclusionThe included publications varied greatly in design, sample size, and quality. Based on the present literature most of the predictors were found to be of limited evidence, however displacement seems to be the most likely factor that can be used to predict for nonunion. Treating all clavicle fractures with displacement surgically would inevitably lead to overtreatment, which is why future studies need to focus on predictive factors in order to differentiate between patients that would benefit from surgery and those who would not.
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Registered trials
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