Evidence map›Paper›PMID 25626962›Full record

Trial reportJournal of orthopaedic surgery and research2015

Clinical outcome and radiographic change of ipsilateral scapular neck and clavicular shaft fracture: comparison of operation and conservative treatment.

Tsung-Li Lin, Yu-Fen Li, Chin-Jung Hsu, Chih-Hung Hung, Chi-Chang Lin, Yi-Chin Fong, Horng-Chaung Hsu, Chun-Hao Tsai

Abstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in Journal of orthopaedic surgery and research, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

  1. The Effect of Clavicle Fracture Fixation on Scapular Alignment in Ipsilateral Clavicle and Scapular Fractures.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2026
    Article
  2. Review
  3. Article
  4. Article
  5. Article
  6. [Double internal fixations of clavicle and scapula and intraoperative reduction of glenopolar angle for treatment of floating shoulder injuries].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2021
    Article
  7. Review
  8. Decision-making for complex scapula and ipsilateral clavicle fractures: a review.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2019
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Tsung-Li LinDepartment of Orthopedic Surgery, China Medical University Hospital, #2 Yue-Der Road, Taichung, 40447, Taiwan. alilin422@yahoo.com.tw.
Yu-Fen LiGraduate Institute of Biostatistics, China Medical University, Taichung, Taiwan. yufenli@mail.cmu.edu.tw.
Chin-Jung HsuDepartment of Orthopedic Surgery, China Medical University Hospital, #2 Yue-Der Road, Taichung, 40447, Taiwan. d5983@mail.cmuh.org.tw.
Chih-Hung HungDepartment of Orthopedic Surgery, China Medical University Hospital, #2 Yue-Der Road, Taichung, 40447, Taiwan. aaa670223@yahoo.com.tw.
Chi-Chang LinDepartment of Orthopedic Surgery, China Medical University Hospital, #2 Yue-Der Road, Taichung, 40447, Taiwan. d21476@mail.cmuh.org.tw.
Yi-Chin FongDepartment of Orthopedic Surgery, China Medical University Hospital, #2 Yue-Der Road, Taichung, 40447, Taiwan. d1762@mail.cmuh.org.tw.
Horng-Chaung HsuDepartment of Orthopedic Surgery, China Medical University Hospital, #2 Yue-Der Road, Taichung, 40447, Taiwan. d4749@mail.cmuh.org.tw.
Chun-Hao TsaiDepartment of Orthopedic Surgery, China Medical University Hospital, #2 Yue-Der Road, Taichung, 40447, Taiwan. ritsai8615@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe purpose of this study is to compare glenopolar angle (GPA) and the functional outcomes of fixation of both the clavicle and the scapular neck, fixation of the clavicle alone, and conservative treatment for floating-shoulder injuries.

methodsA prospective stratified randomized study was performed in 39 adult patients who suffered floating-shoulder injuries and underwent fixation of both the clavicle and the scapular neck (group A), or fixation of the clavicle alone (group B), or conservative treatment (group C) between January 2005 and September 2011. The GPA, Disabilities of the Arm, Shoulder and Hand (DASH) score, and Constant-Murley Shoulder Outcome (Constant) score were compared between the three groups.

resultsAll 39 patients were followed up for more than 2 years. GPA after bony consolidation was significantly better in group A than in groups B and C (p = 0.015). Functional outcomes measured by DASH and Constant scores were significantly better in group A at final follow-up (p = 0.008 and 0.002, respectively). Both DASH and Constant scores were highly correlated with GPA after consolidation (p < 0.001, respectively). The receiver operating characteristic (ROC) analysis showed that of the two randomly selected DASH scores, the smaller DASH score would have a larger GPA than the larger DASH score. Similarly, the larger Constant score would have a larger GPA than the smaller Constant score.

conclusionsFixation of both the clavicle and the scapular neck may correct GPA and improve functional outcomes for the treatment of floating-shoulder injuries. GPA after fracture consolidation is a useful prognostic indicator of a satisfactory clinical outcome as defined by either DASH score or Constant score.

Indexed as

AdultClavicleFemaleFractures, BoneHumansMaleMiddle AgedProspective StudiesRadiographyScapulaTreatment OutcomeYoung Adult

Identifiers

PMID25626962
PMCPMC4314750

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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.