Trial reportBMC musculoskeletal disorders2015
Correlation of the degree of clavicle shortening after non-surgical treatment of midshaft fractures with upper limb function.
Trial report in BMC musculoskeletal disorders, 2015. 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 13 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.
An Alternative Conservative Treatment Method For Midshaft Clavicular Fractures: Kinesiotaping Therapy
Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it, 33 citations in OpenAlex.
- Does clavicular shortening after nonoperative treatment of midshaft fractures affect shoulder function? A systematic review.Archives of orthopaedic and trauma surgery · 2017Pooled it
- Bone shortening of clavicular fractures: comparison of measurement methods.BMC musculoskeletal disorders · 2017Trial
- Long-term conservative treatment outcomes for midshaft clavicle fractures: a 10-to-30-year follow-up.Journal of orthopaedic surgery and research · 2023Article
- Revisiting the surgical indication of mid-shaft clavicle fractures: Clavicle asymmetry.Joint diseases and related surgery · 2023Article
- Closed midshaft clavicle fractures : an evidence-based triage management algorithm.Bone & joint open · 2022Article
- Management of Displaced Midshaft Clavicle Fractures with Figure-of-Eight Bandage: The Impact of Residual Shortening on Shoulder Function.Journal of personalized medicine · 2022Article
- Gender Affirming Body Contouring and Physical Transformation in Transgender Individuals.Indian journal of plastic surgery : official publication of the Association of Plastic Surgeons of India · 2022Review
- Midshaft Clavicle Fractures Treated Nonoperatively Using Figure-of-Eight Bandage: Are Fracture Type, Shortening, and Displacement Radiographic Predictors of Failure?Diagnostics (Basel, Switzerland) · 2020Article
- Influence of radiographic projection and patient positioning on shortening of the fractured clavicle.JSES international · 2020Article
- Comparison between conservative treatment and plate fixation for displaced middle third clavicle fracture: clinical outcomes and complications.Acta bio-medica : Atenei Parmensis · 2019Article
- Midshaft clavicle fractures: Current concepts.EFORT open reviews · 2018Article
- Changes in clavicle length in acute fractures within 3 weeks: a prospective ultrasonographic study of 59 patients.BMC musculoskeletal disorders · 2017Observational
- The challenge of nonunion after osteosynthesis of the clavicle: is it a biomechanical or infection problem?Clinical cases in mineral and bone metabolism : the official journal of the Italian Society of Osteoporosis, Mineral Metabolism, and Skeletal DiseasesArticle
Corrections and comments
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Authors and funding
7 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDespite the use of non-surgical methods to treat for the majority of midshaft fractures of the clavicle, it is remains controversial whether shortening of this bone following non-surgical treatment of a middle third fracture affects upper limb function.
methodsWe conducted a cohort study by sequentially recruiting 59 patients with a fracture of the middle third of the clavicle. All patients were treated nonsurgically with a figure-of-eight bandage until clinical and radiological findings indicated healing of the fracture. Functional outcome was assessed using the Disability of Arm, Hand and Shoulder (DASH) score revalidated for the Portuguese language, other outcomes assessed included: pain measured by visual analogue scale (VAS); radiographies to measure the degree of shortening, fracture consolidation and fracture malunion. Information were also collected regarding the mechanism of injury, patient's daily activities level and epidemiological features of the patient cohort. The results of our findings are expressed as the comparison of the functional outcome with the degree of shortening.
resultsPatients were assessed six weeks and one year after injury. In the first evaluation, the mean DASH score was 28.84 and pain measured by VAS was 2.57. In the second evaluation (one year after injury) the mean DASH score was 8.18 and pain was 0.84. The mean clavicle shortening was 0.92 cm, ranging from 0 to 3 cm (SD = 0.64). There were no correlation between the degree of shortening and DASH score after six weeks and one year (p = 0.073 and 0.706, respectively). When only patients with of shortening greater than 2 cm were assessed for correlation, the result did not change.
conclusionWe conclude that clavicle shortening after nonsurgical treatment with a figure-of-eight bandage does not affect limb function, even when shortening exceeds 2 cm.
trial registrationISRCTN85206617 . Registered 12 May 2014.
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