ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2019
Associated thoracic injury in patients with a clavicle fracture: a retrospective analysis of 1461 polytrauma patients.
Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.
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Who cites it
19 citing papers in PubMed, 2 syntheses or guidelines pooled it, 38 citations in OpenAlex.
- The utilisation of international consensus definitions of the disease polytrauma: a systematic review.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Pooled it
- 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
- Multi-stream and multi-scale fusion rib fracture segmentation network based on UXNet.Quantitative imaging in medicine and surgery · 2025Article
- 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
- [Treatment strategy for severe implosion injuries of the lateral chest wall].Unfallchirurgie (Heidelberg, Germany) · 2024Review
- Development and evaluation of a deep learning-based model for simultaneous detection and localization of rib and clavicle fractures in trauma patients' chest radiographs.Trauma surgery & acute care open · 2024Article
- [Clavicle fractures: practical approach in clinical routine].Chirurgie (Heidelberg, Germany) · 2023Article
- Early Internal Fixation of Concomitant Clavicle Fractures in Severe Thoracic Trauma Prevents Posttraumatic Pneumonia.Journal of clinical medicine · 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
- Detection of acute rib fractures on CT images with convolutional neural networks: effect of location and type of fracture and reader's experience.Emergency radiology · 2022Article
- Influence of surgical stabilization of clavicle fractures in multiply-injured patients with thoracic trauma.Scientific reports · 2021Article
- Automatic detection and classification of rib fractures based on patients' CT images and clinical information via convolutional neural network.European radiology · 2021Article
- Clavicle fractures: Associated trauma and morbidity.Journal of clinical orthopaedics and trauma · 2021Article
- Acromioclavicular and sternoclavicular joint dislocations indicate severe concomitant thoracic and upper extremity injuries in severely injured patients.Scientific reports · 2020Article
- [Trauma to the thoracic spine and chest].Der Radiologe · 2020Review
- Automatic Detection and Classification of Rib Fractures on Thoracic CT Using Convolutional Neural Network: Accuracy and Feasibility.Korean journal of radiology · 2020Article
- [Injuries of the posterior and lateral chest wall-importance of an additional clavicular fracture].Der Unfallchirurg · 2018Review
- [Epidemiology, injury entities and treatment practice for chest wall injuries : Current scientific knowledge and treatment recommendations].Der Unfallchirurg · 2018Review
- [Single-port VATS-assisted internal fixation of serial rib fractures].Der Unfallchirurg · 2018Review
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Authors and funding
7 authors at 4 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeDuring primary survey the main goal is to ascertain life-threatening injuries. A chest X-ray is recommended in all polytrauma patients as thoracic injury plays an important role in mortality. However, treatment-dictating injuries are often missed on the chest X-ray. In contrast, clavicle fractures should be relatively easy to diagnose on a chest X-ray. We previously showed that clavicle fractures occur in approximately 10 % of all polytrauma patients in our population. The aim was to compare polytrauma patients, with and without a clavicle fracture, to investigate if a clavicle fracture is associated with concomitant thoracic injury.
methodsA retrospective cohort study of polytrauma patients (ISS ≥ 16) from 2007 until 2011. Thoracic injuries were defined as: ribfracture, pneumothorax, lung contusion, sternum fracture, hemothorax, myocardial contusion, thoracic aorta injury and thoracic spine injury.
resultsOf 1461 polytrauma patients in 160 patients a clavicle fracture was diagnosed, and 95 % was diagnosed on chest X-ray. Patients with a clavicle fracture had a higher mean Injury Severity Score (ISS) (29.2 ± 10.1 vs. 24.9 ± 9.1; P < 0.001). Additional thoracic injuries were more prevalent in patients with a clavicle fracture (76 vs. 47 %; OR 3.6; 95 % CI 2.45-5.24) and they had a higher rate of thoracic injury with an AIS ≥ 3 (66 vs. 41 %; OR 2.8; 95 % CI 1.97-3.93).
conclusionsThe clavicle can be seen as the gatekeeper of the thorax. In polytrauma patients, a clavicle fracture is easily diagnosed during primary survey and may indicate underlying thoracic injury, as the rate and extent of concomitant thoracic injury are high.
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