Trial reportActa orthopaedica2016
Overtreatment of displaced midshaft clavicle fractures.
Trial report in Acta orthopaedica, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06050473 (Preservation vs Sacrifice of the Supraclavicular Nerve During Clavicle ORIF), which is not on this map. Cited by 15 papers, 1 of them a synthesis that pooled 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.
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.
Preservation vs Sacrifice of the Supraclavicular Nerve During Clavicle ORIF: A Randomized Controlled Trial
Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Surgical versus conservative interventions for treating fractures of the middle third of the clavicle.The Cochrane database of systematic reviews · 2019Pooled it
- Global trends influencing orthopedic surgeons' midshaft clavicle fracture management: a Bullet Health Analysis.Journal of trauma and injury · 2026Article
- Functional Outcomes and Complications of Non-surgical Management for Midshaft Clavicle Fractures.Cureus · 2025Article
- Clinical effect of nice knot-assisted minimally invasive titanium elastic nail fixation to treat Robinson 2B midshaft clavicular fracture.BMC musculoskeletal disorders · 2024Article
- Residual kinematic deviations of the shoulder during humeral elevation after conservative treatment for mid-shaft clavicle fractures.Frontiers in bioengineering and biotechnology · 2024Article
- Epidemiology of clavicle shaft fractures in a public hospital in South Africa: differences between developing and developed countries.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Article
- S-shaped titanium endomedullary nail reduces telescoping of comminuted midshaft clavicular fractures.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2021Article
- Descriptive Epidemiology of Adolescent Clavicle Fractures: Results From the FACTS (Function after Adolescent Clavicle Trauma and Surgery) Prospective, Multicenter Cohort Study.Orthopaedic journal of sports medicine · 2020Article
- The Association Between Concomitant Ulnar Nerve Compression at the Elbow and Carpal Tunnel Syndrome.Hand (New York, N.Y.) · 2020Article
- Clinical Evaluation of the Surgical Treatment of Midshaft Clavicle Fractures at a Hospital in the South of Santa Catarina.Revista brasileira de ortopedia · 2020Article
- Tech-trends in orthopedics 2018.Acta orthopaedica · 2018Article
- Epidemiology of clavicle fractures in a level 1 trauma center in Belgium.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2018Article
- Clavicle fractures: epidemiology, classification and treatment of 2 422 fractures in the Swedish Fracture Register; an observational study.BMC musculoskeletal disorders · 2017Observational
- Who should be treated surgically for a displaced clavicle fracture?Acta orthopaedica · 2016Article
- Assessing the Change in Operative Treatment Rates for Acute Midshaft Clavicle Fractures: Incorporation of Evidence-Based Surgery Results in Orthopaedic Practice.JB & JS open accessArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background and purpose - The best treatment for displaced clavicle fractures has been debated for decades. Operative treatment has become more common. However, several randomized trials comparing non-operative and operative treatment have not shown any compelling evidence in favor of surgery. We identified the preferred treatment of displaced midshaft clavicle fractures at public hospitals in 3 countries in Scandinavia. Patients and methods - A purpose-made multiple-choice questionnaire in English was sent to all public hospitals in Denmark, Sweden, and Finland. This was addressed to the orthopedic surgeon responsible for treatment of clavicle fractures, and completed questionnaires were obtained from 85 of 118 hospitals. Results - In the 3 countries, 69 of the 85 hospitals that responded would treat displaced clavicle fractures operatively. Clear criteria for treatment allocation were used at 58 of the hospitals, with the remaining 27 using individual assessment in collaboration with the patient. Precontoured locking plates were mostly used, placed either superiorly (64/85) or anteriorly (10/85). Interpretation - Displaced midshaft clavicle fractures are mainly treated operatively in Sweden, Denmark, and Finland. This treatment is not supported by compelling evidence.
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Registered trials
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.