ReviewShoulder & elbow2015
Major neurovascular complications of clavicle fracture surgery.
Review in Shoulder & elbow, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
21 citing papers in PubMed, 47 citations in OpenAlex.
- Review
- Article
- Subclavian artery injury following clavicle fracture successfully treated with an urgent conversion to endovascular method: a case report.Journal of trauma and injury · 2025Article
- Do monocortical distal locking screws impair mechanical properties in opening wedge high tibial osteotomy with bone graft?-a sawbone biomechanical study.Annals of translational medicine · 2025Article
- Article
- Neurovascular Complications Following Clavicle Fracture Fixation: Timing, Mechanisms, and Clinical Implications.Cureus · 2024Review
- Neurovascular Complications Associated With Clavicle Fractures: A Report of Three Cases and Recommendations.Cureus · 2024Article
- Shoulder disarticulation after clavicle fracture: a case report.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2024Article
- Evaluating the Outcomes of Managing Displaced Clavicular Fractures by Using Precontoured Clavicular Plates.Cureus · 2024Article
- Iatrogenic giant subclavian artery pseudoaneurysm following clavicle fracture repair: A case report.Radiology case reports · 2023Article
- Pseudoaneurysm of the subclavian artery as a delayed complication of a clavicle fracture.BMJ case reports · 2023Article
- Clavicular osteotomy to assess subclavian vein injury during internal fixation of midshaft clavicle fractures.Shoulder & elbow · 2022Article
- Brachial plexus paralysis in a patient with clavicular fracture, medico-legal implications.Acta bio-medica : Atenei Parmensis · 2022Article
- Perspective on the integration of optical sensing into orthopedic surgical devices.Journal of biomedical optics · 2022Article
- Brachial plexus injury after clavicle fracture operation: a case report and literature review.BMC surgery · 2021Review
- Acute brachial plexus deficit due to clavicle fractures.JSES international · 2021Article
- Factors Associated With the Accuracy of Depth Gauge Measurements.Frontiers in surgery · 2021Article
- Screws are at a safe distance from critical structures after superior plate fixation of clavicle fractures.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2020Article
- CORR Insights®: Patient Position Is Related to the Risk of Neurovascular Injury in Clavicular Plating: A Cadaveric Study.Clinical orthopaedics and related research · 2019Article
- Clavicle fixation screw impingement causing subclavian artery pseudoaneurysm.Radiology case reports · 2019Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Clavicle fracture fixation is becoming an increasingly common operation, with good clinical outcomes and a low rate of significant complications. However, there are several reports of rare but potentially life or limb threatening, neurovascular complications. Arterial injuries are usually pseudoaneurysms associated with prominent screws. These may be clinically silent for several years before presenting as subcritical upper limb ischaemia. Venous injuries are a result of tearing of the vessel wall by fracture manipulation, drills or implants. This produces intra-operative haemorrhage and potentially air embolism, which can be fatal if not rapidly recognized and managed. Brachial plexopathy is the result of traction on adherent plexus or impingement by fracture fragments or callus. It presents as severe arm pain and paralysis immediately postoperatively. Neurovascular injuries can be avoided by a combination of pre-operative planning, communication with anaesthetic staff and strategic surgical technique. The plane of the surgical exposure, release of the soft tissues, drill direction and depth and screw length are all important factors.
Indexed as
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What OpenQuestion holds
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.