ArticleClinics in orthopedic surgery2016
Measurement of Clavicle Fracture Shortening Using Computed Tomography and Chest Radiography.
Article in Clinics in orthopedic surgery, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed, 31 citations in OpenAlex.
- Accuracy of clinical and radiographic measurements for detecting significant shortening in acute midshaft clavicle fractures: a cross-sectional study with computed tomography scan as the reference standard.JSES reviews, reports, and techniques · 2026Article
- Figure-of-Eight Bandage Versus Arm Sling for the Conservative Treatment of Midshaft Clavicle Fractures in Adults: A Meta-Analysis.Indian journal of orthopaedics · 2026Review
- Limitations in rotational correction: 3D displacement analysis of midshaft clavicle fractures with titanium elastic nails.Scientific reports · 2025Article
- Reliability of preoperative conventional X-ray diagnostics for multifragmentary midclavicular fractures - a retrospective cohort study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Article
- SHORTENING OF CLAVICLE FRACTURES: PHYSICALActa ortopedica brasileira · 2024Article
- The deformities of acute diaphyseal clavicular fractures: a three-dimensional analysis.Biomedical engineering online · 2023Article
- Value of postoperative computed tomography for the diagnosis of lateral hinge fracture in medial opening-wedge supramalleolar osteotomy.Archives of orthopaedic and trauma surgery · 2023Article
- Assessment of the measurement methods in midshaft clavicle fracture.BMC musculoskeletal disorders · 2022Article
- Three-dimensional reconstruction and virtual reposition of fragments compared to two dimensional measurements of midshaft clavicle fracture shortening.BMC musculoskeletal disorders · 2022Article
- The accuracy of computed tomography for clavicle non-union evaluation.Shoulder & elbow · 2021Article
- Long-term outcomes of initially conservatively treated midshaft clavicle fractures.Clinics in shoulder and elbow · 2021Article
- Plating and cortical bone grafting of clavicular nonunions: clinical outcome and its relation to clavicular length restoration.JSES international · 2020Article
- Redefining the morphometry of subclavian vessels for clavicle fracture treatments.Surgical and radiologic anatomy : SRA · 2019Article
- Segmental Bone Loss of the Clavicle due to Fracture-Related Infection: A Multidisciplinary Challenge.Journal of bone and joint infection · 2019Article
- Midshaft clavicle fractures treatment: threaded Kirschner wire versus conservative approach.Strategies in trauma and limb reconstruction · 2017Article
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundNonoperative management of midshaft clavicle fractures has resulted in widely disparate outcomes and there is growing evidence that clavicle shortening poses the risk of unsatisfactory functional outcomes due to shoulder weakness and nonunion. Unfortunately, the literature does not clearly demonstrate the superiority of one particular method for measuring clavicle shortening. The purpose of this study was to compare the accuracy of clavicle shortening measurements based on plain radiographs with those based on computed tomography (CT) reconstructed images of the clavicle.
methodsA total of 51 patients with midshaft clavicle fractures who underwent both a chest CT scan and standardized anteroposterior chest radiography on the day of admission were included in this study. Both an orthopedic surgeon and a musculoskeletal radiologist measured clavicle shortening for all included patients. We then determined the accuracy and intraclass correlation coefficients for the imaging modalities. Bland-Altman plots were created to analyze agreement between the modalities and a paired t-test was used to determine any significant difference between measurements.
resultsFor injured clavicles, radiographic measurements significantly overestimated the clavicular length by a mean of 8.2 mm (standard deviation [SD], ± 10.2; confidence interval [CI], 95%) compared to CT-based measurements (
conclusionsWe found that plain radiograph-based measurements of midshaft clavicle shortening are precise, but inaccurate. When clavicle shortening is considered in the decision to pursue operative management, we do not recommend the use of plain radiograph-based measurements.
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