SynthesisArchives of orthopaedic and trauma surgery2017
Does clavicular shortening after nonoperative treatment of midshaft fractures affect shoulder function? A systematic review.
Synthesis in Archives of orthopaedic and trauma surgery, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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.
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Who cites it
9 citing papers in PubMed, 28 citations in OpenAlex.
- Functional Outcomes of Displaced Midshaft Clavicular Fractures Treated with Precontoured Locked Plates: A Prospective Study.F1000Research · 2025Article
- Long-term conservative treatment outcomes for midshaft clavicle fractures: a 10-to-30-year follow-up.Journal of orthopaedic surgery and research · 2023Article
- An Institutional Standardised Protocol for the Treatment of Acute Displaced Midshaft Clavicle Fractures (ADMCFs): Conservative or Surgical Management for Active Patients?Healthcare (Basel, Switzerland) · 2023Article
- Management of Displaced Midshaft Clavicle Fractures with Figure-of-Eight Bandage: The Impact of Residual Shortening on Shoulder Function.Journal of personalized medicine · 2022Article
- Addition of Bone Marrow Aspirate Concentrate Resulted in High Rate of Healing and Good Functional Outcomes in the Treatment of Clavicle Fracture Nonunion: A Retrospective Case Series.Journal of clinical medicine · 2021Article
- Current concepts in the treatment of midshaft clavicle fractures in adults.Clinics in shoulder and elbow · 2021Article
- Clavicle fractures in adults; current concepts.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2020Review
- Current concepts in the management of clavicle fractures.Journal of clinical orthopaedics and trauma · 2020Review
- 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
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionClavicular shortening due to non-anatomical healing of displaced clavicular fractures is believed to have a negative effect on shoulder function after recovery. The evidence for this, however, is equivocal. This review aimed to systematically evaluate the available literature to determine whether the current beliefs about clavicular shortening can be substantiated. MATERIALS AND
methodsThis systematic review was performed following the Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) statement. PubMed, EMBASE, Web of Science and the Clinical Trial Registry were searched to identify all studies published in English that evaluated the association between clavicular shortening and shoulder function in patients aged ≥16 years with a nonoperatively treated, displaced midshaft clavicular fracture. Relevant data from the selected studies was extracted and summarized. Risk of bias of the included studies was assessed using the MINORS instrument.
resultsSix studies, of which five were retrospective, were included in this review analyzing a total of 379 patients. Due to heterogeneity in methods and reporting across studies, a pooled analysis of the results was not feasible. No clear associations were found between shortening and shoulder function scores (DASH and Constant score) or arm strength in each of the included studies.
conclusionThe existing evidence to date does not allow for a valid conclusion regarding the influence of shortening on shoulder function after union of nonoperatively treated midshaft clavicular fractures. Shortening alone is currently not an evidence-based indication to operate for the goal of functional improvement. Well-powered prospective comparative studies are needed to draw firm conclusions.
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