ArticleArchives of orthopaedic and trauma surgery2018
Quantifying shortening of the fractured clavicle assuming clavicular symmetry is unreliable.
Article in Archives of orthopaedic and trauma surgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed, 15 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
- Limitations in rotational correction: 3D displacement analysis of midshaft clavicle fractures with titanium elastic nails.Scientific reports · 2025Article
- SHORTENING OF CLAVICLE FRACTURES: PHYSICALActa ortopedica brasileira · 2024Article
- Plate prebending using a three-dimensional-printed model affords effective anatomical reduction in clavicular shaft fractures.Clinics in shoulder and elbow · 2023Article
- Measurement of Clavicular Symmetry in Healthy Subjects Using Tomographic Database of Public Hospitals.Revista brasileira de ortopedia · 2023Article
- Revisiting the surgical indication of mid-shaft clavicle fractures: Clavicle asymmetry.Joint diseases and related surgery · 2023Article
- Three-dimensional reconstruction and virtual reposition of fragments compared to two dimensional measurements of midshaft clavicle fracture shortening.BMC musculoskeletal disorders · 2022Article
- Current concepts in the treatment of midshaft clavicle fractures in adults.Clinics in shoulder and elbow · 2021Article
- S-shaped titanium endomedullary nail reduces telescoping of comminuted midshaft clavicular fractures.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2021Article
- Influence of radiographic projection and patient positioning on shortening of the fractured clavicle.JSES international · 2020Article
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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
backgroundOne of the more commonly used methods of determining the amount of shortening of the fractured clavicle is by comparing the length of the fractured side to the length of contralateral unfractured clavicle. A pre-existing natural asymmetry can make quantification of shortening using this method unreliable. The goal of this study is to assess the side-to-side variation in clavicle length in 100 uninjured, skeletally mature adults. MATERIALS AND
methodsTo assess the side-to-side difference in clavicle length the length of both clavicles of 100 patients on thoracic computed tomography (CT) scans were measured. Patients without a history of pre-CT clavicular injury were included. The measurements were allocated into three groups based on the amount of asymmetry (< 5, ≥ 5-10 and > 10 mm). Dominant side and sex were analyzed to determine influence on the length of the clavicle.
resultsIn 30 patients (30%), an asymmetry of 5 mm or more was found. 2% of the patients had a side-to-side difference of more than 10 mm. The absolute side-to-side length difference (LD) was 3.74 mm (95% CI 3.15-4.32; p < 0.001). A significant association between clavicle length and dominant side or sex was found (p < 0.001).
conclusionThese results show that by utilizing a treatment algorithm based upon clavicular symmetry has a potential for error and can lead over- or under-treatment of the fractured clavicle. A significant association between clavicle length and dominant side or sex was found (p < 0.001). LEVEL OF EVIDENCE: 2.
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