SynthesisJournal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology2019
Acute medial clavicle fracture in adults: a systematic review of demographics, clinical features and treatment outcomes in 220 patients.
Synthesis in Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 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
23 citing papers in PubMed, 48 citations in OpenAlex.
- Prospective Evaluation of Clavicle Fracture Osteosynthesis: Patient Satisfaction, Clinical, and Radiological Outcomes with Clavipectoral Fascial Plane Block.Journal of orthopaedic case reports · 2026Article
- Surgical treatment of unstable and displaced medial clavicle fractures with a contoured biplanar low profile angle stable implant.Operative Orthopadie und Traumatologie · 2026Article
- Epidemiological characteristics of skiing injuries: a retrospective study based on the 2024-2025 Ski season.Frontiers in sports and active living · 2026Article
- Management of a Complex Medial-End Clavicle Fracture With Hook Plate Fixation After Failed Prior Surgeries: A Case Report and Narrative Review of Surgical Options.Case reports in orthopedics · 2026Article
- Pathological fracture non-union of medial clavicle after radiotherapy.BMJ case reports · 2025Article
- Erroneous Classification and Coding as a Limitation for Big Data Analyses: Causes and Impacts Illustrated by the Diagnosis of Clavicle Injuries.Diagnostics (Basel, Switzerland) · 2025Article
- Bilateral clavicle fractures of the medial third treated by inverted anatomic locking plates: a case report.Frontiers in surgery · 2025Article
- Mini Fragment Locking Compression Plate Fixation of a Rare Case of Displaced Medial End Clavicle Fracture.Cureus · 2024Article
- The application of inverted lateral clavicle locking compression plate for medial clavicle fractures: biomechanical study and clinical implementation.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024Article
- Screw Stress Distribution in a Clavicle Fracture with Plate Fixation: A Finite Element Analysis.Bioengineering (Basel, Switzerland) · 2023Article
- [Clavicle fractures: practical approach in clinical routine].Chirurgie (Heidelberg, Germany) · 2023Article
- Displaced medial clavicle fractures: a systematic review of outcomes after nonoperative and operative management.JSES international · 2023Article
- A Sternoclavicular Joint-Specific Plate for the Displaced Medial-End Clavicle Fracture.Frontiers in surgery · 2022Article
- Monopolar and Bipolar Combination Injuries of the Clavicle: Retrospective Incidence Analysis and Proposal of a New Classification System.Journal of clinical medicine · 2021Article
- What Are the Functional Outcomes and Pain Scores after Medial Clavicle Fracture Treatment?Clinical orthopaedics and related research · 2021Article
- Excellent clinical and radiological outcome following locking compression plate fixation of displaced medial clavicle fractures.BMC musculoskeletal disorders · 2021Article
- The Rare Medial-End Clavicle Fractures: Epidemiological Study on Inhabitants of a Suburban Area.Cureus · 2021Article
- Medial injuries of the clavicle: more prevalent than expected? A big data analysis of incidence, age, and gender distribution based on nationwide routine data.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2021Article
- Clavicle fractures: Associated trauma and morbidity.Journal of clinical orthopaedics and trauma · 2021Article
- High-quality nursing and the rehabilitation of clavicle fracture patients using traditional Mongolian medicine.American journal of translational research · 2021Article
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 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMedial third clavicle fractures are rare injuries, with limited information available on their characteristics or treatment results. MATERIALS AND
methodsWe performed a systematic review according to PRISMA guidelines to evaluate the demographics, clinical profile, management and treatment outcome. Electronic searches of the MEDLINE, EMBASE and Cochrane databases were performed.
resultsSeventeen studies were included, consisting of 7 case series and 10 case reports. Two hundred twenty fractures were identified. Seventy-eight percent of fractures occurred in men with mean age of 48 years (16-94 years). Road traffic accident was the most common mechanism of injury (64%). Associated injuries occurred in 81% of patients, with thoracic trauma being the most common (47%). The most common fracture type was extra-articular, with no or minimal displacement (60%). In 9% of patients the fracture was segmental. One hundred ninety-one patients received nonoperative treatment. Twenty-nine patients were treated operatively. The overall nonunion rate was 5% (7/137). The nonunion rate following nonoperative management was 4.6% (5/108). The functional result following nonoperative treatment indicated overall "good" functional outcome. There was no report of catastrophic intraoperative complication amongst patients undergoing surgical fixation.
conclusionMedial third clavicle fractures represent a distinct subgroup of clavicle fractures. Nonoperative treatment of these fracture seems to result in high union rate and overall favourable functional outcome. Further high-quality research in this area is warranted to investigate the outcomes and indication for nonoperative versus operative management of these fractures. LEVEL OF EVIDENCE: IV.
Indexed as
Identifiers
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.