Evidence map›Paper›PMID 31384623›Full record

ArticleOrthopaedic journal of sports medicine2019

Epidemiology of Clavicle Fractures Among US High School Athletes, 2008-2009 Through 2016-2017.

Meagan M McCarthy, Jonathan H Bihl, Rachel M Frank, Hytham S Salem, Eric C McCarty, R Dawn Comstock

Open access · goldAbstract read
In one paragraph

Article in Orthopaedic journal of sports medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
2.6field-weighted citation impact, top 10% of its field
1 · What the graph read from it

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 28 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
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  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Sports-Related Shoulder Injuries Among Female Athletes.Current reviews in musculoskeletal medicine · 2022
    Review
  11. Article
  12. Review
  13. Review
  14. Article
  15. Review
  16. Clavicle fractures: Associated trauma and morbidity.Journal of clinical orthopaedics and trauma · 2021
    Article
  17. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Meagan M McCarthyDepartment of Orthopedics, University of Colorado School of Medicine, Aurora, Colorado, USA.
Jonathan H BihlColorado School of Public Health, Department of Epidemiology, University of Colorado Anschutz, Aurora, Colorado, USA.
Rachel M FrankDepartment of Orthopedics, University of Colorado School of Medicine, Aurora, Colorado, USA.
Hytham S SalemDepartment of Orthopedics, University of Colorado School of Medicine, Aurora, Colorado, USA.
Eric C McCartyDepartment of Orthopedics, University of Colorado School of Medicine, Aurora, Colorado, USA.
R Dawn ComstockColorado School of Public Health, Department of Epidemiology, University of Colorado Anschutz, Aurora, Colorado, USA.
University of Colorado Denver · US

Funding

Center for Injury Research and PolicyR49CE001172 · CE · RESEARCH INST NATIONWIDE CHILDREN'S HOSP · PI SMITH, GARY A. · 2008 to 2011
$3.2M
High School Sports Injury Surveillance-Incidence/exposurR49CE000674 · CE · RESEARCH INST NATIONWIDE CHILDREN'S HOSP · PI COMSTOCK, R DAWN · 2005 to 2005
–
ACL HHS R49CE002106NCIPC CDC HHS R49 CE000674NCIPC CDC HHS R49 CE001172
6 · The paper itself

Abstract

backgroundLittle is known about the epidemiology of clavicle fractures in United States (US) high school athletes. Sports participation among high school students has increased steadily, placing increased numbers at risk of sports-related injury. PURPOSE: To describe the epidemiology of clavicle fractures among high school athletes, including injury rates by sex, sport, and type of play and trends in operative versus nonoperative treatment. STUDY

designDescriptive epidemiology study.

methodsThe study data set included all athlete-exposure (AE) and clavicle fracture data collected from 2008-2009 through 2016-2017 from a large sample of US high schools as part of the National High School Sports-Related Injury Surveillance Study for students participating in boys' football, boys'/girls' soccer, boys'/girls' basketball, boys'/girls' volleyball, boys' wrestling, boys' baseball, girls' softball, girls' field hockey, boys' ice hockey, boys'/girls' lacrosse, boys'/girls' swimming and diving, boys'/girls' track and field, girls' gymnastics, girls' cheerleading, boys'/girls' tennis, and boys'/girls' cross-country.

resultsOverall, 567 clavicle fractures were reported during 31,520,765 AEs, an injury rate of 1.80 per 100,000 AEs. Injury rates varied by sport, with the highest rates in the boys' full-contact sports of ice hockey (5.27), lacrosse (5.26), football (4.98), and wrestling (2.21). Among girls' sports, the highest rates were in soccer (0.92), lacrosse (0.26), and basketball (0.25). In sex-comparable sports, injury rates were still significantly higher among boys (1.03) than girls (0.35) (rate ratio, 2.91; 95% CI, 1.97-4.30). Injury rates were significantly higher in competition (4.58) as compared with practice (0.87) (rate ratio, 5.27; 95% CI, 4.44-6.26). Most injuries were treated conservatively (82.7%) rather than operatively (17.3%). Time to return to sports varied, with a greater proportion of medical disqualifications among those treated operatively (40.0%) as compared with those treated conservatively (22.6%) (injury proportion ratio, 1.77; 95% CI, 1.31-2.39).

conclusionAlthough clavicle fracture rates are relatively low, they vary by sport, sex, and activity. Understanding such differences should drive more effective, targeted injury prevention efforts. Increased time loss from sports with surgical versus conservative treatment may have been influenced by factors including injury severity and its timing relative to the season's progress.

Indexed as

clavicleepidemiologypediatric sports medicineshoulder

Identifiers

PMID31384623
PMCPMC6661795
OpenAlexW2964556650

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.