SynthesisEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2022
Epidemiology of combined clavicle and rib fractures: a systematic review.
Synthesis in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- [Update peripheral regional anesthesia : Rib, clavicle and shoulder dislocation].Die Anaesthesiologie · 2026Review
- Does the treatment modality affect nosocomial pneumonia and other in-hospital outcomes in patients with combined injuries to the ribs and clavicle? A propensity score weighted analysis of a retrospective cohort.Archives of orthopaedic and trauma surgery · 2024Article
- Fracture Mapping in High-Energy Chest Trauma.Journal of clinical medicine · 2024Article
- Clavicle fixation to reduce short-term analgesia and improve respiratory function in patients with chest wall injuries.Archives of orthopaedic and trauma surgery · 2023Article
- Early Internal Fixation of Concomitant Clavicle Fractures in Severe Thoracic Trauma Prevents Posttraumatic Pneumonia.Journal of clinical medicine · 2023Article
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Authors and funding
8 authors.
Funding
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Abstract
purposeThe aim of this systematic review was to provide an overview of the incidence of combined clavicle and rib fractures and the association between these two injuries.
methodsA systematic literature search was performed in the MEDLINE, EMBASE, and CENTRAL databases on the 14
resultsSeven studies with a total of 71,572 patients were included, comprising five studies on epidemiology and two studies on treatment. Among blunt chest trauma patients, 18.6% had concomitant clavicle and rib fractures. The incidence of rib fractures in polytrauma patients with clavicle fractures was 56-60.6% versus 29% in patients without clavicle fractures. Vice versa, 14-18.8% of patients with multiple rib fractures had concomitant clavicle fractures compared to 7.1% in patients without multiple rib fractures. One study reported no complications after fixation of both injuries. Another study on treatment, reported shorter ILOS and less complications among operatively versus conservatively treated patients (5.4 ± 1.5 versus 21 ± 13.6 days).
conclusionClavicle fractures and rib fractures are closely related in polytrauma patients and almost a fifth of all blunt chest trauma patients sustain both injuries. Definitive conclusions could not be drawn on treatment of the combined injury. Future research should further investigate indications and benefits of operative treatment of this injury.
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