Evidence map›Paper›PMID 34706701›Full record

ArticleBMC musculoskeletal disorders2021

Excellent clinical and radiological outcome following locking compression plate fixation of displaced medial clavicle fractures.

Markus Wurm, Sebastian Siebenlist, Michael Zyskowski, Patrick Pflüger, Peter Biberthaler, Marc Beirer, Chlodwig Kirchhoff

Open access · goldAbstract read
In one paragraph

Article in BMC musculoskeletal disorders, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.4field-weighted citation impact, top 19% 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

3 citing papers in PubMed, 10 citations in OpenAlex.

  1. Article
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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

7 authors at 1 institution in 1 country.

Markus WurmDepartment of Trauma Surgery, Klinikum rechts der Isar, Technical University Munich, Munich, Germany.
Sebastian SiebenlistDepartment of Orthopaedic Sports Medicine, Klinikum rechts der Isar, Technical University Munich, Munich, Germany.
Michael ZyskowskiDepartment of Trauma Surgery, Klinikum rechts der Isar, Technical University Munich, Munich, Germany.
Patrick PflügerDepartment of Trauma Surgery, Klinikum rechts der Isar, Technical University Munich, Munich, Germany.
Peter BiberthalerDepartment of Trauma Surgery, Klinikum rechts der Isar, Technical University Munich, Munich, Germany.
Marc Beirer *Department of Trauma Surgery, Klinikum rechts der Isar, Technical University Munich, Munich, Germany.
Chlodwig Kirchhoff *Department of Trauma Surgery, Klinikum rechts der Isar, Technical University Munich, Munich, Germany. chlodwig.kirchhoff@mri.tum.de.ORCID http://orcid.org/0000-0002-8040-4384
TUM Klinikum · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTreatment of medial clavicle fractures is still controversially discussed in the community of upper extremity surgeons. An increasing number of symptomatic non-unions following conservative treatment of displaced fractures led to the development of various surgical approaches. Aim of this study was to evaluate the clinical and radiological outcome following operative treatment of displaced medial end clavicle fractures.

methodsPatients who presented with a displaced fracture of the medial clavicle between September 2012 and December 2019 were retrospectively enrolled in this study. All patients were operatively treated with open reduction and internal fixation (ORIF) using an anatomically precontoured locking compression plate (LCP) originally designed for the lateral clavicle (Synthes®, Umkirch, Germany). Functional outcome was recorded using the American Shoulder and Elbow Surgeons (ASES) Score, the Munich Shoulder Questionnaire (MSQ), Shoulder Pain and Disability Index (SPADI) and Constant Score.

resultsOverall 18 patients with a mean age of 54.5 ± 23.5 years suffering from a displaced fracture of the medial clavicle were identified. The mean follow-up was 40.9 ± 26.2 months. The mean ASES accounted for 88.3 ± 20.8 points, the mean MSQ was 83.1 ± 21.7 points, the mean SPADI was 85.6 ± 22.5 and a mean normative age- and sex-specific Constant Score of 77.5 ± 19.1 points resulted. No minor or major complications were observed. Radiologic fracture consolidation was achieved in all patients after a mean of 6.4 months.

conclusionSurgical treatment of displaced medial clavicle fractures using an anatomically precontoured locking plate originally designed for the lateral clavicle led to very good to excellent clinical and functional results.

trial registrationNo: DRKS00024813 , retrospectively registered 19.03.2021 ( www.drks.de ).

Indexed as

ClavicleFractures, BoneAdultAgedBone PlatesFemaleFracture Fixation, InternalHumansMaleMiddle AgedOpen Fracture ReductionRetrospective StudiesTreatment OutcomeClavicleDisplacedFractureLCPMedialORIF

Identifiers

PMID34706701
PMCPMC8555070
OpenAlexW3210477267

What OpenQuestion holds

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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.