ArticleBMC musculoskeletal disorders2022
Increase in surgical fixation of pediatric midshaft clavicle fractures since 2008.
Article in BMC musculoskeletal disorders, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
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Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Nonoperative versus surgical treatment of displaced midshaft clavicle fractures in adolescents: a systematic review and meta-analysis of comparative studies.International orthopaedics · 2025Pooled it
- Continuing Trend of Increased Operative Treatment of Clavicle Fractures in Pediatric Patients in the United States Despite a Lack of Supporting Evidence in the Literature.Children (Basel, Switzerland) · 2026Article
- An unusual presentation of a depressed clavicle fracture in a child leading to venous congestion.Annals of the Royal College of Surgeons of England · 2026Article
- Midshaft clavicular fractures in adolescents: a comprehensive review of diagnosis and management.Clinics in shoulder and elbow · 2025Review
- Mechanisms and trends of pediatric clavicular fractures in the United States: a 10-year epidemiologic analysis of national injury data.JSES reviews, reports, and techniques · 2025Article
- Have New Plate Designs Reduced the Rate of Hardware Removal Following Midshaft Clavicle Fracture Fixation?Journal of clinical medicine · 2025Article
- Safety of Accelerated Return to Play After Anatomic Open Reduction and Internal Fixation of Adolescent Clavicle Fractures.Orthopaedic journal of sports medicine · 2025Article
- Article
- Elastic stable intramedullary nailing (ESIN) for displaced midshaft clavicle fractures in adolescents (12-18 Years): a study of early functional outcomes and safety.Journal of orthopaedic surgery and research · 2025Article
- A Rare Combined Injury in Children during Side Impact: The Possible Mechanism and Treatment Results.Orthopaedic surgery · 2024Article
- Fractures in Children Due to Firearm Activity.Children (Basel, Switzerland) · 2023Article
- Trends in the Treatment of Adolescent Clavicle Fractures: Are We Listening to the Evidence?Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2023Article
- Plating versus elastic stable intramedullary nailing for displaced pediatric midshaft clavicular fractures.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2022Observational
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4 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundClavicle fractures in children have traditionally been treated non-operatively. In adults, a great increase in operative treatment has been reported. We aimed to analyze the respective trend and potential explanatory factors in children.
methodsThis is a single-institution retrospective study in a subregion in Northern Finland. The ICD-code S42.0 was used to identify the cases in the hospital registry. Altogether, 214 children, aged < 16, with consecutive clavicle fractures were first enrolled in the area during 2008-2019. Hospital journals and radiographs were reviewed. After lateral and medial fractures and patients living outside the area were excluded, final study population was 172. The respective population at risk was extracted by Statistics Finland. Predictive factors and annual rates of operative treatment as adjusted for 100,000 children at risk were determined.
resultsThe rate of the surgical treatment of clavicle fractures increased from zero in 2008 to 10.8 in 2019 per 100,000 age-adjusted children (β = 0.864, 95% confidential intervals (CI) 0.4 to 1.4). There was a rise in the rate of surgery from 2.6% (2014-16) to 16.1% (2017-19) (diff. 13.5, 95% CI 1.7 to 23.3%). A displacement > 15 mm and a shortening of > 15 mm were associated with the increased risk of surgery but did not change during the study period. Age > 9 years increased the risk of surgery; the mean age increased from 5.5 years (2008-10) to 8.5 years (2017-19). There was a 3.6-fold increase in sports-related fractures (95% CI 7.4 to 26.4). The severity of the fractures did not change.
conclusionsThere has been an increasing trend in the surgical fixation of pediatric middle shaft clavicle fractures since 2008. The available literature does not support the trend.
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