ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2022
Epidemiology of clavicle shaft fractures in a public hospital in South Africa: differences between developing and developed countries.
Article 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 3 papers.
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3 citing papers in PubMed.
- Epidemiological changes in clavicle fractures during the COVID-19 pandemic: a six-year analysis from a large single-center cohort.Journal of orthopaedic surgery and research · 2026Article
- Morphologic profiles of comminuted midshaft clavicle fractures: a preliminary study.Archives of orthopaedic and trauma surgery · 2025Article
- Transient brachial plexus injury after robot-assisted elastic intramedullary nailing of midshaft clavicle fracture: a case report and literature review.Frontiers in surgery · 2025Article
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Abstract
purposeDescribing the epidemiological profile of patients with acute clavicle shaft fractures in a developing country public state hospital where mainly low- to middle-income patients are treated.
methodsThis is a retrospective analysis of all clavicle shaft fractures between 2008 and 2018 (10 years) based on Picture Archiving and Communication System at the second largest public hospital in South Africa.
resultsOne thousand and three patients, 729 male and 274 female, were included in the epidemiological review. Most common causes of clavicle shaft fractures, in which 23% of cases presented with other injuries, were road accidents, falls and interpersonal violence. The majority of fractures were displaced and most (72%) were treated conservatively. Only 28% of patients were treated surgically, 61% with contoured plating and a relatively high 39% with intramedullary nails.
conclusionThe epidemiology of clavicle shaft fractures in a public hospital in a developing country, where the majority of patients hail from low- to middle-income backgrounds, differs substantially from developed countries. Although similar types of fractures were reported, differences were noted in terms of patients' age, causes of injury, associated injuries and treatment approaches.
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