ReviewCureus2025
Surgical Versus Non-Surgical Management of Displaced Midshaft Clavicle Fractures: A Systematic Review and Meta-Analysis.
Review in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled 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.
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.
Who cites it
2 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Non-surgical treatment for displaced midshaft clavicle fractures: a systematic review and meta-analysis.BMC musculoskeletal disorders · 2026Pooled it
- Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Displaced midshaft clavicle fractures are common, particularly among young, active adults, and while both surgical and non-surgical approaches are used, their comparative effectiveness remains debated. This systematic review and meta-analysis evaluated surgical versus non-surgical management of acute displaced midshaft clavicle fractures in adults, focusing on union rates, functional outcomes, complications, and patient satisfaction. A comprehensive search of PubMed, Scopus, Web of Science, and Google Scholar was conducted up to May 2025, including studies involving adults with acute displaced midshaft fractures that reported at least one relevant clinical outcome. Meta-analyses were performed using RevMan 5.4 (The Cochrane Collaboration, London, England, UK), with standardized mean differences (SMDs) for continuous outcomes and odds ratios (ORs) for dichotomous outcomes. Eleven studies (1,084 patients) met inclusion criteria; surgical treatment significantly reduced nonunion rates (OR: 0.23; p < 0.00001) and showed modest improvements in early shoulder function (Constant score SMD: 0.49; p = 0.05), while DASH (Disabilities of the Arm, Shoulder and Hand) scores were similar (p = 0.35). Surgery also improved cosmetic satisfaction and shortened return-to-work time, but carried higher risks of hardware-related complications and reoperation. In summary, surgical fixation provides superior early outcomes and lower nonunion rates, especially in active patients, while long-term functional results are comparable between approaches, highlighting the importance of individualized treatment decisions based on fracture characteristics, patient activity level, and preferences.
Indexed as
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What OpenQuestion holds
Registered trials
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.