ArticleCureus2025
Functional Outcomes and Complications of Non-surgical Management for Midshaft Clavicle Fractures.
Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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
0 citing papers in PubMed.
No citing paper in PubMed yet.
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
Introduction Midshaft clavicle fractures are commonly managed conservatively, especially in resource-limited settings. While union rates are generally high, concerns remain regarding functional outcomes and complications such as nonunion and malunion. Objective This study's objective is to evaluate the long-term functional outcomes and complications associated with non-surgical management of middle-third clavicular fractures. Methodology This prospective observational study was conducted at Mardan Medical Complex over 24 months. A total of 110 patients with isolated, closed, middle-third clavicle fractures treated conservatively were enrolled. Functional outcomes were assessed using the QuickDisabilities of the Arm, Shoulder, and Hand (QuickDASH) score and Constant-Murley Shoulder Score (CMSS) at 12-month follow-up. Radiological union, complications, and patient satisfaction were also recorded. Statistical analysis was performed using SPSS version 25.0 (IBM Corp., Armonk, NY). Independent t-tests and chi-square tests were applied where appropriate, with a p-value of < 0.05 considered statistically significant. Results Out of 110 enrolled patients, 102 (92.7%) completed follow-up. Union was achieved in 88 (86.3%) patients within 16 weeks. Nonunion occurred in seven (6.9%), and malunion in 10 (9.8%). The mean DASH score was 9.6 ± 7.2, and CMSS was 88.2 ± 6.8. Patients with union had significantly better scores (p < 0.001). Cosmetic dissatisfaction was reported in 18 (17.6%) patients, mostly associated with malunion. Conclusion Conservative management of midshaft clavicle fractures is generally effective, but functional outcomes are significantly influenced by healing quality. Careful patient selection and follow-up are essential to minimize complications and improve outcomes.
Indexed as
Identifiers
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.