ArticleInternational journal of surgery case reports2026
The refracture of a malunited midshaft clavicle with prominent callus in a 17-year-old: a case report.
Article in International journal of surgery case reports, 2026. 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
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Introduction and importance: Refracture through a malunited clavicle is an uncommon complication, especially in adolescents. However, when it occurs early after conservative management, it brings with it unique technical and clinical challenges. Presentation of case: A 17-year-old male presented with acute right shoulder pain after falling from a horse. He had previously sustained a displaced right midshaft clavicle fracture 2.5 months earlier, which was managed nonoperatively and had healed in malunion with a prominent callus. Radiographs revealed a refracture through the malunion site. He underwent open reduction and internal fixation using a precontoured distal locking clavicle plate. Intraoperatively, dense callus and sclerotic bone ends complicated the reduction, with the loss of a small butterfly fragment during K-wire manipulation. Postoperative recovery was uncomplicated, with early physiotherapy and stable fixation on follow-up imaging. Clinical discussion: This case underscores the risk of early mechanical failure through incompletely remodeled bone in adolescents. Prominent hard callus and sclerotic fracture ends may hinder anatomical reduction and fixation. Careful surgical planning is required in such cases. Conclusion: Significantly displaced midshaft clavicle fractures in adolescents may benefit from early surgical management to reduce the risk of malunion and refracture. Anticipating technical challenges in malunited fractures is essential for optimal 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.