SynthesisBMC musculoskeletal disorders2026
Non-surgical treatment for displaced midshaft clavicle fractures: a systematic review and meta-analysis.
Synthesis in BMC musculoskeletal disorders, 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
backgroundThis review aims to synthesize current evidence by pooling patient-reported outcome measures (PROMs) and reporting pooled data on pain and complication rates after non-surgically treated displaced midshaft clavicle fractures. MATERIALS AND
methodsPubMed (Medline), Web of Science, Scopus, and the Cochrane Central Register of Controlled Trials databases were searched. Studies were eligible for inclusion if they were randomized controlled trials (RCTs) involving adult patients (≥ 18 years) with displaced midshaft clavicle fractures treated non-surgically. The primary outcome was to analyze PROMs at 3-month, 6-month, and 12-month follow-ups. Secondary outcomes were pain, complications, and return to work. The outcomes were synthesized and reported as the weighted mean or rate, with 95% confidence intervals (CIs).
resultsIn total, 4,908 studies were eligible for screening. After screening and full-text review, 18 RCTs including 1,201 patients were included. For displaced midshaft fractures, the pooled DASH score was 16.1 (95% CI 11.4-20.7) at 3 months and improved to 9.9 (95% CI 5.8-13.9) at 6 months and 6.3 (95% CI 3.0-9.5) at 12 months. The pooled VAS pain score was 4.4 (95% CI 0.0-9.1) at 3 months and 2.6 (95% CI 0.0-8.8) at 12 months. The pooled rates of secondary surgery and nonunion at 12 months were 13% and 14%, respectively.
conclusionsNon-surgical treatment was associated with generally favorable functional outcomes, with substantial recovery observed by 3 months and further improvement by 6 months and only minor changes thereafter. Although secondary surgery was required in approximately 13% of patients and nonunion occurred in 14%, long-term functional outcomes were generally favorable.
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.