Epidemiology of combined clavicle and rib fractures: a systematic review.
Clavicle fractures
Epidemiology
Rib fractures
Treatment
Journal
European journal of trauma and emergency surgery : official publication of the European Trauma Society
ISSN: 1863-9941
Titre abrégé: Eur J Trauma Emerg Surg
Pays: Germany
ID NLM: 101313350
Informations de publication
Date de publication:
Oct 2022
Oct 2022
Historique:
received:
08
03
2021
accepted:
13
05
2021
pubmed:
3
6
2021
medline:
12
10
2022
entrez:
2
6
2021
Statut:
ppublish
Résumé
The aim of this systematic review was to provide an overview of the incidence of combined clavicle and rib fractures and the association between these two injuries. A systematic literature search was performed in the MEDLINE, EMBASE, and CENTRAL databases on the 14 Seven studies with a total of 71,572 patients were included, comprising five studies on epidemiology and two studies on treatment. Among blunt chest trauma patients, 18.6% had concomitant clavicle and rib fractures. The incidence of rib fractures in polytrauma patients with clavicle fractures was 56-60.6% versus 29% in patients without clavicle fractures. Vice versa, 14-18.8% of patients with multiple rib fractures had concomitant clavicle fractures compared to 7.1% in patients without multiple rib fractures. One study reported no complications after fixation of both injuries. Another study on treatment, reported shorter ILOS and less complications among operatively versus conservatively treated patients (5.4 ± 1.5 versus 21 ± 13.6 days). Clavicle fractures and rib fractures are closely related in polytrauma patients and almost a fifth of all blunt chest trauma patients sustain both injuries. Definitive conclusions could not be drawn on treatment of the combined injury. Future research should further investigate indications and benefits of operative treatment of this injury.
Identifiants
pubmed: 34075434
doi: 10.1007/s00068-021-01701-4
pii: 10.1007/s00068-021-01701-4
pmc: PMC9532289
doi:
Types de publication
Journal Article
Review
Systematic Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
3513-3520Informations de copyright
© 2021. The Author(s).
Références
Semin Plast Surg. 2011 Feb;25(1):5-15
pubmed: 22294938
Eur J Trauma Emerg Surg. 2022 Feb;48(1):255-264
pubmed: 32876772
Eur J Trauma Emerg Surg. 2021 Aug;47(4):1105-1114
pubmed: 31768585
Eur J Trauma Emerg Surg. 2019 Aug;45(4):631-644
pubmed: 30276722
Semin Thorac Cardiovasc Surg. 2008 Spring;20(1):69-71
pubmed: 18420130
J Trauma. 2009 Jul;67(1):8-13; discussion 13
pubmed: 19590301
World J Surg. 2009 Jan;33(1):14-22
pubmed: 18949513
Korean J Thorac Cardiovasc Surg. 2012 Aug;45(4):246-50
pubmed: 22880170
J Trauma. 1994 Dec;37(6):975-9
pubmed: 7996614
J Surg Res. 2021 Jun;262:197-202
pubmed: 33607414
J Orthop Trauma. 2017 Apr;31(4):225-228
pubmed: 28328731
J Trauma Acute Care Surg. 2020 Feb;88(2):249-257
pubmed: 31804414
Chirurgia (Bucur). 2017 Sept-Oct;112(5):595-606
pubmed: 29088559
Ann Surg. 2013 Dec;258(6):914-21
pubmed: 23511840
Am J Public Health. 2000 Apr;90(4):523-6
pubmed: 10754963
PLoS One. 2017 Oct 19;12(10):e0186712
pubmed: 29049422
J Surg Res. 2015 Dec;199(2):629-34
pubmed: 26169033
World J Emerg Surg. 2013 Sep 22;8(1):36
pubmed: 24053405
Unfallchirurg. 2016 Dec;119(12):1023-1030
pubmed: 26070732
World J Surg. 2018 Dec;42(12):3918-3926
pubmed: 29959488
Scand J Trauma Resusc Emerg Med. 2017 Apr 20;25(1):42
pubmed: 28427480
J Chin Med Assoc. 2016 Jun;79(6):329-34
pubmed: 27025223
ANZ J Surg. 2003 Sep;73(9):712-6
pubmed: 12956787
J Shoulder Elbow Surg. 2018 Apr;27(4):667-673
pubmed: 29555052
J Shoulder Elbow Surg. 2012 Mar;21(3):423-9
pubmed: 22063756
Clin Orthop Relat Res. 1987 Jan;(214):160-4
pubmed: 3791738
J Bone Miner Res. 2018 May;33(5):795-802
pubmed: 29314242
J Clin Epidemiol. 2009 Oct;62(10):e1-34
pubmed: 19631507
Patient Saf Surg. 2013 Jul 04;7:23
pubmed: 23822875
Unfallchirurg. 2018 Aug;121(8):615-623
pubmed: 30043074
J Surg Res. 2019 Oct;242:223-230
pubmed: 31100568
Cochrane Database Syst Rev. 2019 Jan 22;1:CD009363
pubmed: 30666620
Eur J Trauma Emerg Surg. 2019 Feb;45(1):59-63
pubmed: 27106033
Int Orthop. 2018 Feb;42(2):401-408
pubmed: 28852836
Surgery. 2005 Oct;138(4):717-23; discussion 723-5
pubmed: 16269301