Global Research Status and Frontier Analysis of Clavicle Fractures

Authors

  • Yao Liu Yan'an Medical College, Yan'an University, Yan'an 716000, Shaanxi, China; Department of Orthopaedic Trauma, Xi'an Honghui Hospital, Xi'an Jiaotong University College of Medicine, Xi'an 710054, Shaanxi, China
  • Zhaoji Li Yan'an Medical College, Yan'an University, Yan'an 716000, Shaanxi, China; Department of Orthopaedic Trauma, Xi'an Honghui Hospital, Xi'an Jiaotong University College of Medicine, Xi'an 710054, Shaanxi, China
  • Zhe Song Department of Orthopaedic Trauma, Xi'an Honghui Hospital, Xi'an Jiaotong University College of Medicine, Xi'an 710054, Shaanxi, China

DOI:

https://doi.org/10.5281/zenodo.19364786

Keywords:

Clavicle, Fracture, Bibliometrics, VOSviewer

Abstract

Objective: This study employs bibliometric to systematically analyze research dynamics in the field of clavicle fracture from 1996 to 2024, thereby revealing knowledge evolution and development trends. Methods: Based on the Web of Science Core Collection database, 1592 articles were analyzed by Excel and VOSviewer, covering the annual publication, national or regional contribution, institutional cooperation network, author contribution, journal influence and keyword co-occurrence mapping. Results: Global research has shown fluctuating growth. The United States led the world in terms of publication volume, citation frequency and H-index. Institutional analysis showed that the University of California System in the United States had the highest number of publications, while the University of Toronto in Canada was the most academically influential institution with the first-ranked citation frequency and H-index. In terms of individual contributions, Houwert RM from the Netherlands and McKee MD from Canada were the most productive and highly cited respectively, and Journal of Shoulder and Elbow Surgery was ranked first in terms of the number of articles, frequency of citations, and H-index of core journals. Keyword analysis showed that the research hotspots focused on bone nonunion, plate fixation and biomechanics; keywords such as locking plate, midshaft clavicle fracture, coracoclavicular stabilization, ultrasound and acromioclavicular joint dislocation have become the emerging trends of research in recent years. Conclusion: This research demonstrates a multidisciplinary cross-disciplinary trend, and technological innovation of internal fixation and precise minimally invasive treatment constitute dual core of future research. Visualization analysis offers evidence-based support for clinical decision and research planning.

References

Hyland S, Charlick M, Varacallo M A. Anatomy, Shoulder and Upper Limb, Clavicle[J]. 2025.

Ramponi D R, Jo C M. Clavicle Fractures[J]. Adv Emerg Nurs J, 2021, 43(2): 123-127.

Li Z, Kindig M W, Kerrigan J R, et al. Development and validation of a subject-specific finite element model of a human clavicle[J]. Comput Methods Biomech Biomed Engin, 2013, 16(8): 819-829.

Kani K K. Clavicle Fractures: Review and Update for Radiologists[J]. Curr Probl Diagn Radiol, 2020, 49(3): 199-204.

Van Tongel A, De Wilde L, Shimamura Y, et al. Fracture patterns in midshaft clavicle fractures[J]. Acta Orthop Belg, 2021, 87(3): 501-507.

von Ruden C, Rehme-Rohrl J, Augat P, et al. Evidence on treatment of clavicle fractures[J]. Injury, 2023, 54 Suppl 5: 110818.

Frima H, van Heijl M, Michelitsch C, et al. Clavicle fractures in adults; current concepts[J]. Eur J Trauma Emerg Surg, 2020, 46(3): 519-529.

Nicholson J A, Makaram N, Simpson A, et al. Fracture nonunion in long bones: A literature review of risk factors and surgical management[J]. Injury, 2021, 52 Suppl 2: S3-S11.

Ninkov A, Frank J R, Maggio L A. Bibliometrics: Methods for studying academic publishing[J]. Perspect Med Educ, 2022, 11(3): 173-176.

Harnroongroj T, Tantikul C, Keatkor S. The clavicular fracture: a biomechanical study of the mechanism of clavicular fracture and modes of the fracture[J]. J Med Assoc Thai, 2000, 83(6): 663-667.

Kemper A, Stitzel J, Gabler C, et al. Biomechanical response of the human clavicle subjected to dynamic bending[J]. Biomed Sci Instrum, 2006, 42: 231-236.

Defroda S F, Lemme N, Kleiner J, et al. Incidence and mechanism of injury of clavicle fractures in the NEISS database: Athletic and non athletic injuries[J]. J Clin Orthop Trauma, 2019, 10(5): 954-958.

Sachinis N P, Beitzel K. Risk for Fracture with Acromioclavicular Joint Reconstruction and Strategies for Mitigation[J]. Clin Sports Med, 2023, 42(4): 613-619.

Patel M, Heyworth B E, Dehghan N, et al. Clavicular Fractures in the Adolescent[J]. J Bone Joint Surg Am, 2023, 105(9): 713-723.

Baertl S, Alt V, Rupp M. Surgical enhancement of fracture healing - operative vs. nonoperative treatment[J]. Injury, 2021, 52 Suppl 2: S12-S17.

Sheth M M, Shybut T B. Operative Management for Displaced Distal Clavicle Fractures[J]. Clin Sports Med, 2023, 42(4): 695-711.

Uchiyama Y, Handa A, Omi H, et al. Locking versus nonlocking superior plate fixations for displaced midshaft clavicle fractures: A prospective randomized trial comparing clinical and radiografic results[J]. J Orthop Sci, 2021, 26(6): 1094-1099.

Jubel A, Knopf M, Jubel J M, et al. Clavicle nonunion[J]. Unfallchirurgie (Heidelb), 2024, 127(11): 776-782.

Wiss D A, Garlich J M. Clavicle nonunion: plate and graft type do not affect healing rates-a single surgeon experience with 71 cases[J]. J Shoulder Elbow Surg, 2021, 30(3): 679-684.

Lim S, Cho E, Chun J M, et al. Osteosynthesis with autologous dual bone graft for nonunion of midshaft clavicle fractures: clinical and radiological outcomes[J]. Eur J Orthop Surg Traumatol, 2022, 32(1): 159-165.

Deng A D, Innocenti M, Arora R, et al. Vascularized Small-Bone Transfers for Fracture Nonunion and Bony Defects[J]. Clin Plast Surg, 2020, 47(4): 501-520.

Arakawa K, Watanabe Y, Sasaki G, et al. Induced membrane technique using beta-tricalcium phosphate for reconstruction of clavicle bone defect after fracture related infection - A case report[J]. Trauma Case Rep, 2024, 51: 101013.

Sax O C, Monarrez R, Bains S S, et al. Operative Versus Nonoperative Treatment for Closed Displaced Midshaft Clavicle Fractures[J]. Hand (N Y), 2024, 19(2): 294-299.

Jeray K J, Broderick J S, Mullis B H, et al. Multicenter, Prospective, Observational Study of Nonoperative Versus Operative Treatment for High-Energy Midshaft Clavicle Fractures[J]. J Orthop Trauma, 2024, 38(7): 345-350.

Orlandi T V, Rogers N S, Burger M C, et al. A prospective randomized controlled trial comparing plating augmented with coracoclavicular fixation and hook plate fixation of displaced distal-third clavicle fractures[J]. J Shoulder Elbow Surg, 2022, 31(5): 906-913.

Elrih M, Quinlan J. Hook Plate Versus Distal Locking Plate for the Fixation of Unstable Distal Clavicle Injuries, Outcomes and Complications: A Meta-Analysis[J]. Cureus, 2022, 14(10): e30806.

Pieringer A, Welter J, Fischer J, et al. Complications following arthroscopic-assisted coracoclavicular stabilization in patients with unstable lateral clavicle fractures[J]. Arch Orthop Trauma Surg, 2023, 143(8): 4925-4931.

Degeorge B, Ravoyard S, Lazerges C, et al. Clinical Impact of Malunion After All-Arthroscopic Coracoclavicular Stabilization for Displaced and Unstable Lateral Clavicle Fractures[J]. J Orthop Trauma, 2022, 36(7): e271-e277.

Moritz J D. Sonographic Fracture Diagnosis in Children and Adolescents[J]. Rofo, 2023, 195(9): 790-796.

Galimberti L, Garbetta G, Poloniato A, et al. Ultrasound Diagnosis of Clavicle Fractures in Newborns: A Systematic Review[J]. Children (Basel), 2024, 11(9).

Bhan K, Patel R, Hasan K, et al. Fracture Nonunions and Delayed Unions Treated With Low-Intensity Pulsed Ultrasound Therapy: A Clinical Series[J]. Cureus, 2021, 13(8): e17067.

Zheng Y, Zheng X G, Zhang J K, et al. Digital study on proximal clavicle anatomical plate based on 3D printing technology[J]. Zhongguo Gu Shang, 2024, 37(3): 278-280.

Zhang P, Li P, Liao S, et al. Fracture Nonunion Treated with Low-Intensity Pulsed Ultrasound and Monitored with Ultrasonography: A Feasibility Study[J]. Biomed Res Int, 2021, 2021: 8834795.

Borole A, Trubiano J, Viqueira M, et al. Intrinsic and Extrinsic Methods for Augmenting Fracture Healing in the Hand and Wrist[J]. Cureus, 2024, 16(12): e74972.

Kronenberg D, Brand M, Everding J, et al. Integrin alpha2beta1 deficiency enhances osteogenesis via BMP-2 signaling for accelerated fracture repair[J]. Bone, 2025, 190: 117318.

Hou X, Peng G, Zhao W, et al. Association of elevated exosomal miR-21 levels with nonunion in clavicular fractures post-ORIF: A prospective analysis[J]. Injury, 2024, 55(12): 111963.

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Published

2026-04-01

How to Cite

Liu, Y., Li, Z., & Song, Z. (2026). Global Research Status and Frontier Analysis of Clavicle Fractures. International Journal of Advance in Clinical Science Research, 5, 42–52. https://doi.org/10.5281/zenodo.19364786

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