Non-surgical versus surgical care for displaced lateral clavicle fractures

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This multicentre, multinational randomized trial assigns adults 18–65 with displaced extraarticular lateral clavicle fractures to either non-surgical treatment (sling and physiotherapy) or pragmatic surgical treatment. The primary outcome is patient-reported function measured by the DASH score at one year, with additional PROMs and health economic analyses collected. Patients with pathological or open fractures, neurovascular injury, polytrauma, or other exclusion criteria are not eligible. The design aims to reflect real-world practice across several Scandinavian hospitals.

Why it matters

Who can join: the full rules

Inclusion Criteria:

\- Displaced extraarticular lateral clavicle fracture (type II or V according to the modified Neer classification)

Exclusion Criteria:

* Pathological fracture
* Open fracture
* Neurovascular injury
* Same-time fracture in the upper extremity
* Polytrauma
* Contraindications to surgery and/or anesthesia
* Unable to give informed consent
* Inability to complete follow-up

Where it's running

• Kalmar Regional Hospital
  Kalmar, Sweden Recruiting
• Linköping University Hospital
  Linköping, Sweden Recruiting
• Skane University Hospital
  Malmö, Sweden Recruiting
• Örebro University Hospital
  Örebro, Sweden Recruiting
• Danderyd Hospital
  Stockholm, Sweden Recruiting
• Stockholm South Hospital
  Stockholm, Sweden Recruiting

Study contacts

• Principal investigator: Olof Wolf, Associate Professor, MD — Uppsala University Hospital and Uppsala University
• Study coordinator: Pontus Christersson, MD, PhD Student
• Email: pontus.christersson@uu.se
• Phone: +46-18-6110000

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

• Fluoroscopic Endobutton Fixation for Lateral Clavicle Fractures and AC Dislocations

  This study tests whether Knotless AC TightRopeFixation using an Endobutton under fluoroscopy can safely and effectively treat lateral-clavicle fractures and severe acromioclavicular dislocations.

  Recruiting Clinique du Trocadéro · Paris · NCT07664202

• Comparing two methods for fixing broken collarbones

  This study is testing whether using two small plates instead of one for fixing broken collarbones helps patients heal better and reduces the chances of needing more surgery later.

  Recruiting Sunnybrook Health Sciences Centre · Toronto, Ontario · NCT05231343

• Kinesio tape for acute shoulder and chest wall injuries

  This will test whether applying kinesio tape helps adults with recent shoulder or chest wall injuries reduce pain more than fake tape or no tape.

  Recruiting Onze Lieve Vrouwe Gasthuis · Amsterdam · NCT05976256

• Comparing two anesthesia techniques for clavicle surgeries

  This study is testing two different anesthesia methods for clavicle surgeries to see which one works better for managing pain and keeping patients safe.

  Recruiting Tanta University · Tanta, El-Gharbia · NCT06831604

• Evaluating the performance of new clavicle plates for fractures and dislocations

  This study is testing a new type of plate for fixing broken collarbones to see how well it works and how safe it is for patients over two years after surgery.

  Recruiting at 7 sites AO Innovation Translation Center · Grand Rapids, Michigan and 6 other locations · NCT04921865

How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.