Author

Harris et al.

Alao et al.

Smekal et al.

Austin et al.

Type of study

Retrospective observational Study

Case series

Retrospective observational Study

Comparative cohort study

Level of evidence

III

IV

III

II

Number of patients

41 pre implementation45 post intervention

3

30

50

Statistical analysis

None

None

Paired t test or Wilcoxon signed rank test

Kappa analysis for interobserver reliability, Pearson correlation coefficient for intraobserver reliability

Conclusion

Increased proportion of patients having surgery after introduction of orthogonal views (54% v 67%)

Patients would not have had their clavicle fractures missed and treatment delayed if they had alternative views of clavicle

When compared to CT, PA views of the thorax give the most accurate determination of clavicle length

Surgical treatment more likely with orthogonal views