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In December 2021, distinct Web of Science searches for midshaft clavicle fractures were carried out by two independent reviewers. Publications were sorted by the number of citations received, ranked from highest to lowest. We incorporated articles, review articles, and editorial materials; other document types were not included. Fifty studies concerning MCF were selected following the independent review of all abstracts by both reviewers.

We predict that most articles published between 2000 and 2019 will address outcomes, and articles with lower evidence levels will be correlated with a greater number of citations.

The 2010s, from 2010 to 2019, were the most productive in terms of articles published, with 50% (25 out of 50) of the total. The mean citation density, measured in the number of citations per year since publication, was 6355, varying between 13 and 331 citations per year. The central tendency of the evidence level (LOE) was 35, with an interquartile range of 3. To compare the effects of LOE on citation metrics, including total citations and citation density, a one-way ANOVA was performed. A statistically significant difference in total citations (F = 1207, p = 0.0001) and citation density (F = 2114, p < 0.0001) was found, comparing the levels of evidence. By grouping total citations according to Levels of Evidence (LOE) 1 through 5, the corresponding median values were 110, 66, 66, 51, and 52.

This review offers a general look at the 50 most cited research papers relating to MCF. This reference document provides treatment guidance for physicians and other providers treating patients with MCF and serves as an educational tool for students, residents, and fellows in their respective training programs.

An overview of the 50 most frequently cited papers on MCF is presented in this review. Clinicians treating patients with MCF, as well as medical students, residents, and fellows, will find this document to be a valuable guide in both treatment and education.

Electric scooter use, according to epidemiological data gathered from diverse jurisdictions, is linked to considerable instances of trauma. The Victorian state government spearheaded a pilot program for scooter sharing in inner-city Melbourne, beginning on February 1, 2022. Geographically situated at the heart of Victoria’s government resource-sharing program, the largest trauma center undertakes a descriptive study to assess the problem’s magnitude preceding and following the ride-sharing program’s implementation.

Retrospective analysis of a series of cases. Between January 1, 2021, and June 30, 2022, the institutional orthopaedic department’s database was searched to locate all admissions that required orthopaedic management and were linked to injuries sustained from e-scooters. Data acquisition encompassed aspects such as alcohol and drug use, length of hospital stay, the severity of injuries, intensive care unit status, injuries suffered, surgical interventions performed, discharge location, and whether death occurred.

E-scooter-related injuries affected 43 patients in the 12 months before and five months after the launch of the ride-sharing program. The introduction of ride-sharing was accompanied by the presentation of eighteen patients (42% of the total) in the five months following its implementation, significantly fewer than the twenty-five patients who presented during the preceding twelve months. The examination revealed that 58% of the patients tested positive for intoxication. An ICU admission was necessary for fourteen percent of cases. A significant segment of patients, representing forty-four percent, fell under the polytrauma admission category. The median duration of hospital stays was two days; the longest single hospital stay documented was 69 days. A total of 35 patients underwent 49 surgical procedures, which included specialized operations such as neurosurgery, plastic surgery, and maxillofacial surgery. Statistical analysis revealed a mean Injury Severity Score of 1728.

Electric scooters are frequently implicated in cases involving significant trauma. Policymakers may find this information valuable, potentially supplemented by other clinical care provisions.

There’s a substantial trauma burden directly attributable to electric scooters. Integration of this data with other clinical services is a potential way to influence policy makers.

A key area of investigation in this study encompassed the evaluation of cost variations in distal radius fractures (DRFs) treated with volar locking plates (VLPs), and the identification of factors that influence the total construct cost.

A retrospective review of case series data was undertaken for a single healthcare system. A total of 140 patients diagnosed with DRF and treated with a VLP were recognized over the period from May 2014 to December 2021. Patients suffering from polytrauma, open fractures, and skeletal immaturity were not considered eligible.

The study population revealed a high proportion of female patients (n=120, 857%), with an average age of 59137 years. Dominant hand injuries (n=75, 536%) were overwhelmingly represented by AO/OTA 23C fractures (n=93, 664%). Twenty-two surgeons, possessing fellowships in hand or trauma and orthopaedic or plastic surgery, were included in the study. Orthopedic surgeons specializing in hand surgery were responsible for the largest fraction (698%) of 23C fracture treatments. At the surgery center, ninety patients received treatment, comprising 643% of the total cases. Across a range of $85,783 to $215,695, the average cost was pegged at $128,967.21532. The most expensive fixation construction methods included the use of a variable angle locking screw at a cost of $131675$26499 or a multidirectional threaded peg at a cost of $132167$19294. Multivariable regression analysis failed to identify any of the studied variables as statistically significant contributors to the cost of construction (all p-values exceeding 0.27).

Regardless of fracture type, surgical approach, or treatment location, DRFs treated with VLPs incurred similar total implant expenses. Diverging from earlier publications, VLPs exhibited minimal disparities in cost, although certain surgeons successfully decreased the overall cost by lowering the count of screws utilized.

VLP-assisted surgical DRF procedures displayed consistent total implant costs, regardless of the fracture’s configuration, the surgeon’s specialization, or the location of the treatment facility. Previous scholarly works notwithstanding, VLP procedures showed a marked consistency in costs, though some surgeons managed to lower overall costs by minimizing the use of screws.

The COVID-19 health crisis has irrevocably changed the face of higher education institutions. All educational domains, including medical education, found online teaching and learning to be indispensable for delivering instruction. This research examined medical students’ conceptions of online learning’s influence on the delivery of medical education.

A cross-sectional investigation was conducted utilizing a self-administered online questionnaire. The eligible applicant pool at Imam Abdulrahman Bin Faisal University, Saudi Arabia, was made up of medical students in all years. A study of perceptions was conducted by means of the SPSS software program.

Among the 563 students who participated in the research, 64% (n = 361) were female, a significant finding. A noticeable elevation in the number of hours spent on online learning occurred during the pandemic. In terms of interaction rate, live lectures and tutorials conducted via Zoom outperformed pre-recorded lectures and learning materials disseminated on Blackboard. Half of the student population held the view that online learning did not match the efficacy of the physical classroom environment. The online accessibility of the materials proved to be a key aspect of the enjoyable experience. The most commonly cited impediment to online learning stemmed from internet connection issues. Of the students participating in online project-based learning, 17% exhibited a deficient comprehension of scientific materials. From the survey results, it became evident that over 50% of students considered online theoretical lectures to be just as effective as, or more effective than, in-person classroom lectures. Despite online efforts, a notable 70% of learners were unable to effectively acquire clinical skills, underscoring the limitations of digital learning in this area. Based on the results, students’ physical activities experienced a high degree of impact, amounting to 80%. Pre-clinical student experiences of health and social life were more adversely affected than those of clinical students.

Online teaching, as observed in our research during the pandemic emergency, proved instrumental in enabling a continuation of medical education and guaranteeing its efficiency. Interaction was substantial on live online platforms. Nevertheless, certain obstacles require attention, particularly in the realm of clinical skill development, to optimize the advantages of online instruction and learning.

The study’s results revealed that online teaching methods enabled the continuation of medical education and demonstrated appropriate efficiency levels during emergency situations arising from the pandemic. Live online platforms proved to be highly interactive. Despite this, some impediments to progress must be tackled, especially in the sphere of clinical skill development, to fully realize the potential of online instruction and learning.

Highly endangered and among the most ancient dioecious gymnosperm lineages, Cycadales hold immense significance for conservation efforts and illuminating the impact of dioecy, despite their poorly understood reproductive ecophysiology. Our study explored the relationship between reproduction-related expenses and physiological variations in cycad species. Traits related to functional morphology and photosynthetic physiology were quantified in sterile and fertile staminate plants (males) of Zamia portoricensis. Hippo signals Compared to fertile plants, sterile plants displayed a more pronounced light-use efficiency and greater maximum photosynthetic capacity per area, as evidenced by light response curves.