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Influential articles on pediatric clavicle injuries: A bibliometric analysis
Steven M Garcia1, Erin Orozco2, Abhay Kopardekar1
1Department of Orthopaedic Surgery, The University of California San Francisco, San Francisco, CA, USA.
Journal of Children'S Orthopaedics
|January 12, 2026
Summary
The most cited studies on pediatric clavicle injuries often have low-level evidence and are retrospective. Citation frequency did not correlate with methodological quality, indicating influence beyond study rigor.
Area of Science:
- Orthopedics
- Pediatric Orthopedics
- Bibliometrics
Background:
- Clavicle injuries are common in pediatric and adolescent populations.
- Understanding the landscape of influential research is crucial for advancing clinical practice and future studies.
Purpose of the Study:
- To identify and analyze the 50 most cited articles on pediatric and adolescent clavicle injuries.
- To characterize publication trends and assess the relationship between citation metrics and study quality.
Main Methods:
- Bibliometric analysis of Web of Science and Scopus databases.
- Extracted data included citation counts, density, study design, and level of evidence.
- Methodological quality assessed using modified Coleman Methodology Score (mCMS) and MINORS; Spearman correlation used.
Main Results:
- Most cited articles (70%) published in the last decade, predominantly in the Journal of Pediatric Orthopaedics (38%) and from the US (74%).
- Predominance of Level 4 evidence (73%) with no Level 1 studies.
- No significant correlation between citation rank and methodological quality (mCMS/MINORS), but significant correlation with citation density (r=-0.66, p<0.001).
Conclusions:
- Highly cited studies on pediatric clavicle injuries are often retrospective with low-level evidence.
- Article influence appears driven by factors like historical context or novelty, not solely by methodological rigor.
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