Objective This study investigated sleep patterns among middle school students in Nanjing and explored factors contributing to sleep disorders, to provide a basis for developing strategies to improve sleep conditions among middle school students. Methods A stratified cluster sampling method was used to conduct a questionnaire survey on sleep quality among 2 187 middle school students in Nanjing from September to November 2023. Sleep conditions were assessed to analyze the influencing factors associated with sleep disorders among middle school students. Results The detection rate of sleep disorders among middle school students in Nanjing was 11.8%; the rates were 10.9% among male and 12.9% among female students, which showed no statistically significant difference (χ2=2.056, P=0.152). The detection rates of sleep disorders were 8.3% among junior high school students, 18.6% among regular high school students, and 11.4% among vocational high school students, and showed statistically significant differences (χ2=44.856, P<0.001). Furthermore, the detection rate of sleep disorders was 6.7% in suburban students and 18.6% in urban students, which also showed a statistically significant difference (χ2=20.915, P<0.001). Multivariate logistic regression analysis identified being enrolled in a regular high school, experiencing parental physical punishment, and alcohol consumption as risk factors for sleep disorders among middle school students. In contrast, residing in suburban areas and engaging in outdoor activities for 1 hour or more were found to be protective factors against the occurrence of sleep disorders. Conclusions Sleep quality among middle school students in Nanjing is generally satisfactory but could be improved. Sleep quality is influenced by multiple factors, and targeted policies should be established to enhance students’ sleep status.

Objective To quantify the impact of near-vision behaviors and vision environment among elementary students with electronic intelligent devices, and provide technical support for myopia prevention and control. Methods With a cluster sampling method, participants from an elementary school in Nantong city were selected to receive visual acuity test and refraction test, as well as a five-day monitoring of electronic intelligent devices (weekends included) during October to December 2023. The data on the prevalence of myopia in students, near-vision behaviors, outdoor exposure duration, and environmental light intensity were collected. The correlations of factors, such as genders, grades, and myopia status with both near-vision behaviors and vision environment were analyzed. Results The data were obtained from 343 students (91.5%) with electronic intelligent devices, including 167 myopic students (48.7%). The results revealed that the compliance rates of recommended maximum continuous near-work duration and the average outdoor exposure duration were 8.5% and 2.31%. The compliance rates of nighttime illumination were only 24.21%, while compliance rates of the average light intensity during the day were relatively high, reaching 94.52%. Data showed that only 50.14% of students could maintain a distance of 33 cm from their eyes to the books. Compared with female students, male students had shorter near-work time, longer near-work distance, and longer outdoor exposure time, with the significant differences (P<0.01). The differences in daylight and outdoor exposure duration in these grades were statistically significant (P<0.05). In the non-myopic students, there were better conditions in the some aspects, such as the maximum near-work duration (≥ 80 min), average daily duration (≥ 300 min), average near-work distance (≥ 33 cm), average light intensity (at night), and average effective outdoor exposure duration compared with the myopic students. All differences showed statistically significant (all P<0.05). Conclusions The electronic intelligent devices can quantify the near-vision behaviors and vision environment in students. It also has powerful support for the guidance of students’ near-vision behaviors.

Objective To analyze the poor vision situation among primary and secondary students in Yicheng, and provide support and suggestions for students’ vision improvement, based on the current empirical evidences. Methods With the stratified cluster sampling method, the visual acuity screening in students aged 6-18 was conducted in Yicheng (Zhumadian City), during February to June 2023. The detection rates of poor vision in students were compared among different grades and genders. Results A total of 26 000 students were detected, including 20 198 students (77.68%) with poor vision. Among them, 8 953 elementary students were detected, covering 6 100 (68.13%) with poor vision; 8 674 middle school students were detected, encompassing 6 940 (80.01%) with poor vision; 8 373 high school students were detected, spanning 7 158 (85.49%) with poor vision. The differences were statistically significant among school students in these grades (χ2=792.346, P<0.001). The detection rates of students (grade 1-12) with poor vision were 64.21%, 66.15%, 67.05%, 68.04%, 70.19%, 73.21%, 77.97%, 79.52%, 82.58%, 84.00%, 86.08% and 86.39%, respectively. The results showed that the detection rates of poor vision increased with the elevation of grade levels. Of the 13 103 male students detected, 9 457 (72.17%) had poor vision. Among 12 897 female students, 9 759 (75.67%) had poor vision. The differences between male students and female students with poor vision were statistically significant (χ2=41.157, P<0.001). There were significant differences in the detection rate of poor vision between male students and female students in all grades (χ2=14.131, P<0.001; χ2=11.692, P<0.001, χ2=14.682, P<0.001). Conclusion The issue of poor vision among students in Yicheng District, Zhumadian City is rather severe. Notably, the detection rate of poor vision exhibits a significant upward trend with the elevation of grade levels.

Objective This study was designed to investigate the occurrence, the composition of patients’ medical expenses and factors of non-traumatic spinal diseases among patients (children and adolescents) in a tertiary hospital of Xuzhou. Additionally, it aimed to provide references for the prevention and treatment of these types of disease, as well as the management of medical expenses. Methods With a cluster sampling method, a retrospective study was conducted to collect the homepage information of medical records of inpatients (children and adolescents) with non-traumatic spinal diseases in a tertiary hospital of Xuzhou from 2019 to 2023, including basic information, diagnostic reports, medical history and treatment, and personal medical expenses etc. The disease types, composition of medical expenses and factors of inpatients with non-traumatic spinal disease were analyzed. Results A total of 242 cases were enrolled, including lumbar disc herniation (139 cases), lumbar spinal stenosis (21 cases), torticollis (16 cases), scoliosis (14 cases), spondylitis (8 cases), and others(44 cases), among which lumbar disc herniation accounted for the highest proportion (57.44%). There were significant differences in different types of disease in different age groups (χ2=4.566, P=0.033). The material costs peaked (66.14%) in the total medical expenses of inpatients (children and adolescents) with non-traumatic spinal diseases. The multivariate Logistic analysis showed that the inpatients with an increase in age (OR=2.192,95%CI : 1.167-4.118) and the extension ofhospital stays (OR=2.859, 95%CI : 1.578-5.182) had higher medical expenses; while those who received non-surgical treatment (OR=0.157,95%CI :0.065-0.381) and whose treatment outcome was uncured (OR=0.514,95%CI :0.275-0.962) had lower medical expenses. Conclusions For the control of patients’ medical expenses with non-traumatic spinal diseases, emphasis ought to be laid on the older patients who may need surgical intervention. In terms of disease types, particular focus should be placed on the adolescent patients with lumbar disc herniation. Regarding the composition of the medical expenses, the supervision of medical consumables should be strengthened.

Objective This study was designed to analyze the dynamic characteristics and causes of accidental deaths among primary and secondary school students in Huizhou and provide reliable evidence for developing preventive strategies. Methods With the International Classification of Diseases (ICD-10) of V01-X59 series, a total of 1 206 cases were retrospectively enrolled from the Huizhou Statistical Bureau official data between 2015 and 2021. Results From 2015 to 2021, there were 1 206 deaths in Huizhou, with a mortality rate of 19.37/ 100 000. Among them, Compared with the primary school level, the accidental mortality rates at secondary school level were higher (14.93/ 100 000), with statistically significant differences (P<0.05). The main causes of accidental death were traffic accidents, drowning, and suicide, and the mortality rates of these causes were the highest at the secondary school level. Between 2015 and 2021, the mortality rates from traffic accidents showed an increasing trend, while the mortality rates from suicide and drowning showed a decreasing trend. Conclusions Secondary school students are a key population for preventing accidental deaths, especially those caused by traffic accidents. Moreover, different targeted intervention measures should be taken based on the characteristics of the primary and secondary school to reduce the occurrence of accidental death incidents.

Objective This study investigated the effect of groove closure of the first permanent molar fosba on preventing dental caries among 7-9 year old students in Anding District of Dingxi City in 2023, to provide a reference and basis for preventing dental caries among local students. Methods Six primary schools were randomly selected, and students 7 to 9 years old who participated in the “Comprehensive Intervention Project for Oral Diseases in Anding District, Dingxi City, a major public health service project subsidized by the Central Government” in 2023 were included. Three primary schools that met the indications and completed the project were included in the experimental group, whereas the other three primary schools were included in the control group. Students in the control group had indications of cavities and groove closure but did not undergo closure prevention. The incidence of caries, the rate of effective caries reduction and the closure rate were measured 6 months later. Results The prevalence of caries was 22.32% in the experimental group and 19.43% in the control group, 91.33% in the 6-month re-examination closure, 2.52% in the experimental group and 5.89% in the control group; the difference was statistically significant (P<0.05). Conclusions The success rate of cavity and ditch closure was high, and the preventive effects of cavity and ditch closure were significant in Anding District of Dingxi City. Therefore, the number of free cavity and ditch closures should be increased.

Objective To analyze the epidemiological characteristics of pathogens in foodborne diseases in Huishan District, Wuxi City, and provide a basis for prevention and control strategies. Methods Data were collected from 1 064 cases of foodborne diseases in Huishan District, Wuxi City, from 2018 to 2022. Fecal/anal swab samples were analysed, and the detection of different pathogens was compared using the t-test. Results The total detection rate of foodborne pathogens was 19.83%, of which Norovirus accounted for 7.80%, Vibrio parahaemolyticus 5.64%, Salmonella 3.57%, Escherichia coli 2.63%, and Shigella 0.19%. The seasonal characteristics of positive detection rates for Vibrio parahaemolyticus and Norovirus are obvious, with the highest detection rate for Vibrio parahaemolyticus in the third quarter (14.47%) and Norovirus in the second quarter (13.69%). There was a statistically significant difference in the positive detection rates of Norovirus (χ2=22.263, P<0.001) and Salmonella (χ2=58.507, P<0.001) among different age groups; The serotype of Norovirus is mainly type Ⅱ (90.36%), while Salmonella enterica accounts for the largest proportion (39.47%). Conclusion Norovirus and Vibrio parahaemolyticus are the main foodborne pathogens in Huishan District, with distinct seasonal characteristics.

Objective This study analyzed the number, species, characteristics and distribution of bacterial food poisoning pathogens in Xishan District in Wuxi City from 2018 to 2022, to understand the effects of the application of modern detection technology in pathogen detection, and to provide a scientific basis for the control and prevention of bacterial food poisoning. Methods The food-borne pathogen detection method in the national food safety standard “Food Microbiology Inspection” (GB 4789 -2017) was used for laboratory testing of samples from bacterial food poisoning incidents in Xishan District in Wuxi City in 2018-2022. Results From 2018 to 2022, 428 samples were collected from 40 bacterial food poisoning incidents in Xishan District, Wuxi. Among them, 136 samples had detected pathogenic strains. The overall detection rate was 31.78%. The detection rate of pathogens each year from 2018 to 2022 was 9.48%, 50.85%, 87.10%, 13.56% and 4.11%, respectively. The main pathogens were Vibrio parahaemolyticus (68.38%), Proteus (23.53%), Staphylococcus aureus (1.47%), Salmonella (5.88%) and B. cereus (0.73%), among which V. parahaemolyticus was the most common. Conclusion In recent years, the incidence of bacterial food poisoning in Xishan District of Wuxi City has decreased, but the detection rate of pathogens was low. V. parahaemolyticus was the main pathogen. Food hygiene supervision departments should strengthen targeted supervision to decrease the occurrence of bacterial food poisoning.

Objective To analyze the epidemiological characteristics of infectious disease outbreaks in primary and secondary schools and childcare institutions of Peixian, and to provide future references for prevention and control of infectious diseases in schools. Methods Data were collected via the sub-systems of “Public Health Emergency Management Information and China Influenza Surveillance Information” of the China Disease Prevention and Control Information System. Health emergencies and influenza outbreaks in primary and secondary schools and childcare institutions reported in Peixian from 2013 to2023 were included. Epidemiological characteristics of common infectious diseases outbreaks in schools were analyzed with the descriptive epidemiology. Results From 2013 to 2023, a total of 43 outbreaks of common infectious diseases were reported in Peixian, with 12 cases of general events, 31 cases of unrated events (all influenza events) involving 80 690 children. A sum of 934 cases was identified with the incidence of 1.16%, including influenza (36 cases), chickenpox (3 cases), mumps (2 cases), hand, foot, and mouth disease (1 case). Forty-three outbreaks of infectious diseases were found in primary schools (26 cases), middle schools (13 cases), and kindergartens (4 cases). Meanwhile, the distributions of these outbreaks varied in both the urban areas, with 11 cases, and rural areas, with 32 cases, with the incidence of 0.71%, 1.65%, respectively. The difference was significant (χ2=264.272, P<0.001). The incidence of the infectious diseases peaked in these months, such as March to June and from October of one year to January of the following year. Conclusions The common outbreaks of infectious diseases in Peixian are mainly unrated events and general events, with influenza as the main disease. The distributions of outbreaks are seasonal and bimodal. Targeted preventive measures should be taken timely to control the outbreaks of infectious diseases in schools and childcare institutions.

Objective To investigate the epidemiological characteristics of pertussis clusters in a class and family in Hedong District of Tianjin, identify the source of infection and transmission mode, analyze the risk factors of the outbreak, and provide references for pertussis prevention and control. Methods A field epidemiological investigation was conducted. Nasopharyngeal swabs were collected from cases and close contacts for pertussis nucleic acid detection; culture of Bordeta pertussis was performed with smears in Petri dishes; venous blood was collected; and serum was isolated for detection of pertussis toxin IgG antibody (PT-IgG antibody). Results Five cases of pertussis were identified, in three children and two adults. The time interval from the onset of the first case to the diagnosis of pertussis was 21 days. All children had been vaccinated with four doses of diphtheria-tetanus-acellular pertussis combined vaccine (DTap) before disease onset. The average time from the onset to the last vaccination was 7 years and 7 months, and the adult cases had no related immunization history. Conclusions The source of infection was children, and the transmission mode was children → children and children → adults. It is speculated that the risk factors of the outbreak are low sensitivity in differential diagnosis of pertussis, poor efficacy of antibiotic treatment, weak school surveillance, and insufficient vaccine protection effect in school-age children and adults.

Objective To analyze the epidemiological characteristics of chickenpox among students in a university of Luoyang from 2019 to 2023, and to provide scientific basis for the prevention and control of chickenpox in universities. Methods The data of chickenpox cases reported from 2019 to 2023 were collected for epidemiological analysis. Results From 2019 to 2023, 63 cases of chickenpox were reported, with an average annual incidence rate of 4.56/104. The difference in the annual incidence of each year was statistically significant (χ2=20.866, P<0.001). Pairwise comparison showed that the incidence of chickenpox in 2019 was higher than in 2020 and 2021, showing a statistically significant difference ( χ2=11.674, P=0.001; χ2=9.698, P=0.002). The incidence was mainly peaked during October to December, accounting for 73.02% (46 cases). The sex ratio of chickenpox cases was 1∶1.032. The average annual incidence among freshmen was 6.39/104, while that among students in other higher grades was 3.80/104, showing a statistically significant difference ( χ2=4.235, P=0.040). From 2019 to 2023, a total of 6 clustered outbreaks of chickenpox and 10 events of epidemiologically related cases occurred in the university. Conclusions The incidence of chickenpox has decreased significantly since 2020. The peak incidence period each year is in autumn and winter. Freshmen are more vulnerable than students in other higher grades, and clustered outbreaks have occurred.

Objective To investigate the human resource allocation status of primary health institutions in Xinbei, and to provide references for strengthening workforce management in the regional public health. Methods Subjects from all primary healthcare institutions in Xinbei were enrolled. A comprehensive review was conducted on the annual personnel statistics reports of primary health institutions in Xinbei, Changzhou, covering details like positions, ages, genders, and professional titles. A descriptive methodology was employed to analyze the information as described before. Results From 2021 to 2023, the number of staff in primary health institutions of Xinbei District increased from 2 193 to 2 320, while permanent staff decreased from 1 217 to 1 092. The professional title types were mainly in health professional realms, with a proportion of 86.45%. The proportion of senior professional titles increased from 23.35% to 26.64%, while that of junior professional titles decreased from 42.00% to 37.33%. Among health technical professionals, those with the bachelor degree or above were in the majority (69.27%) in 2023, with the proportion of those aged 35 and below reaching 45.31% in 2023. There was no significant difference in professional distribution of health professionals (χ2=6.008, P=0.988). Conclusions There are problems such as an imbalanced talent structure, an unreasonable gender ratio, and potential risks in the promotion of professional titles for new recruits in primary health institutions. The predicament of an imbalanced talent structure caused by institutional factors should be resolved by coordinating the allocation of resources.

Objective This study was designed to analyze the characteristics of school absenteeism for health-related reasons among students in Chajiao Street, Guangzhou in 2019 and 2023, to provide valuable evidence for school absenteeism prevention and control after quantitative comparisons. Methods Data were collected from “Guangzhou Student Health Monitoring System” in 2019 and 2023. This system was applied to monitor the number of students, the school absenteeism for health-related reasons, including their specific symptoms and exact ill-days. A comparative analysis of the incidence and rate of school absenteeism for health-related reasons was conducted using R4.4.0. Results The results indicated that the incidence and rate of school absenteeism for health-related reasons in 2023 were 0.58% and 1.10%, respectively, both higher than those of 0.23% and 0.31% in 2019 (χ2=2 843.664, 8 786.814, both P<0.001). In both 2019 and 2023, the incidence of school absenteeism for health-related reasons in male students was higher than that of female students (both P<0.05). In 2019, the rate of school absenteeism for health-related reasons in male students was also higher than that of female students (P=0.007). However, the differences in the rate of school absenteeism for health-related reasons in both male and female students showed no statistical significance in 2023 (P=0.250). In elementary schools, the incidence and rate of school absenteeism for health-related reason peaked in both 2019 and 2023. During the same period, the predominant symptoms monitored in the system were fever and cough. Conclusions Male students are the primary concern regarding the school absenteeism. The school absenteeism rates in elementary students are the highest. The prevention of respiratory diseases in students should be paid much attention for school absenteeism reduction.

Objective This study was aimed at understanding spinal curvature prevalence and associated factors among middle school students in Liangxi District, to provide a reference for preventive measures and interventions for spinal curvature in children and adolescents. Methods From November to December 2022, students in seventh grade to senior 3 (including those in vocational high school) in Liangxi District, Wuxi City were selected through a stratified cluster random sampling method. Spinal curvature assessment and a questionnaire survey were conducted. Results A total of 1 232 secondary school students from five schools were selected. The detection rate of spinal curvature was 3.33% (41 cases). The detection rate in girls was 4.98%, a value 1.75% higher than that in boys (χ2=10.028, P<0.01). The detection rate in students at ordinary high schools was 4.89%, a value higher than that in students at vocational high schools (2.87%) and junior high schools (2.01%) (χ2=6.549, P<0.05). The detection rate in malnourished students was 9.09%, a value higher than that in non-malnourished students (3.06%) (χ2=5.943, P<0.05). Multivariate logistic regression analysis indicated that female sex (OR=3.791, 95%CI: 1.797-7.998), attending an ordinary high school (OR=2.537, 95%CI: 1.162-5.538), and malnutrition (OR=4.631, 95%CI: 1.590-13.485) were risk factors for spinal curvature. Conclusions The detection rate of spinal curvature among middle school students in Liangxi District was relatively high. Closer attention must be paid to students at ordinary high schools and girls with malnutrition.

Objective To design “Psychological Stress Response Scale of Infectious Disease among College Students”, and provide an effective tool for the assessment of stress symptoms. Methods Following the literature reviews, two dimensions (anxiety and depression) were specified. With a cluster sampling method, 8 792 college students from three universities in Yunnan and Jiangxi were surveyed with questionnaire in November 2022. Items were screened with t-tests and correlation analysis, and the structural validity of the questionnaire was assessed by both exploratory factor analysis and confirmatory factor analysis. In May 2023, 5 279 college students from the above three universities were surveyed again. Results The scale consisted of two dimensions (anxiety and depression) with 12 items. The cumulative contribution rate of variance was 71.26%. Cronbach’s α coefficients of total scales and the two dimensions were 0.927, 0.809, and 0.950, respectively. The correlation coefficient of each item with the total score was 0.66-0.77, and with the dimensions was 0.44-0.84. The confirmatory factor analysis model fitted well (CFI=0.912, TLI=0.890, RMSEA=0.07, SRMR=0.048). The criterion-related validity of the scale with the depression and anxiety symptoms of PHQ-9 and DASS-21 was>0.70. The scale application showed that the total score of the scale and each dimension ≥P75 was positive symptoms. Conclusion The “Psychological Stress Response Scale of Infectious Disease among College Students” has good reliability and validity and can be used to assess the psychological stress response of college students regarding infectious diseases.

Objective This study explored the epidemiological characteristics of, and factors influencing, arrhythmia in an older population undergoing physical examination. Methods A total of 688 older individuals who underwent physical examinations at our hospital between January and December of 2022 were selected. The incidence of arrhythmia and its influencing factors were analyzed. Results The incidence of arrhythmia was 18.31%, men accounted for 69.05%, and individuals above 70 years accounted for 65.87%. The main types were sinus arrhythmia (46.03%) and intraventricular conduction block (28.57%). Multivariate logistic regression analysis indicated that age, body mass index, smoking, hypertension, diabetes, CHD, and hyperlipidemia were independent risk factors for arrhythmia in the older population (P<0.05). Conclusions The incidence of arrhythmias was relatively high in the older population undergoing physical examinaton. The main types of arrhythmias were sinus arrhythmias and indoor conduction block. The incidence of arrhythmias varied among older individuals with different ages, body mass index, smoking status, and underlying diseases. The occurrence of arrhythmias was influenced by age, body mass index, smoking status, and underlying diseases.

Objective This study explored the value of nutritional indicators in predicting adverse outcomes in older patients with Coronary Heart Disease (CHD) and Heart Failure with Preserved Ejection fraction (HFpEF). Methods A total of 200 older patients with CHD and HFpEF admitted between January 2021 and January 2022 were enrolled. After 1-year follow-up (in 195 cases, 97.5%), patients were divided into good prognosis (n=152) and poor prognosis (n=48) groups according to major adverse cardiovascular events. Body Mass Index (BMI), serum Albumin (ALB), Geriatric Nutritional Risk Index (GNRI), Nutritional Risk Screening 2002 (NRS2002), and Mini Nutritional Assessment (MNA) were evaluated. Results Nutritional assessment revealed 87 cases (43.50%) at risk of malnutrition, 62 cases (31.00%) with malnutrition, and 51 cases (25.50%) with good nutritional status. Significant differences were observed between the poor and good prognosis groups in ALB, GNRI scores, MNA scores, and NRS2002 scores (all P<0.001). Conclusion Nutritional indicators were closely associated with prognosis in older patients with CHD with HFpEF, and GNRI and MNA scores showed superior predictive value.

Objective To analyze the efficacy of Holter electrocardiogram combined with treadmill exercise test in diagnosing myocardial ischemia and coronary heart disease. Methods From January 2021 to June 2022, 163 patients with suspected coronary heart disease were selected from the Second People’s Hospital of Pingdingshan City. All participants underwent treadmill exercise tests, Holter electrocardiograms, and coronary angiography (CAG). Results The frequency of myocardial ischemia episodes, the magnitude of ST-segment depression, and the duration of ST-segment depression detected by a combination of dynamic electrocardiography (Holter monitoring) and treadmill exercise test in coronary heart disease patients were all higher than those detected by the treadmill exercise test alone. The specificity, sensitivity, and accuracy of diagnosing myocardial ischemia in coronary heart disease using the combination of dynamic electrocardiography and treadmill exercise test were also significantly higher than using the treadmill exercise test alone, with statistically significant differences (all P<0.05). Conclusion The combination of dynamic electrocardiography (Holter monitoring) and treadmill exercise test can more effectively diagnose myocardial ischemia in patients with coronary heart disease.

Objective This study investigated the functional performance of college health care institutions in Fujian Province, and explored related performance challenges. Methods In 2021, 11 of the 23 colleges in Fujian Province were randomly selected, and their service supply status was examined through field investigations. Results At the 11 college health care institutions in Fujian Province, analysis of staffing settings indicated that the percentage of practicing physicians was highest (37.4%), and that of medical technicians was lowest (9.9%). Analysis of the performance of medical service functions indicated a performance rate of 9% for mental health guidance services and 100% for other service functions. Analysis of the performance of public health functions indicated that provision of diet and nutritional health guidance services had the highest performance rate (100%), whereas health education for college students had the lowest performance rate (27.3%). Analysis of the performance of the health administrative functions indicated that the performance rate was lowest for disinfection functions in campus public places (18.2%). Conclusion The 11 college health care institutions in Fujian Province essentially fulfilled the medical service functions stipulated in the Health Care Organizations Working Procedures of Colleges and Universities, whereas the public health and health administrative functions were moderately fulfilled.

Clavicular fracture is a common type of fracture, and its clinical manifestations after occurrence include focal edema, pain, deformity, subcutaneous ecchymosis, and bony crepitus. However, in the case of the non-displaced broken ends following the fracture, the clinical manifestations are often atypical, thereby increasing the likelihood of misdiagnosis. This paper discusses a case of painless clavicular fracture in an adolescent, and summarizes its diagnosis and treatment through case review, aiming to reduce the likelihood of misdiagnosis in clinical application.