{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,6]],"date-time":"2026-02-06T06:21:54Z","timestamp":1770358914284,"version":"3.49.0"},"reference-count":18,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2016,6,14]],"date-time":"2016-06-14T00:00:00Z","timestamp":1465862400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"AOTK Upper Extremity Expert Group"},{"name":"AOTK Trauma of the AO Foundation, Davos, Switzerland"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal Orthopaedic Research"],"published-print":{"date-parts":[[2016,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:label\/><jats:p>Previous studies have suggested clavicular morphology is highly variable, particularly in the lateral retrocurved section. Current clavicle fracture plating systems require three dimensional intra\u2010operative contouring to achieve adequate fit and necessitate variable soft tissue dissection placing fracture perfusion and muscular attachments at risk. The aim of this study was to search for a surgically relevant superficial shape pattern. This is a retrospective CT\u2010based analysis of 174 non\u2010pathological clavicles in 95 adults (45 females, 50 males). Using the principle of cylindrical parameterisation generated 3\u2010D computer models, we identified an implant preferred pathway (IPP), defined as a continuous linear region where the least possible soft tissue disruption would be necessary for plate fixation. The IPP mean form was within 3.04\u2009mm (SD\u2009\u00b1\u20091.34) on all clavicles. Clavicle length, and not shape, was found to be the biggest variable (correlation between size and form co\u2010ordinates <jats:italic>r<\/jats:italic>\u2009=\u20090.99, <jats:italic>p\u2009<\/jats:italic>&lt;\u20090.05), accounting for 79% of overall variability. This length variation was mainly located in the medial antecurved section. Superior convexity and recurvatum were the main shape variables, however they only contributed 8% and 5% to the overall variation, respectively. Three IPP lengths were shown to match all clavicles when aligned at the acromial end first. In contrast to previous studies, we have shown that the IPP is fairly consistent with respect to the general shape with the exception of length variation which mainly affected the medial antecurved section. \u00a9 2015 Orthopaedic Research Society. Published by Wiley Periodicals, Inc. J Orthop Res 34:1216\u20131223, 2016.<\/jats:p><\/jats:sec><jats:sec><jats:title>CLINICAL RELEVANCE<\/jats:title><jats:p>Future pre\u2010contoured fracture fixation systems should provide variable length plates with a constant lateral section retrocurve and a variable medial antecurve.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jor.23145","type":"journal-article","created":{"date-parts":[[2015,12,29]],"date-time":"2015-12-29T20:02:44Z","timestamp":1451419364000},"page":"1216-1223","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Computerized tomography based 3D modeling of the clavicle"],"prefix":"10.1002","volume":"34","author":[{"given":"Simon","family":"Lambert","sequence":"first","affiliation":[{"name":"Shoulder Unit Royal National Orthopaedic Hospital Stanmore, Brockley Hill Middlesex HA7 4LP Stanmore United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nawfal","family":"Al\u2010Hadithy","sequence":"additional","affiliation":[{"name":"Shoulder Unit Royal National Orthopaedic Hospital Stanmore, Brockley Hill Middlesex HA7 4LP Stanmore United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mathew David","family":"Sewell","sequence":"additional","affiliation":[{"name":"Shoulder Unit Royal National Orthopaedic Hospital Stanmore, Brockley Hill Middlesex HA7 4LP Stanmore United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ralph","family":"Hertel","sequence":"additional","affiliation":[{"name":"Lindenhofspital Bremgartenstrasse 117\u20103001 Bern Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Norbert","family":"S\u00fcdkamp","sequence":"additional","affiliation":[{"name":"Department Chirurgie Klinik f\u00fcr Orthop\u00e4die &amp; Unfallchirurgie Universit\u00e4tsklinikum Freiburg Hugstetter Str. 55 D\u201079117 Freiburg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hansrudi","family":"Noser","sequence":"additional","affiliation":[{"name":"Human Morphology Services AO Research Institute Davos Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lukas","family":"Kamer","sequence":"additional","affiliation":[{"name":"Human Morphology Services AO Research Institute Davos Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2016,6,14]]},"reference":[{"key":"e_1_2_7_2_1","first-page":"707","volume-title":"Fractures in adults","author":"Neer C","year":"1984"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1960.03020100014003"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.1963.01310180079013"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.79B4.7529"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005131-199811000-00008"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00402-010-1196-y"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.F.00020"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-199711000-00008"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.G.00111"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/ca.20269"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1186\/1749-799X-5-21"},{"key":"e_1_2_7_13_1","first-page":"773","article-title":"Times of appearance and fusion of epiphysis at the medial end oft he clavicle","volume":"64","author":"Jit I","year":"1976","journal-title":"Indian J Med Res"},{"key":"e_1_2_7_14_1","first-page":"84","article-title":"Improved shape modeling of tubular objects using cylindrical parameterization","volume":"4091","author":"Huysmans T","year":"2006","journal-title":"MIAR LNCS"},{"key":"e_1_2_7_15_1","first-page":"607","article-title":"Colon visualization using cylindrical parameterization","volume":"4678","author":"Mai Z","year":"2007","journal-title":"ACIVS LNCS"},{"key":"e_1_2_7_16_1","volume-title":"Morphometric tools for landmark data","author":"Bookstein FL","year":"1991"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijom.2010.03.005"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.4055\/cios.2009.1.1.54"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.80B3.8079"}],"container-title":["Journal of Orthopaedic Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fjor.23145","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fjor.23145","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jor.23145","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,4]],"date-time":"2023-10-04T06:57:56Z","timestamp":1696402676000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/jor.23145"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,6,14]]},"references-count":18,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2016,7]]}},"alternative-id":["10.1002\/jor.23145"],"URL":"https:\/\/doi.org\/10.1002\/jor.23145","archive":["Portico"],"relation":{},"ISSN":["0736-0266","1554-527X"],"issn-type":[{"value":"0736-0266","type":"print"},{"value":"1554-527X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,6,14]]},"assertion":[{"value":"2015-04-27","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2015-12-16","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2016-06-14","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}