{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,11]],"date-time":"2026-05-11T12:46:41Z","timestamp":1778503601945,"version":"3.51.4"},"reference-count":22,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2014,6,14]],"date-time":"2014-06-14T00:00:00Z","timestamp":1402704000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2014,6,14]],"date-time":"2014-06-14T00:00:00Z","timestamp":1402704000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arthroscopy"],"published-print":{"date-parts":[[2014,9]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>The purpose of this study was to determine the outcomes of arthroscopy after proximal humeral plating and the occurrence of concomitant pathology and avascular necrosis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Forty\u2010five patients (28 women; median age, 58.5\u00a0years [range, 30 to 82\u00a0years]) underwent arthroscopies of 46 shoulders because of unsatisfactory results after locked plating of proximal humeral fractures. They were prospectively followed up for 3, 12, and 24\u00a0months postoperatively. Relevant intra\u2010articular lesions were documented. The patients were assigned to 1 of the following groups: (1) articular screw perforation, (2) subacromial plate impingement, or (3) post\u2010traumatic\/postoperative shoulder stiffness. Shoulder range of motion and function as measured with the age\u2010 and gender\u2010adjusted Constant\u2010Murley score, as well as the Simple Shoulder Test, were compared among the groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Concomitant lesions of the articular cartilage, long head of the biceps tendon, tuberosities, and rotator cuff were found in 34 patients (75%). Two\u2010thirds of patients (n\u00a0= 31) had a partial or complete 270\u00b0 capsular release. Of the patients, 84% (n\u00a0= 38) underwent 3 and 12\u00a0months' follow\u2010up and 82% (n\u00a0= 37) underwent 24\u00a0months' follow\u2010up. The active range of abduction (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .029), flexion (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .048), and internal rotation (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .0005) had improved significantly at 24\u00a0months' follow\u2010up compared with the preoperative status. The mean adjusted Constant\u2010Murley score of patients with post\u2010traumatic shoulder stiffness (n\u00a0= 15, 64.2% \u00b1 7.9%) and articular screw perforation (n\u00a0= 19, 73.3% \u00b1 8.4%) was significantly lower (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .0089 and\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .042, respectively) than that of patients with subacromial plate impingement (n\u00a0= 12, 93.4% \u00b1 4.3%).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>High rates of relevant articular pathologies and the necessity of capsular release in a majority of patients with unsatisfactory results after locked plating of proximal humeral fractures make arthroscopy a valuable revision tool with promising results in cases of high plate positioning, screw perforation, and postoperative\/post\u2010traumatic shoulder stiffness.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level IV, therapeutic case series.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2014.04.092","type":"journal-article","created":{"date-parts":[[2014,6,16]],"date-time":"2014-06-16T15:02:41Z","timestamp":1402930961000},"page":"1061-1067","source":"Crossref","is-referenced-by-count":45,"title":["Arthroscopy After Locked Plating of Proximal Humeral Fractures: Implant Removal, Capsular Release, and Intra\u2010articular Findings"],"prefix":"10.1002","volume":"30","author":[{"given":"Jan Christoph","family":"Katthagen","sequence":"first","affiliation":[{"name":"Department of Trauma and Reconstructive Surgery Diakoniekrankenhaus Friederikenstift gGmbH Hannover Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel","family":"Hennecke","sequence":"additional","affiliation":[{"name":"Department of Trauma and Reconstructive Surgery Diakoniekrankenhaus Friederikenstift gGmbH Hannover Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gunnar","family":"Jensen","sequence":"additional","affiliation":[{"name":"Department of Trauma and Reconstructive Surgery Diakoniekrankenhaus Friederikenstift gGmbH Hannover Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexander","family":"Ellwein","sequence":"additional","affiliation":[{"name":"Department of Trauma and Reconstructive Surgery Diakoniekrankenhaus Friederikenstift gGmbH Hannover Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christine","family":"Voigt","sequence":"additional","affiliation":[{"name":"Department of Trauma and Reconstructive Surgery Diakoniekrankenhaus Friederikenstift gGmbH Hannover Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Helmut","family":"Lill","sequence":"additional","affiliation":[{"name":"Department of Trauma and Reconstructive Surgery Diakoniekrankenhaus Friederikenstift gGmbH Hannover Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2014,6,14]]},"reference":[{"key":"e_1_2_2_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.otsr.2012.05.013"},{"key":"e_1_2_2_3_2","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.H.00006"},{"key":"e_1_2_2_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2012.04.015"},{"key":"e_1_2_2_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2008.06.014"},{"key":"e_1_2_2_6_2","doi-asserted-by":"publisher","DOI":"10.1097\/BOT.0b013e31819344bf"},{"key":"e_1_2_2_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2012.06.008"},{"key":"e_1_2_2_8_2","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2474-9-138"},{"key":"e_1_2_2_9_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00402-009-0882-0"},{"key":"e_1_2_2_10_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-009-0991-x"},{"key":"e_1_2_2_11_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00113-011-1953-6"},{"key":"e_1_2_2_12_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-013-2437-8"},{"key":"e_1_2_2_13_2","doi-asserted-by":"crossref","unstructured":"Katthagen JC Lill H Voigt C. Maqdes A Levy B Klouche S et\u00a0al: The feasibility and results of an arthroscopic removal of humeral locking plates and glenohumeral arthrolysis after proximal humeral fractures. Knee Surg Sports Traumatol Arthrosc 2013 (letter) Feb 9. [Epub ahead of print] Doi10.1007\/s00167\u2010013\u20102437\u20108.","DOI":"10.1007\/s00167-013-2682-x"},{"key":"e_1_2_2_13_3","unstructured":"Knee Surg Sports Traumatol Arthroscin press available 17 September 2013.http:\/\/doi.org\/10.1007\/s00167\u2010013\u20102682\u2010x. Available online athttp:\/\/link.springer.com\/journal\/volumesAndIssues\/167."},{"key":"e_1_2_2_14_2","doi-asserted-by":"crossref","unstructured":"Maqdes A Levy B Klouche S Hardy P. Maqdes A Levy B Klouche S et\u00a0al. The feasibility and results of an arthroscopic removal of humeral locking plates and glenohumeral arthrolysis after proximal humeral fractures. Knee Surg Sports Traumatol Arthrosc 2013 Feb 9. [Epub\u00a0ahead of print] Doi10.1007\/s00167\u2010013\u20102437\u20108.","DOI":"10.1007\/s00167-013-2645-2"},{"key":"e_1_2_2_14_3","unstructured":"Knee Surg Sports Traumatol Arthroscin press available 30\u00a0Aug 2013 (letter).http:\/\/doi.org\/10.1007\/s00167\u2010013\u20102645\u20102. Available online athttp:\/\/link.springer.com\/journal\/volumesAndIssues\/167."},{"key":"e_1_2_2_15_2","first-page":"901","article-title":"Effect of proximal humeral fractures on the age\u2010specific prevalence of rotator cuff tears","volume":"69","author":"Bahrs C.","year":"2010","journal-title":"J\u00a0Trauma"},{"key":"e_1_2_2_16_2","doi-asserted-by":"publisher","DOI":"10.1053\/ar.1999.v15.015082"},{"key":"e_1_2_2_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2011.12.013"},{"key":"e_1_2_2_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2005.07.021"},{"key":"e_1_2_2_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2009.09.005"},{"key":"e_1_2_2_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2010.01.001"},{"key":"e_1_2_2_21_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2008.05.030"}],"container-title":["Arthroscopy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0749806314003703?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0749806314003703?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.arthro.2014.04.092","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/full-xml\/10.1016\/j.arthro.2014.04.092","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.arthro.2014.04.092","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,15]],"date-time":"2026-03-15T09:16:59Z","timestamp":1773566219000},"score":1,"resource":{"primary":{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/10.1016\/j.arthro.2014.04.092"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,6,14]]},"references-count":22,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2014,9]]}},"alternative-id":["10.1016\/j.arthro.2014.04.092"],"URL":"https:\/\/doi.org\/10.1016\/j.arthro.2014.04.092","archive":["Portico"],"relation":{},"ISSN":["0749-8063","1526-3231"],"issn-type":[{"value":"0749-8063","type":"print"},{"value":"1526-3231","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014,6,14]]}}}