{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,15]],"date-time":"2026-03-15T19:47:59Z","timestamp":1773604079721,"version":"3.50.1"},"reference-count":22,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2016,8,1]],"date-time":"2016-08-01T00:00:00Z","timestamp":1470009600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2016,8,1]],"date-time":"2016-08-01T00:00:00Z","timestamp":1470009600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2016,8,1]],"date-time":"2016-08-01T00:00:00Z","timestamp":1470009600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"}],"content-domain":{"domain":["clinicalkey.jp","clinicalkey.com","clinicalkey.es","arthroscopyjournal.org","clinicalkey.com.au","clinicalkey.fr","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Arthroscopy"],"published-print":{"date-parts":[[2017,1]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To describe the arthroscopic partial posterior distal clavicle beveling technique for treatment of chronic nonincarcerated type IV acromioclavicular (AC) separations and report clinical outcomes and return to sport.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>All patients who underwent the arthroscopic partial distal clavicle beveling technique and met eligibility criteria were identified and retrospectively reviewed. Inclusion criteria included the clinical diagnosis of a chronic nonincarcerated type IV AC separation and a minimum follow\u2010up period of 24\u00a0months. Subjects completed the American Shoulder Elbow Surgeons shoulder assessment and a study\u2010designed questionnaire. Radiographic images and clinical charts were also reviewed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      This study identified 15 consecutive patients with 2 lost to follow\u2010up, resulting in inclusion of 13 subjects (9 males and 4 females). Dominant arm was involved in 77% of cases. Mean age at operation was 33.2\u00a0years (range, 19\u201056\u00a0years). The mean period between injury and operation was 12.5\u00a0months (range, 3\u201037\u00a0months), and follow\u2010up was 48.5\u00a0months (range, 24\u2010126\u00a0months). The mean preoperative ASES score was 46.6 \u00b1 16.9 (range, 33\u201068), and the mean postoperative ASES score was 87.3 \u00b1 17.4 (range, 50\u2010100) (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .0001). All 9 athletes in the study returned to competition with a mean recovery period of 2.3\u00a0months (range, 2\u00a0weeks to 4\u00a0months). Mean timeframe for return to work was 2\u00a0weeks (range, 1\u00a0day to 2\u00a0months). One subject underwent a subsequent coracoclavicular ligament reconstruction for continued pain. The mean satisfaction level was 4.3 out of 5, and 91% would choose to have the surgery again. One subject indicated dissatisfaction with shoulder appearance.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The arthroscopic partial distal clavicle beveling procedure for nonincarcerated type IV AC separations resulted in a significant reduction in pain, improved daily function, and early return to sport.<\/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.2016.06.013","type":"journal-article","created":{"date-parts":[[2016,8,3]],"date-time":"2016-08-03T06:32:50Z","timestamp":1470205970000},"page":"84-89","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":4,"title":["Posterior Distal Clavicle Beveling for Chronic Nonincarcerated Type IV Acromioclavicular Separations: Surgical Technique and Early Clinical Outcomes"],"prefix":"10.1002","volume":"33","author":[{"given":"Daniel D.","family":"Buss","sequence":"first","affiliation":[{"name":"Sports and Orthopaedic Specialists, Allina Health Orthopedic Institute Edina Minnesota U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kelly","family":"Anderson","sequence":"additional","affiliation":[{"name":"Sports and Orthopaedic Specialists, Allina Health Orthopedic Institute Edina Minnesota U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ned","family":"Tervola","sequence":"additional","affiliation":[{"name":"Sports and Orthopaedic Specialists, Allina Health Orthopedic Institute Edina Minnesota U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M. Russell","family":"Giveans","sequence":"additional","affiliation":[{"name":"Sports and Orthopaedic Specialists, Allina Health Orthopedic Institute Edina Minnesota U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2016,8,1]]},"reference":[{"key":"e_1_2_2_2_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546506298022"},{"key":"e_1_2_2_3_2","volume-title":"The shoulder","author":"Rockwood C.A.","year":"2004"},{"key":"e_1_2_2_4_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546504267349"},{"key":"e_1_2_2_5_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546505274718"},{"key":"e_1_2_2_6_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546512450162"},{"key":"e_1_2_2_7_2","first-page":"483","volume-title":"The shoulder","author":"Rockwood C.J.","year":"1998"},{"key":"e_1_2_2_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2010.10.030"},{"key":"e_1_2_2_9_2","doi-asserted-by":"publisher","DOI":"10.1067\/mse.2002.127096"},{"key":"e_1_2_2_10_2","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.H.01296"},{"key":"e_1_2_2_11_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10195-011-0130-6"},{"key":"e_1_2_2_12_2","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2474-10-6"},{"key":"e_1_2_2_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2015.03.034"},{"key":"e_1_2_2_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2009.12.014"},{"key":"e_1_2_2_15_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-014-3231-y"},{"key":"e_1_2_2_16_2","first-page":"6","article-title":"Reconstruction of the coracoclavicular and acromioclavicular ligaments with semitendinosus tendon graft: A pilot study","volume":"2","author":"Saccomanno M.F.","year":"2014","journal-title":"Joints"},{"key":"e_1_2_2_17_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546509355645"},{"key":"e_1_2_2_18_2","doi-asserted-by":"publisher","DOI":"10.1186\/2193-1801-3-420"},{"key":"e_1_2_2_19_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546509356976"},{"key":"e_1_2_2_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.otsr.2010.10.004"},{"key":"e_1_2_2_21_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00402-013-1858-7"},{"key":"e_1_2_2_22_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546512445273"},{"key":"e_1_2_2_23_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546511399379"}],"container-title":["Arthroscopy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0749806316303875?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0749806316303875?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.arthro.2016.06.013","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/full-xml\/10.1016\/j.arthro.2016.06.013","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.arthro.2016.06.013","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,15]],"date-time":"2026-03-15T08:46:19Z","timestamp":1773564379000},"score":1,"resource":{"primary":{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/10.1016\/j.arthro.2016.06.013"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,8,1]]},"references-count":22,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2017,1]]}},"alternative-id":["10.1016\/j.arthro.2016.06.013"],"URL":"https:\/\/doi.org\/10.1016\/j.arthro.2016.06.013","archive":["Portico"],"relation":{},"ISSN":["0749-8063","1526-3231"],"issn-type":[{"value":"0749-8063","type":"print"},{"value":"1526-3231","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,8,1]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Posterior Distal Clavicle Beveling for Chronic Nonincarcerated Type IV Acromioclavicular Separations: Surgical Technique and Early Clinical Outcomes","name":"articletitle","label":"Article Title"},{"value":"Arthroscopy: The Journal of Arthroscopic & Related Surgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.arthro.2016.06.013","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2016 by the Arthroscopy Association of North America","name":"copyright","label":"Copyright"}]}}