{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,15]],"date-time":"2026-03-15T19:30:20Z","timestamp":1773603020636,"version":"3.50.1"},"reference-count":28,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2021,1,30]],"date-time":"2021-01-30T00:00:00Z","timestamp":1611964800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2021,1,30]],"date-time":"2021-01-30T00:00:00Z","timestamp":1611964800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2021,1,30]],"date-time":"2021-01-30T00:00:00Z","timestamp":1611964800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2021,1,30]],"date-time":"2021-01-30T00:00:00Z","timestamp":1611964800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2020,9,29]],"date-time":"2020-09-29T00:00:00Z","timestamp":1601337600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/100007307","name":"Arthrex","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100007307","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100007307","name":"Arthrex","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100007307","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100012385","name":"Georgetown-Howard Universities Center for Clinical and Translational Science","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100012385","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100006108","name":"National Center for Advancing Translational Sciences","doi-asserted-by":"publisher","award":["1-UL1-TR002384-01"],"award-info":[{"award-number":["1-UL1-TR002384-01"]}],"id":[{"id":"10.13039\/100006108","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100019945","name":"Clinical and Translational Science Center, University of New Mexico","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100019945","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["arthroscopysportsmedicineandrehabilitation.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Arthroscopy, Sports Medicine, and Rehabil."],"published-print":{"date-parts":[[2021,2]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To investigate the clinical outcomes following the arthroscopic removal of proximal humerus locking plates for symptomatic hardware after open reduction and internal fixation (ORIF) of proximal humerus fractures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Patients who underwent arthroscopic removal of hardware (ROH) with capsular release due to pain and\/or immobility after receiving locking plates to treat proximal humerus fractures from 2009 to 2016 were identified. Operative and clinic records were reviewed to obtain demographic information, concomitant procedures during ROH, and pre\u2010 and postoperative active shoulder range of motion. Postoperative patient\u2010reported outcomes included the QuickDASH, PROMIS Pain Intensity, Constant, and University of California, Los Angeles shoulder rating scale.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      In total, 88 patients were included. Patients were evaluated at a minimum of 6 weeks postoperatively after ROH. Patients with pre\u2010 and postoperative active range of motion values demonstrated significant improvements in mean forward elevation (n\u00a0= 69; 78.4%; 115.1\u00b0 to 152.1\u00b0,\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .001), abduction (n\u00a0= 29; 33.0%; 70.9\u00b0 to 138.7\u00b0,\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .001), external rotation (n\u00a0= 49; 55.7%; 43.7\u00b0 to 58.6\u00b0,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .012), and internal rotation (n\u00a0= 45; 51.1%; 25.7\u00b0 to 61.9\u00b0,\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .001). Patients also reported positive patient\u2010reported scores, including the QuickDASH (4.1 \u00b1 7.8), PROMIS Pain Intensity (3.5 \u00b1 0.9), Constant (84.6 \u00b1 10.7), and University of California, Los Angeles shoulder rating scale (33 \u00b1 2.9), which were measured 70.6 \u00b1 26.6 months postoperatively. There were no surgical complications, no arthroscopic cases were converted to open, but 2 reported refractures (2.3%).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Arthroscopic\u2010assisted removal of proximal humerus locking plates significantly improves motion and function while allowing for management of concomitant shoulder pathology and potentially avoiding open surgery complications. Given that patients undergoing this procedure frequently have multiple comorbidities, arthroscopic\u2010assisted removal with smaller incisions may minimize risks while restoring shoulder mobility. Therefore, arthroscopic ROH for patients experiencing symptomatic hardware after ORIF is recommended.<\/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.asmr.2020.09.013","type":"journal-article","created":{"date-parts":[[2021,1,30]],"date-time":"2021-01-30T08:52:09Z","timestamp":1611996729000},"update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":3,"title":["Arthroscopic\u2010Assisted Removal of Proximal Humerus Locking Plates With Capsular Release Significantly Improves Range of Motion and Function"],"prefix":"10.1002","volume":"3","author":[{"given":"Justin M.","family":"Chan","sequence":"first","affiliation":[{"name":"Department of Sports Medicine and Shoulder Surgery Hospital for Special Surgery New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cynthia","family":"Kahlenberg","sequence":"additional","affiliation":[{"name":"Department of Sports Medicine and Shoulder Surgery Hospital for Special Surgery New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Naomi E.","family":"Gadinsky","sequence":"additional","affiliation":[{"name":"Department of Sports Medicine and Shoulder Surgery Hospital for Special Surgery New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dean G.","family":"Lorich","sequence":"additional","affiliation":[{"name":"Department of Sports Medicine and Shoulder Surgery Hospital for Special Surgery New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joshua S.","family":"Dines","sequence":"additional","affiliation":[{"name":"Department of Sports Medicine and Shoulder Surgery Hospital for Special Surgery New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,1,30]]},"reference":[{"key":"e_1_2_2_2_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-011-2207-1"},{"key":"e_1_2_2_3_2","doi-asserted-by":"publisher","DOI":"10.1155\/2012\/861598"},{"key":"e_1_2_2_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1058-2746(03)00217-9"},{"key":"e_1_2_2_5_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11420-016-9498-4"},{"key":"e_1_2_2_6_2","doi-asserted-by":"publisher","DOI":"10.1097\/BOT.0b013e3181920e5b"},{"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","first-page":"1273","article-title":"Complications and hardware removal after open reduction and internal fixation of humeral fractures","volume":"70","author":"Lovald 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Published by Elsevier Inc. on behalf of the Arthroscopy Association of North America.","name":"copyright","label":"Copyright"}]}}