{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T14:52:21Z","timestamp":1791989541973,"version":"4.4.0"},"reference-count":36,"publisher":"Elsevier BV","issue":"10","license":[{"start":{"date-parts":[[2012,10,1]],"date-time":"2012-10-01T00:00:00Z","timestamp":1349049600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Injury"],"published-print":{"date-parts":[[2012,10]]},"DOI":"10.1016\/j.injury.2012.04.015","type":"journal-article","created":{"date-parts":[[2012,5,12]],"date-time":"2012-05-12T13:34:37Z","timestamp":1336829677000},"page":"1651-1656","source":"Crossref","is-referenced-by-count":71,"title":["Calcar comminution as prognostic factor of clinical outcome after locking plate fixation of proximal humeral fractures"],"prefix":"10.1016","volume":"43","author":[{"given":"Georg","family":"Osterhoff","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Armando","family":"Hoch","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guido A.","family":"Wanner","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hans-Peter","family":"Simmen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cl\u00e9ment M.L.","family":"Werner","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.injury.2012.04.015_bib0005","doi-asserted-by":"crossref","first-page":"111","DOI":"10.1016\/j.bone.2007.03.019","article-title":"Transmenopausal changes in the trabecular bone structure","volume":"41","author":"Akhter","year":"2007","journal-title":"Bone"},{"key":"10.1016\/j.injury.2012.04.015_bib0010","doi-asserted-by":"crossref","first-page":"656","DOI":"10.1016\/j.bone.2008.12.007","article-title":"Rate of proximal humeral fractures in older Finnish women between 1970 and 2007","volume":"44","author":"Kannus","year":"2009","journal-title":"Bone"},{"key":"10.1016\/j.injury.2012.04.015_bib0015","doi-asserted-by":"crossref","first-page":"209S","DOI":"10.1016\/8756-3282(95)00504-8","article-title":"The epidemiology of peripheral fractures","volume":"18","author":"Baron","year":"1996","journal-title":"Bone"},{"key":"10.1016\/j.injury.2012.04.015_bib0020","doi-asserted-by":"crossref","first-page":"1027","DOI":"10.1016\/j.clinbiomech.2006.06.005","article-title":"Biomechanical comparison of a unique locking plate versus a standard plate for internal fixation of proximal humerus fractures in a cadaveric model","volume":"21","author":"Walsh","year":"2006","journal-title":"Clinical Biomechanics (Bristol, Avon)"},{"key":"10.1016\/j.injury.2012.04.015_bib0025","doi-asserted-by":"crossref","first-page":"1032","DOI":"10.1007\/s00113-006-1165-7","article-title":"Die winkelstabile Osteosynthese am proximalen Humerus mit der PHILOS-Platte","volume":"109","author":"Kettler","year":"2006","journal-title":"Der Unfallchirurg"},{"key":"10.1016\/j.injury.2012.04.015_bib0030","doi-asserted-by":"crossref","first-page":"1320","DOI":"10.2106\/JBJS.H.00006","article-title":"Open reduction and internal fixation of proximal humeral fractures with use of the locking proximal humerus plate. Results of a prospective, multicenter, observational study","volume":"91","author":"Sudkamp","year":"2009","journal-title":"The Journal of Bone and Joint Surgery"},{"key":"10.1016\/j.injury.2012.04.015_bib0035","doi-asserted-by":"crossref","first-page":"66","DOI":"10.1016\/j.jse.2010.01.001","article-title":"Use of locking plates in the treatment of proximal humerus fractures","volume":"19","author":"Ricchetti","year":"2010","journal-title":"Journal of Shoulder and Elbow Surgery"},{"key":"10.1016\/j.injury.2012.04.015_bib0040","doi-asserted-by":"crossref","first-page":"837","DOI":"10.1016\/j.jse.2009.06.004","article-title":"Treatment of proximal humerus fractures with locking plates: a systematic review","volume":"18","author":"Thanasas","year":"2009","journal-title":"Journal of Shoulder and Elbow Surgery"},{"key":"10.1016\/j.injury.2012.04.015_bib0045","doi-asserted-by":"crossref","first-page":"163","DOI":"10.1097\/BOT.0b013e3181920e5b","article-title":"Open reduction and internal fixation of proximal humerus fractures using a proximal humeral locked plate: a prospective multicenter analysis","volume":"23","author":"Brunner","year":"2009","journal-title":"Journal of Orthopaedic Trauma"},{"key":"10.1016\/j.injury.2012.04.015_bib0050","doi-asserted-by":"crossref","first-page":"596","DOI":"10.1097\/BOT.0b013e318206eb46","article-title":"Are polyaxially locked screws advantageous in the plate osteosynthesis of proximal humeral fractures in the elderly? A prospective randomized clinical observational study","volume":"25","author":"Voigt","year":"2011","journal-title":"Journal of Orthopaedic Trauma"},{"key":"10.1016\/j.injury.2012.04.015_bib0055","first-page":"602","article-title":"Outcome of proximal humerus fractures treated by PHILOS plate internal fixation. Experience of a district general hospital","volume":"74","author":"Shahid","year":"2008","journal-title":"Acta Orthopaedica Belgica"},{"key":"10.1016\/j.injury.2012.04.015_bib0060","doi-asserted-by":"crossref","first-page":"185","DOI":"10.1097\/BOT.0b013e3180333094","article-title":"The importance of medial support in locked plating of proximal humerus fractures","volume":"21","author":"Gardner","year":"2007","journal-title":"Journal of Orthopaedic Trauma"},{"key":"10.1016\/j.injury.2012.04.015_bib0065","doi-asserted-by":"crossref","first-page":"1235","DOI":"10.1097\/TA.0b013e3181beed96","article-title":"The biomechanics of locked plating for repairing proximal humerus fractures with or without medial cortical support","volume":"69","author":"Lescheid","year":"2010","journal-title":"The Journal of Trauma"},{"key":"10.1016\/j.injury.2012.04.015_bib0070","doi-asserted-by":"crossref","first-page":"50","DOI":"10.1186\/1749-799X-6-50","article-title":"The calcar screw in angular stable plate fixation of proximal humeral fractures \u2013 a case study","volume":"6","author":"Osterhoff","year":"2011","journal-title":"Journal of Orthopaedic Surgery and Research"},{"key":"10.1016\/j.injury.2012.04.015_bib0075","article-title":"Proximal humeral fracture fixation: locking plate construct\u00b1intramedullary fibular allograft","author":"Chow","year":"2011","journal-title":"Journal of Shoulder and Elbow Surgery"},{"key":"10.1016\/j.injury.2012.04.015_bib0080","doi-asserted-by":"crossref","first-page":"740","DOI":"10.1016\/j.jse.2010.10.040","article-title":"Medial support by fibula bone graft in angular stable plate fixation of proximal humeral fractures: an in vitro study with synthetic bone","volume":"20","author":"Osterhoff","year":"2011","journal-title":"Journal of Shoulder and Elbow Surgery"},{"key":"10.1016\/j.injury.2012.04.015_bib0085","doi-asserted-by":"crossref","first-page":"1077","DOI":"10.2106\/00004623-197052060-00001","article-title":"Displaced proximal humeral fractures. I. Classification and evaluation","volume":"52","author":"Neer","year":"1970","journal-title":"The Journal of Bone and Joint Surgery"},{"key":"10.1016\/j.injury.2012.04.015_bib0090","doi-asserted-by":"crossref","first-page":"128","DOI":"10.1016\/j.jse.2004.07.003","article-title":"The Constant score in normal shoulders","volume":"14","author":"Yian","year":"2005","journal-title":"Journal of Shoulder and Elbow Surgery"},{"key":"10.1016\/j.injury.2012.04.015_bib0095","doi-asserted-by":"crossref","first-page":"589","DOI":"10.1016\/S0197-2456(98)00037-3","article-title":"Power and sample size calculations for studies involving linear regression","volume":"19","author":"Dupont","year":"1998","journal-title":"Controlled Clinical Trials"},{"key":"10.1016\/j.injury.2012.04.015_bib0100","doi-asserted-by":"crossref","first-page":"800","DOI":"10.2106\/JBJS.D.03042","article-title":"Association of a large lateral extension of the acromion with rotator cuff tears","volume":"88","author":"Nyffeler","year":"2006","journal-title":"The Journal of Bone and Joint Surgery"},{"key":"10.1016\/j.injury.2012.04.015_bib0105","doi-asserted-by":"crossref","first-page":"376","DOI":"10.2214\/AJR.05.0435","article-title":"Association between rotator cuff abnormalities and reduced acromiohumeral distance","volume":"187","author":"Saupe","year":"2006","journal-title":"American Journal of Roentgenology"},{"key":"10.1016\/j.injury.2012.04.015_bib0110","doi-asserted-by":"crossref","first-page":"233","DOI":"10.2106\/JBJS.F.01351","article-title":"Fracture displacement and screw cutout after open reduction and locked plate fixation of proximal humeral fractures [corrected]","volume":"90","author":"Owsley","year":"2008","journal-title":"The Journal of Bone and Joint Surgery"},{"key":"10.1016\/j.injury.2012.04.015_bib0115","doi-asserted-by":"crossref","first-page":"186","DOI":"10.1016\/j.injury.2008.05.030","article-title":"Humeral head necrosis rate at mid-term follow-up after open reduction and angular stable plate fixation for proximal humeral fractures","volume":"40","author":"Greiner","year":"2009","journal-title":"Injury"},{"key":"10.1016\/j.injury.2012.04.015_bib0120","doi-asserted-by":"crossref","first-page":"1234","DOI":"10.1016\/j.jse.2010.12.015","article-title":"Proximal periarticular locking plates in proximal humeral fractures: functional outcomes","volume":"20","author":"Schulte","year":"2011","journal-title":"Journal of Shoulder and Elbow Surgery"},{"key":"10.1016\/j.injury.2012.04.015_bib0125","doi-asserted-by":"crossref","first-page":"736","DOI":"10.1080\/00016470410004111","article-title":"The impacted varus (A2.2) proximal humeral fracture: prediction of outcome and results of nonoperative treatment in 99 patients","volume":"75","author":"Court-Brown","year":"2004","journal-title":"Acta Orthopaedica Scandinavica"},{"key":"10.1016\/j.injury.2012.04.015_bib0130","doi-asserted-by":"crossref","first-page":"1207","DOI":"10.1016\/j.jse.2011.06.009","article-title":"Path analysis of factors for functional outcome at one year in 463 proximal humeral fractures","volume":"20","author":"Sudkamp","year":"2011","journal-title":"Journal of Shoulder and Elbow Surgery"},{"key":"10.1016\/j.injury.2012.04.015_bib0135","doi-asserted-by":"crossref","first-page":"83","DOI":"10.1016\/j.jse.2008.06.014","article-title":"Prognostic factors for unstable proximal humeral fractures treated with locking-plate fixation","volume":"18","author":"Lee","year":"2009","journal-title":"Journal of Shoulder and Elbow Surgery"},{"key":"10.1016\/j.injury.2012.04.015_bib0140","doi-asserted-by":"crossref","first-page":"1251","DOI":"10.1007\/s00402-009-0889-6","article-title":"Bone quality measured by the radiogrammetric parameter \u201ccortical index\u201d and reoperations after locking plate osteosynthesis in patients sustaining proximal humerus fractures","volume":"129","author":"Hepp","year":"2009","journal-title":"Archives of Orthopaedic and Trauma Surgery"},{"key":"10.1016\/j.injury.2012.04.015_bib0145","doi-asserted-by":"crossref","first-page":"1544","DOI":"10.1055\/s-2002-35944","article-title":"Age- and gender-related distribution of bone mineral density and mechanical properties of the proximal humerus","volume":"174","author":"Lill","year":"2002","journal-title":"Rofo"},{"key":"10.1016\/j.injury.2012.04.015_bib0150","series-title":"The comprehensive classification of fractures of long bones","author":"M\u00fcller","year":"1990"},{"key":"10.1016\/j.injury.2012.04.015_bib0155","doi-asserted-by":"crossref","first-page":"1371","DOI":"10.2106\/00004623-199609000-00012","article-title":"Evaluation of the Neer system of classification of proximal humeral fractures with computerized tomographic scans and plain radiographs","volume":"78","author":"Bernstein","year":"1996","journal-title":"The Journal of Bone and Joint Surgery"},{"key":"10.1016\/j.injury.2012.04.015_bib0160","doi-asserted-by":"crossref","first-page":"427","DOI":"10.1016\/j.jse.2004.01.034","article-title":"Predictors of humeral head ischemia after intracapsular fracture of the proximal humerus","volume":"13","author":"Hertel","year":"2004","journal-title":"Journal of Shoulder and Elbow Surgery"},{"key":"10.1016\/j.injury.2012.04.015_bib0165","doi-asserted-by":"crossref","first-page":"399","DOI":"10.1097\/BOT.0b013e31820beb80","article-title":"How does a varus deformity of the humeral head affect elevation forces and shoulder function? A biomechanical study with human shoulder specimens","volume":"25","author":"Voigt","year":"2011","journal-title":"Journal of Orthopaedic Trauma"},{"key":"10.1016\/j.injury.2012.04.015_bib0170","doi-asserted-by":"crossref","first-page":"596","DOI":"10.1007\/s00776-009-1382-3","article-title":"Analysis of early failure of the locking compression plate in osteoporotic proximal humerus fractures","volume":"14","author":"Micic","year":"2009","journal-title":"Journal of Orthopaedic Science"},{"key":"10.1016\/j.injury.2012.04.015_bib0175","doi-asserted-by":"crossref","first-page":"1475","DOI":"10.1007\/s00198-005-2031-0","article-title":"Incidence and cost of osteoporotic fractures in France during 2001. A methodological approach by the national hospital database","volume":"16","author":"Maravic","year":"2005","journal-title":"Osteoporosis International"},{"key":"10.1016\/j.injury.2012.04.015_bib0180","doi-asserted-by":"crossref","first-page":"817","DOI":"10.1359\/jbmr.2002.17.5.817","article-title":"Epidemiologie de l\u2019Osteoporose Study. Risk factors for fractures of the proximal humerus: results from the EPIDOS prospective study","volume":"17","author":"Lee","year":"2002","journal-title":"Journal of Bone and Mineral Research"}],"container-title":["Injury"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0020138312001581?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0020138312001581?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2018,11,23]],"date-time":"2018-11-23T13:25:54Z","timestamp":1542979554000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0020138312001581"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,10]]},"references-count":36,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2012,10]]}},"alternative-id":["S0020138312001581"],"URL":"https:\/\/doi.org\/10.1016\/j.injury.2012.04.015","relation":{},"ISSN":["0020-1383"],"issn-type":[{"value":"0020-1383","type":"print"}],"subject":[],"published":{"date-parts":[[2012,10]]}}}