{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T10:16:40Z","timestamp":1788257800687,"version":"build-2803163510"},"reference-count":17,"publisher":"Elsevier BV","issue":"9","license":[{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","jhandsurg.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["The Journal of Hand Surgery"],"published-print":{"date-parts":[[2026,9]]},"DOI":"10.1016\/j.jhsa.2026.01.011","type":"journal-article","created":{"date-parts":[[2026,2,16]],"date-time":"2026-02-16T20:35:31Z","timestamp":1771274131000},"page":"963-968","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"title":["Rotational Stability of One Versus Two Intramedullary Screws for Proximal Phalanx Fractures: A Biomechanical Study"],"prefix":"10.1016","volume":"51","author":[{"given":"Rae","family":"Tarapore","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew","family":"O\u2019Brien","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zakkary","family":"Walterscheid","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manaswini","family":"Chennoju","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pooyan","family":"Abbasi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"suffix":"Jr.","given":"Kenneth R.","family":"Means","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7688-957X","authenticated-orcid":false,"given":"Aviram M.","family":"Giladi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"5","key":"10.1016\/j.jhsa.2026.01.011_bib1","doi-asserted-by":"crossref","first-page":"725","DOI":"10.1016\/S0363-5023(84)80023-4","article-title":"Closed reduction and internal fixation of proximal phalangeal fractures","volume":"9","author":"Belsky","year":"1984","journal-title":"J Hand Surg Am"},{"issue":"4","key":"10.1016\/j.jhsa.2026.01.011_bib2","doi-asserted-by":"crossref","first-page":"433","DOI":"10.1177\/1558944716628498","article-title":"Tethering the extensor apparatus limits PIP flexion following K-wire placement for pinning extra-articular fractures at the base of the proximal phalanx","volume":"11","author":"Sela","year":"2016","journal-title":"Hand (N Y)"},{"issue":"4","key":"10.1016\/j.jhsa.2026.01.011_bib3","doi-asserted-by":"crossref","first-page":"376","DOI":"10.1177\/1558944717735947","article-title":"Proximal phalanx fracture management","volume":"13","author":"L\u00f6gters","year":"2018","journal-title":"Hand (N Y)"},{"issue":"5","key":"10.1016\/j.jhsa.2026.01.011_bib4","doi-asserted-by":"crossref","first-page":"476 e1","DOI":"10.1016\/j.jhsa.2021.06.001","article-title":"Comparison of lag versus nonlag screw fixation for long oblique proximal phalanx fractures: a biomechanical study","volume":"47","author":"Miles","year":"2022","journal-title":"J Hand Surg Am"},{"issue":"6","key":"10.1016\/j.jhsa.2026.01.011_bib5","doi-asserted-by":"crossref","first-page":"518 e1","DOI":"10.1016\/j.jhsa.2020.11.013","article-title":"Minimally invasive intramedullary screw versus plate fixation for proximal phalanx fractures: a biomechanical study","volume":"46","author":"Miles","year":"2021","journal-title":"J Hand Surg Am"},{"issue":"7","key":"10.1016\/j.jhsa.2026.01.011_bib6","doi-asserted-by":"crossref","first-page":"688","DOI":"10.1177\/1753193416641330","article-title":"Intramedullary headless screw fixation for fractures of the proximal and middle phalanges in the digits of the hand: a review of 31 consecutive fractures","volume":"41","author":"Giesen","year":"2016","journal-title":"J Hand Surg Eur Vol"},{"issue":"4","key":"10.1016\/j.jhsa.2026.01.011_bib7","doi-asserted-by":"crossref","first-page":"692","DOI":"10.1016\/j.jhsa.2014.11.023","article-title":"Minimally invasive fixation of fractures of the phalanges and metacarpals with intramedullary cannulated headless compression screws","volume":"40","author":"del Pi\u00f1al","year":"2015","journal-title":"J Hand Surg Am"},{"issue":"4","key":"10.1016\/j.jhsa.2026.01.011_bib8","doi-asserted-by":"crossref","first-page":"214","DOI":"10.1097\/BTH.0000000000000387","article-title":"Double barrel screw fixation for proximal phalanx fracture","volume":"26","author":"Gray","year":"2022","journal-title":"Tech Hand Up Extrem Surg"},{"issue":"2","key":"10.1016\/j.jhsa.2026.01.011_bib9","doi-asserted-by":"crossref","first-page":"172","DOI":"10.1177\/17531934211017705","article-title":"Biomechanical comparison of intramedullary screw fixation, dorsal plating and K-wire fixation for stable metacarpal shaft fractures","volume":"47","author":"Galbraith","year":"2022","journal-title":"J Hand Surg Eur Vol"},{"issue":"3","key":"10.1016\/j.jhsa.2026.01.011_bib10","doi-asserted-by":"crossref","first-page":"341","DOI":"10.1016\/j.hcl.2006.03.001","article-title":"Malunions of the finger metacarpals and phalanges","volume":"22","author":"Freeland","year":"2006","journal-title":"Hand Clin"},{"issue":"1","key":"10.1016\/j.jhsa.2026.01.011_bib11","doi-asserted-by":"crossref","first-page":"5","DOI":"10.1054\/JHSB.2002.0807","article-title":"A prospective randomized controlled study of fixation of long oblique and spiral shaft fractures of the proximal phalanx: closed reduction and percutaneous Kirschner wiring versus open reduction and lag screw fixation","volume":"28","author":"Horton","year":"2003","journal-title":"J Hand Surg Br"},{"issue":"2","key":"10.1016\/j.jhsa.2026.01.011_bib12","doi-asserted-by":"crossref","first-page":"189","DOI":"10.1016\/j.jhsg.2022.12.002","article-title":"Ideal length and diameter for intramedullary screw fixation of metacarpal fractures: a biomechanical study","volume":"5","author":"Yamaguchi","year":"2023","journal-title":"J Hand Surg Glob Online"},{"issue":"1","key":"10.1016\/j.jhsa.2026.01.011_bib13","doi-asserted-by":"crossref","first-page":"1778","DOI":"10.1038\/s41598-021-81242-3","article-title":"Single versus dual elastic nails for closed reduction and antegrade intramedullary nailing of displaced fifth metacarpal neck fractures","volume":"11","author":"Zeng","year":"2021","journal-title":"Sci Rep"},{"issue":"1","key":"10.1016\/j.jhsa.2026.01.011_bib14","doi-asserted-by":"crossref","first-page":"85","DOI":"10.1016\/j.jhsg.2023.10.003","article-title":"Outcomes following fully threaded intramedullary nailing of metacarpal fractures","volume":"6","author":"Thomas","year":"2024","journal-title":"J Hand Surg Glob Online"},{"issue":"6","key":"10.1016\/j.jhsa.2026.01.011_bib15","doi-asserted-by":"crossref","first-page":"757 e1","DOI":"10.1016\/j.jhsa.2024.03.017","article-title":"Determining the optimal intramedullary screw canal fill ratio in length unstable metacarpal fractures: a biomechanical investigation","volume":"50","author":"Chambers","year":"2025","journal-title":"J Hand Surg Am"},{"issue":"11","key":"10.1016\/j.jhsa.2026.01.011_bib16","doi-asserted-by":"crossref","first-page":"1139 e1","DOI":"10.1016\/j.jhsa.2023.01.026","article-title":"Intramedullary metacarpal fracture fixation: a biomechanical study of screw diameter and comparison with intramedullary wire stabilization","volume":"49","author":"Graf","year":"2024","journal-title":"J Hand Surg Am"},{"key":"10.1016\/j.jhsa.2026.01.011_bib17","unstructured":"Sgromolo NM, Imbergamo C, Sequeira S, Yohe G, Abbasi P, Giladi AM. Intramedullary threaded nail versus headless compression screws for metacarpal fractures: a biomechanical comparison. Paper presented at: 2023 American Association for Hand Surgery Annual Meeting; January 17-21, 2023; Miami, FL. 2023. Accessed 13 September 2023. https:\/\/meeting.handsurgery.org\/program\/2023\/HS90.cgi"}],"container-title":["The Journal of Hand Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0363502326000559?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0363502326000559?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T09:49:09Z","timestamp":1788256149000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0363502326000559"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9]]},"references-count":17,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2026,9]]}},"alternative-id":["S0363502326000559"],"URL":"https:\/\/doi.org\/10.1016\/j.jhsa.2026.01.011","relation":{},"ISSN":["0363-5023"],"issn-type":[{"value":"0363-5023","type":"print"}],"subject":[],"published":{"date-parts":[[2026,9]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Rotational Stability of One Versus Two Intramedullary Screws for Proximal Phalanx Fractures: A Biomechanical Study","name":"articletitle","label":"Article Title"},{"value":"The Journal of Hand Surgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jhsa.2026.01.011","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 by the American Society for Surgery of the Hand. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}]}}