{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T00:39:40Z","timestamp":1789000780239,"version":"build-2803163510"},"reference-count":26,"publisher":"Elsevier BV","issue":"2","license":[{"start":{"date-parts":[[2020,3,1]],"date-time":"2020-03-01T00:00:00Z","timestamp":1583020800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2020,3,1]],"date-time":"2020-03-01T00:00:00Z","timestamp":1583020800000},"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","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of Orthopaedic Science"],"published-print":{"date-parts":[[2020,3]]},"DOI":"10.1016\/j.jos.2019.04.002","type":"journal-article","created":{"date-parts":[[2019,4,25]],"date-time":"2019-04-25T17:10:45Z","timestamp":1556212245000},"page":"310-314","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":5,"title":["Operative treatments compared with nonoperative treatment of displaced midshaft clavicular fractures"],"prefix":"10.1016","volume":"25","author":[{"given":"Xianzhi","family":"Ma","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kai","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jun","family":"Ma","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaotao","family":"Chen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shengshou","family":"Han","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"3","key":"10.1016\/j.jos.2019.04.002_bib1","doi-asserted-by":"crossref","first-page":"476","DOI":"10.1302\/0301-620X.80B3.0800476","article-title":"Fractures of the clavicle in the adult. Epidemiology and classification","volume":"80","author":"Robinson","year":"1998","journal-title":"J\u00a0Bone Joint Surg Br"},{"issue":"5","key":"10.1016\/j.jos.2019.04.002_bib2","doi-asserted-by":"crossref","first-page":"452","DOI":"10.1067\/mse.2002.126613","article-title":"Epidemiology of clavicle fractures","volume":"11","author":"Postacchini","year":"2002","journal-title":"J\u00a0Shoulder Elbow Surg"},{"issue":"6","key":"10.1016\/j.jos.2019.04.002_bib3","doi-asserted-by":"crossref","first-page":"1008","DOI":"10.1016\/j.jse.2011.01.018","article-title":"Plating versus intramedullary pin or conservative treatment for midshaft fracture of clavicle: a meta-analysis of randomized controlled trials","volume":"20","author":"Duan","year":"2011","journal-title":"J\u00a0Shoulder Elbow Surg"},{"issue":"10","key":"10.1016\/j.jos.2019.04.002_bib4","doi-asserted-by":"crossref","first-page":"1395","DOI":"10.1007\/s00402-013-1809-3","article-title":"Displaced mid-shaft clavicular fractures: surgical treatment with intramedullary screw fixation","volume":"133","author":"Nor","year":"2013","journal-title":"Arch Orthop Trauma Surg"},{"issue":"2","key":"10.1016\/j.jos.2019.04.002_bib5","doi-asserted-by":"crossref","first-page":"447","DOI":"10.2106\/JBJS.H.00034","article-title":"Fractures of the clavicle","volume":"91","author":"Khan","year":"2009","journal-title":"J\u00a0Bone Joint Surg Am"},{"issue":"7","key":"10.1016\/j.jos.2019.04.002_bib6","doi-asserted-by":"crossref","first-page":"504","DOI":"10.1097\/01.bot.0000172287.44278.ef","article-title":"Treatment of acute midshaft clavicle fractures: systematic review of 2144 fractures: on behalf of the Evidence-Based Orthopaedic Trauma Working Group","volume":"19","author":"Zlowodzki","year":"2005","journal-title":"J\u00a0Orthop Trauma"},{"issue":"9","key":"10.1016\/j.jos.2019.04.002_bib7","first-page":"2579","article-title":"Surgical versus conservative interventions for treating fractures of the middle third of the clavicle","volume":"472","author":"Lenza","year":"2013","journal-title":"Clin Orthop Relat Res"},{"issue":"17","key":"10.1016\/j.jos.2019.04.002_bib8","doi-asserted-by":"crossref","first-page":"1576","DOI":"10.2106\/JBJS.L.00307","article-title":"Open reduction and plate fixation versus nonoperative treatment for displaced midshaft clavicular fractures: a multicenter, randomized, controlled trial","volume":"95","author":"Robinson","year":"2013","journal-title":"J\u00a0Bone Joint Surg Am"},{"issue":"2","key":"10.1016\/j.jos.2019.04.002_bib9","doi-asserted-by":"crossref","first-page":"143","DOI":"10.1007\/s00590-013-1173-6","article-title":"External fixators in the treatment of midshaft clavicle non-unions: a systematic review","volume":"24","author":"Barlow","year":"2014","journal-title":"Eur J Orthop Surg Traumatol"},{"issue":"4","key":"10.1016\/j.jos.2019.04.002_bib10","doi-asserted-by":"crossref","first-page":"587","DOI":"10.1016\/j.jse.2014.11.041","article-title":"Surgical treatment of displaced middle-third clavicular fractures: a prospective, randomized trial in a working compensation population","volume":"24","author":"Melean","year":"2015","journal-title":"J\u00a0Shoulder Elbow Surg"},{"issue":"2","key":"10.1016\/j.jos.2019.04.002_bib11","doi-asserted-by":"crossref","first-page":"106","DOI":"10.2106\/JBJS.15.01394","article-title":"Plate fixation compared with nonoperative treatment for displaced midshaft clavicular fractures: a multicenter randomized controlled trial","volume":"99","author":"Woltz","year":"2017","journal-title":"J\u00a0Bone Joint Surg Am"},{"issue":"3","key":"10.1016\/j.jos.2019.04.002_bib12","doi-asserted-by":"crossref","first-page":"676","DOI":"10.2106\/00004623-200503000-00034","article-title":"Estimating the risk of nonunion following nonoperative treatment of a clavicular fracture","volume":"87","author":"Brinker","year":"2005","journal-title":"J\u00a0Bone Joint Surg Am"},{"issue":"12","key":"10.1016\/j.jos.2019.04.002_bib13","doi-asserted-by":"crossref","first-page":"2788","DOI":"10.1016\/j.injury.2017.10.003","article-title":"Clinical outcomes and predictors of patient satisfaction in displaced midshaft clavicle fractures in adults: results from a retrospective multicentre study","volume":"48","author":"Tutuhatunewa","year":"2017","journal-title":"Injury"},{"issue":"5","key":"10.1016\/j.jos.2019.04.002_bib14","doi-asserted-by":"crossref","first-page":"e814","DOI":"10.3928\/01477447-20160517-06","article-title":"Midshaft clavicle fractures: a critical review","volume":"39","author":"Burnham","year":"2016","journal-title":"Orthopedics"},{"issue":"4","key":"10.1016\/j.jos.2019.04.002_bib15","doi-asserted-by":"crossref","first-page":"E396","DOI":"10.9778\/cmajo.20140130","article-title":"Operative versus nonoperative interventions for common fractures of the clavicle: a meta-analysis of randomized controlled trials","volume":"3","author":"Devji","year":"2015","journal-title":"CMAJ Open"},{"issue":"12","key":"10.1016\/j.jos.2019.04.002_bib16","doi-asserted-by":"crossref","first-page":"1051","DOI":"10.2106\/JBJS.16.01068","article-title":"Plate fixation versus nonoperative treatment for displaced midshaft clavicular fractures: a meta-analysis of randomized controlled trials","volume":"99","author":"Woltz","year":"2017","journal-title":"J\u00a0Bone Joint Surg Am"},{"issue":"3","key":"10.1016\/j.jos.2019.04.002_bib17","doi-asserted-by":"crossref","first-page":"123","DOI":"10.1016\/j.jcot.2014.07.012","article-title":"Comparison of treatment of fracture midshaft clavicle in adults by external fixator with conservative treatment","volume":"5","author":"Shukla","year":"2014","journal-title":"J\u00a0Clin Orthop Trauma"},{"issue":"11","key":"10.1016\/j.jos.2019.04.002_bib18","doi-asserted-by":"crossref","first-page":"2223","DOI":"10.1016\/j.injury.2015.08.004","article-title":"Plate fixation versus conservative treatment of displaced midshaft clavicle fractures: functional outcome and patients' satisfaction during a mean follow-up of 5 years","volume":"46","author":"Denise","year":"2015","journal-title":"Injury"},{"issue":"16","key":"10.1016\/j.jos.2019.04.002_bib19","doi-asserted-by":"crossref","first-page":"1345","DOI":"10.2106\/JBJS.16.01112","article-title":"The clavicle trial: a multicenter randomized controlled trial comparing operative with nonoperative treatment of displaced midshaft clavicle fractures","volume":"99","author":"Ahrens","year":"2017","journal-title":"J\u00a0Bone Joint Surg Am"},{"issue":"6","key":"10.1016\/j.jos.2019.04.002_bib20","doi-asserted-by":"crossref","first-page":"335","DOI":"10.1016\/S1479-666X(07)80085-0","article-title":"The treatment of non-union of the clavicle with the AO mini external fixator","volume":"5","author":"Lodhi","year":"2007","journal-title":"Surgeon"},{"issue":"8","key":"10.1016\/j.jos.2019.04.002_bib21","doi-asserted-by":"crossref","first-page":"1937","DOI":"10.1177\/0363546516673615","article-title":"Surgical versus nonsurgical treatment for midshaft clavicle fractures in patients aged 16 Years and older: a systematic review, meta-analysis, and comparison of randomized controlled trials and observational studies","volume":"45","author":"Smeeing","year":"2017","journal-title":"Am J Sports Med"},{"issue":"1","key":"10.1016\/j.jos.2019.04.002_bib22","doi-asserted-by":"crossref","first-page":"40","DOI":"10.1186\/1749-799X-8-40","article-title":"Determination and comparison of the smallest detectable change (SDC) and the minimal important change (MIC) of four-shoulder patient-reported outcome measures (PROMs)","volume":"8","author":"Kampen","year":"2013","journal-title":"J\u00a0Orthop Surg Res"},{"issue":"4","key":"10.1016\/j.jos.2019.04.002_bib23","doi-asserted-by":"crossref","first-page":"349","DOI":"10.1016\/j.jse.2004.09.011","article-title":"Short malunions of the clavicle: an anatomic and functional study","volume":"14","author":"Ledger","year":"2005","journal-title":"J\u00a0Shoulder Elbow Surg"},{"issue":"3","key":"10.1016\/j.jos.2019.04.002_bib24","doi-asserted-by":"crossref","first-page":"273","DOI":"10.3109\/17453674.2010.480939","article-title":"Malunion after midshaft clavicle fractures in adults","volume":"81","author":"Hillen","year":"2010","journal-title":"Acta Orthop"},{"issue":"4","key":"10.1016\/j.jos.2019.04.002_bib25","doi-asserted-by":"crossref","first-page":"537","DOI":"10.1302\/0301-620X.79B4.0790537","article-title":"Closed treatment of displaced middle-third fractures of the clavicle gives poor results","volume":"79","author":"Hill","year":"1997","journal-title":"J\u00a0Bone Joint Surg Br"},{"issue":"1","key":"10.1016\/j.jos.2019.04.002_bib26","doi-asserted-by":"crossref","first-page":"151","DOI":"10.1186\/s12891-015-0585-3","article-title":"Correlation of the degree of clavicle shortening after non-surgical treatment of midshaft fractures with upper limb function","volume":"16","author":"Figueiredo","year":"2015","journal-title":"BMC Muscoskelet Disord"}],"container-title":["Journal of Orthopaedic Science"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0949265819301216?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0949265819301216?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,10,15]],"date-time":"2025-10-15T19:30:51Z","timestamp":1760556651000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0949265819301216"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,3]]},"references-count":26,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2020,3]]}},"alternative-id":["S0949265819301216"],"URL":"https:\/\/doi.org\/10.1016\/j.jos.2019.04.002","relation":{},"ISSN":["0949-2658"],"issn-type":[{"value":"0949-2658","type":"print"}],"subject":[],"published":{"date-parts":[[2020,3]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Operative treatments compared with nonoperative treatment of displaced midshaft clavicular fractures","name":"articletitle","label":"Article Title"},{"value":"Journal of Orthopaedic Science","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jos.2019.04.002","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2019 The Japanese Orthopaedic Association. Published by Elsevier B.V. All rights reserved.","name":"copyright","label":"Copyright"}]}}