{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,14]],"date-time":"2026-05-14T23:08:11Z","timestamp":1778800091218,"version":"3.51.4"},"reference-count":22,"publisher":"Elsevier BV","issue":"6","license":[{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2025,12,11]],"date-time":"2025-12-11T00:00:00Z","timestamp":1765411200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100008748","name":"Department of Orthopaedic Surgery, School of Medicine, Boston University","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100008748","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100001275","name":"Oak Foundation","doi-asserted-by":"publisher","award":["OFIL-24-074"],"award-info":[{"award-number":["OFIL-24-074"]}],"id":[{"id":"10.13039\/100001275","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100009457","name":"Region Zealand","doi-asserted-by":"publisher","award":["R32-A1108-B14"],"award-info":[{"award-number":["R32-A1108-B14"]}],"id":[{"id":"10.13039\/501100009457","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100012689","name":"Zealand University Hospital Koge","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100012689","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100014547","name":"Parker Institute for Cancer Immunotherapy","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100014547","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","jshoulderelbow.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of Shoulder and Elbow Surgery"],"published-print":{"date-parts":[[2026,6]]},"DOI":"10.1016\/j.jse.2025.11.013","type":"journal-article","created":{"date-parts":[[2025,12,16]],"date-time":"2025-12-16T00:14:17Z","timestamp":1765844057000},"page":"1587-1595","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"title":["Supervised rehabilitation comparable to single advice session after nonoperative treatment of displaced proximal humerus fracture: a randomized controlled trial"],"prefix":"10.1016","volume":"35","author":[{"given":"Behnam","family":"Liaghat","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6455-178X","authenticated-orcid":false,"given":"Signe Amalie Meier","family":"Borg","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-2171-4112","authenticated-orcid":false,"given":"Tobias","family":"Haugegaard","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6600-0631","authenticated-orcid":false,"given":"Robin","family":"Christensen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5337-758X","authenticated-orcid":false,"given":"Stig","family":"Brorson","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"78","reference":[{"key":"10.1016\/j.jse.2025.11.013_bib1","doi-asserted-by":"crossref","first-page":"11","DOI":"10.2340\/1650197784161116","article-title":"Physiotherapy after fracture of the proximal end of the humerus. Comparison between two methods","volume":"16","author":"Bertoft","year":"1984","journal-title":"Scand J Rehabil Med"},{"key":"10.1016\/j.jse.2025.11.013_bib2","doi-asserted-by":"crossref","first-page":"91","DOI":"10.1186\/s12891-019-2459-6","article-title":"Complications after non-surgical management of proximal humeral fractures: a systematic review of terms and definitions","volume":"20","author":"Brorson","year":"2019","journal-title":"BMC Musculoskelet Disord"},{"key":"10.1016\/j.jse.2025.11.013_bib3","doi-asserted-by":"crossref","first-page":"619","DOI":"10.2340\/17453674.2024.42301","article-title":"Patient-reported outcome was close to the Danish background population 6 months after non-surgical treatment of Neer 2-part surgical neck fractures: a prospective cohort study in patients aged 60 or above","volume":"95","author":"Brorson","year":"2024","journal-title":"Acta Orthop"},{"key":"10.1016\/j.jse.2025.11.013_bib4","doi-asserted-by":"crossref","first-page":"610","DOI":"10.2340\/17453674.2022.3495","article-title":"Interventions for proximal humeral fractures: key messages from a cochrane review","volume":"93","author":"Brorson","year":"2022","journal-title":"Acta Orthop"},{"key":"10.1016\/j.jse.2025.11.013_bib5","series-title":"Orthogeriatrics: the management of older patients with fragility fractures","first-page":"143","article-title":"Proximal humeral fractures: the choice of treatment","author":"Brorson","year":"2021"},{"key":"10.1016\/j.jse.2025.11.013_bib6","doi-asserted-by":"crossref","first-page":"750","DOI":"10.2340\/17453674.2022.4578","article-title":"Epidemiology and trends in management of acute proximal humeral fractures in adults: an observational study of 137,436 cases from the Danish National Patient Register, 1996\u20132018","volume":"93","author":"Brorson","year":"2022","journal-title":"Acta Orthop"},{"key":"10.1016\/j.jse.2025.11.013_bib7","doi-asserted-by":"crossref","first-page":"174","DOI":"10.1016\/j.jclinepi.2021.03.009","article-title":"Effect modifiers and statistical tests for interaction in randomized trials","volume":"134","author":"Christensen","year":"2021","journal-title":"J Clin Epidemiol"},{"key":"10.1016\/j.jse.2025.11.013_bib8","doi-asserted-by":"crossref","first-page":"365","DOI":"10.1080\/000164701753542023","article-title":"The epidemiology of proximal humeral fractures","volume":"72","author":"Court-Brown","year":"2001","journal-title":"Acta Orthop Scand"},{"key":"10.1016\/j.jse.2025.11.013_bib9","article-title":"Validation of the Danish version of Oxford Shoulder Score","volume":"58","author":"Frich","year":"2011","journal-title":"Dan Med Bull"},{"key":"10.1016\/j.jse.2025.11.013_bib10","doi-asserted-by":"crossref","first-page":"1","DOI":"10.3310\/hta19240","volume":"19","author":"Handoll","year":"2015","journal-title":"Health Technol Assess"},{"key":"10.1016\/j.jse.2025.11.013_bib11","article-title":"Interventions for treating proximal humeral fractures in adults","volume":"6","author":"Handoll","year":"2022","journal-title":"Cochrane Database Syst Rev"},{"key":"10.1016\/j.jse.2025.11.013_bib12","doi-asserted-by":"crossref","first-page":"3449","DOI":"10.1007\/s00402-024-05421-3","article-title":"Intramedullary nailing of proximal humerus fractures does not achieve superior functional results to non-operative treatment in the long term","volume":"144","author":"Henssler","year":"2024","journal-title":"Arch Orthop Trauma Surg"},{"key":"10.1016\/j.jse.2025.11.013_bib13","doi-asserted-by":"crossref","first-page":"402","DOI":"10.1186\/s13018-021-02551-x","article-title":"Epidemiology of proximal humerus fractures","volume":"16","author":"Iglesias-Rodr\u00edguez","year":"2021","journal-title":"J Orthop Surg Res"},{"key":"10.1016\/j.jse.2025.11.013_bib14","doi-asserted-by":"crossref","first-page":"1484","DOI":"10.1016\/j.jse.2019.12.033","article-title":"Minimal clinically important difference (MCID) for patient-reported shoulder outcomes","volume":"29","author":"Jones","year":"2020","journal-title":"J Shoulder Elbow Surg"},{"key":"10.1016\/j.jse.2025.11.013_bib15","article-title":"The estimands framework: a primer on the ICH E9(R1) addendum","volume":"384","author":"Kahan","year":"2024","journal-title":"BMJ"},{"key":"10.1016\/j.jse.2025.11.013_bib16","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pmed.1004308","article-title":"Surgery with locking plate or hemiarthroplasty versus nonoperative treatment of 3-4-part proximal humerus fractures in older patients (NITEP): an open-label randomized trial","volume":"20","author":"Launonen","year":"2023","journal-title":"PLoS Med"},{"key":"10.1016\/j.jse.2025.11.013_bib17","doi-asserted-by":"crossref","DOI":"10.1136\/bmjopen-2022-064156","article-title":"Effect of structured rehabilitation versus non-structured rehabilitation following non-surgical management of displaced proximal humerus fractures: a protocol for a randomised clinical trial","volume":"12","author":"Liaghat","year":"2022","journal-title":"BMJ Open"},{"key":"10.1016\/j.jse.2025.11.013_bib18","series-title":"Statistical analysis with missing data","author":"Little","year":"1986"},{"key":"10.1016\/j.jse.2025.11.013_bib19","first-page":"133","article-title":"Independent exercises versus physiotherapy in nondisplaced proximal humeral fractures","volume":"11","author":"Lungberg","year":"1979","journal-title":"Scand J Rehabil Med"},{"key":"10.1016\/j.jse.2025.11.013_bib20","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":"J Bone Joint Surg Am"},{"key":"10.1016\/j.jse.2025.11.013_bib21","doi-asserted-by":"crossref","first-page":"994","DOI":"10.1016\/j.jse.2023.12.002","article-title":"Physiotherapist-supervised exercises versus unsupervised home-based exercises after nonsurgically treated proximal humerus fracture: a multicenter randomized controlled trial","volume":"33","author":"\u00d8stergaard","year":"2024","journal-title":"J Shoulder Elbow Surg"},{"key":"10.1016\/j.jse.2025.11.013_bib22","doi-asserted-by":"crossref","first-page":"107","DOI":"10.1007\/s12178-021-09697-5","article-title":"The benefits and harms of early mobilization and supervised exercise therapy after non-surgically treated proximal humerus or distal radius fracture: a systematic review and meta-analysis","volume":"14","author":"\u00d8stergaard","year":"2021","journal-title":"Curr Rev Musculoskelet Med"}],"container-title":["Journal of Shoulder and Elbow Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1058274625008559?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1058274625008559?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,5,14]],"date-time":"2026-05-14T22:18:25Z","timestamp":1778797105000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1058274625008559"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6]]},"references-count":22,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2026,6]]}},"alternative-id":["S1058274625008559"],"URL":"https:\/\/doi.org\/10.1016\/j.jse.2025.11.013","relation":{},"ISSN":["1058-2746"],"issn-type":[{"value":"1058-2746","type":"print"}],"subject":[],"published":{"date-parts":[[2026,6]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Supervised rehabilitation comparable to single advice session after nonoperative treatment of displaced proximal humerus fracture: a randomized controlled trial","name":"articletitle","label":"Article Title"},{"value":"Journal of Shoulder and Elbow Surgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jse.2025.11.013","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2025 The Author(s). Published by Elsevier Inc. on behalf of Journal of Shoulder and Elbow Surgery Board of Trustees.","name":"copyright","label":"Copyright"}]}}