{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,28]],"date-time":"2026-10-28T18:34:48Z","timestamp":1793212488146,"version":"4.5.0"},"reference-count":16,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,10,4]],"date-time":"2026-10-04T00:00:00Z","timestamp":1791072000000},"content-version":"vor","delay-in-days":3,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"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":[[2026,10]]},"DOI":"10.1016\/j.jse.2026.09.010","type":"journal-article","created":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T23:17:53Z","timestamp":1790896673000},"update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"title":["A safe medial column screw strategy for transcondylar humerus fractures in the elderly: CT-based analysis of screw diameter and insertion trajectory"],"prefix":"10.1016","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8682-8623","authenticated-orcid":false,"given":"Yasukazu","family":"Totoki","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2171-0004","authenticated-orcid":false,"given":"Yohei","family":"Yanagisawa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6034-1593","authenticated-orcid":false,"given":"Akira","family":"Ikumi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yu","family":"Watanabe","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yusuke","family":"Eda","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Natsuo","family":"Yoneda","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-3623-9304","authenticated-orcid":false,"given":"Tomoki","family":"Koide","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1447-4664","authenticated-orcid":false,"given":"Yuichi","family":"Yoshii","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yoshiaki","family":"Inoue","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yasuhiro","family":"Homma","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.jse.2026.09.010_bib1","doi-asserted-by":"crossref","first-page":"136","DOI":"10.1016\/j.jcot.2021.04.020","article-title":"Intramedullary fixation of fibula fractures: a systematic review","volume":"18","author":"B\u00e4cker","year":"2021","journal-title":"J Clin Orthop Trauma"},{"key":"10.1016\/j.jse.2026.09.010_bib2","article-title":"Principles of fracture healing and fixation: a literature review","volume":"16","author":"Beeharry","year":"2024","journal-title":"Cureus"},{"key":"10.1016\/j.jse.2026.09.010_bib3","doi-asserted-by":"crossref","first-page":"293","DOI":"10.18614\/dehm.1813851","article-title":"Shape variations of distal humerus based on geometric morphometric analysis","volume":"39","author":"Caymaz","year":"2025","journal-title":"Dev Exp Health Med"},{"key":"10.1016\/j.jse.2026.09.010_bib4","doi-asserted-by":"crossref","first-page":"399","DOI":"10.1016\/j.jse.2008.11.001","article-title":"Three-dimensional distribution of trabecular bone density and cortical thickness in the distal humerus","volume":"18","author":"Diederichs","year":"2009","journal-title":"J Shoulder Elbow Surg"},{"key":"10.1016\/j.jse.2026.09.010_bib5","doi-asserted-by":"crossref","first-page":"e57","DOI":"10.1097\/BOT.0000000000002486","article-title":"Low transcondylar fractures of the distal humerus: a multicenter cohort study","volume":"37","author":"Han","year":"2023","journal-title":"J Orthop Trauma"},{"key":"10.1016\/j.jse.2026.09.010_bib6","doi-asserted-by":"crossref","first-page":"312","DOI":"10.1177\/17585732221131923","article-title":"Low and high body mass index and lower numbers of screws in the articular segment are risk factors for nonunion of distal humeral fractures in the elderly: a multicenter retrospective study (TRON study)","volume":"16","author":"Iwase","year":"2022","journal-title":"Shoulder Elbow"},{"key":"10.1016\/j.jse.2026.09.010_bib7","doi-asserted-by":"crossref","first-page":"28","DOI":"10.4103\/jodp.jodp_65_23","article-title":"A novel surgical treatment strategy for fixation of intra-articular distal humerus fractures: prospective analysis of functional outcomes","volume":"7","author":"Jain","year":"2024","journal-title":"J Orthop Dis Traumatol"},{"key":"10.1016\/j.jse.2026.09.010_bib8","doi-asserted-by":"crossref","first-page":"403","DOI":"10.1186\/s13018-024-04900-y","article-title":"Efficacy comparison between intramedullary nail fixation and plate fixation in distal tibia fractures: a meta-analysis of randomized controlled trials","volume":"19","author":"Li","year":"2024","journal-title":"J Orthop Surg Res"},{"key":"10.1016\/j.jse.2026.09.010_bib9","doi-asserted-by":"crossref","first-page":"186S","DOI":"10.1016\/j.jse.2004.09.033","article-title":"Optimizing stability in distal humeral fracture fixation","volume":"14","author":"O'Driscoll","year":"2005","journal-title":"J Shoulder Elbow Surg"},{"key":"10.1016\/j.jse.2026.09.010_bib10","first-page":"8664","article-title":"Surgical approach for fracture of distal humerus: posterior vs lateral","volume":"12","author":"Saracco","year":"2020","journal-title":"Orthop Rev (Pavia)"},{"key":"10.1016\/j.jse.2026.09.010_bib11","doi-asserted-by":"crossref","first-page":"573","DOI":"10.1016\/j.jse.2013.12.013","article-title":"Low transcondylar fractures of the distal humerus: results of open reduction and internal fixation","volume":"23","author":"Simone","year":"2014","journal-title":"J Shoulder Elbow Surg"},{"key":"10.1016\/j.jse.2026.09.010_bib12","doi-asserted-by":"crossref","first-page":"2481","DOI":"10.1007\/s00590-022-03464-z","article-title":"A less invasive operative method using a medial cannulated cancellous screw and single-plate fixation for the treatment of transcondylar fracture of the humerus in elderly patients: a multicenter (TRON group) study","volume":"33","author":"Tanaka","year":"2023","journal-title":"Eur J Orthop Surg Traumatol"},{"key":"10.1016\/j.jse.2026.09.010_bib13","doi-asserted-by":"crossref","first-page":"118","DOI":"10.1007\/s00776-005-0984-7","article-title":"Internal plate fixation of fractures: short history and recent developments","volume":"11","author":"Uhthoff","year":"2006","journal-title":"J Orthop Sci"},{"key":"10.1016\/j.jse.2026.09.010_bib14","doi-asserted-by":"crossref","first-page":"545","DOI":"10.1186\/s13018-021-02691-0","article-title":"Three-dimensional mapping of distal humerus fracture","volume":"16","author":"Wang","year":"2021","journal-title":"J Orthop Surg Res"},{"key":"10.1016\/j.jse.2026.09.010_bib15","doi-asserted-by":"crossref","first-page":"760","DOI":"10.1186\/s12891-024-07858-4","article-title":"CT-based measurement and analysis of distal humerus morphology in healthy adults from Northern China","volume":"25","author":"Yang","year":"2024","journal-title":"BMC Musculoskelet Disord"},{"key":"10.1016\/j.jse.2026.09.010_bib16","doi-asserted-by":"crossref","first-page":"2890","DOI":"10.3390\/jcm14092890","article-title":"Comparative analysis of anterolateral and posterior approaches for distal humerus shaft fractures: a multicenter retrospective study","volume":"14","author":"Yoon","year":"2025","journal-title":"J Clin Med"}],"container-title":["Journal of Shoulder and Elbow Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1058274626005744?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1058274626005744?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,10,28]],"date-time":"2026-10-28T17:55:50Z","timestamp":1793210150000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1058274626005744"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10]]},"references-count":16,"alternative-id":["S1058274626005744"],"URL":"https:\/\/doi.org\/10.1016\/j.jse.2026.09.010","relation":{},"ISSN":["1058-2746"],"issn-type":[{"value":"1058-2746","type":"print"}],"subject":[],"published":{"date-parts":[[2026,10]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"A safe medial column screw strategy for transcondylar humerus fractures in the elderly: CT-based analysis of screw diameter and insertion trajectory","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.2026.09.010","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 The Authors. Published by Elsevier Inc. on behalf of American Shoulder and Elbow Surgeons.","name":"copyright","label":"Copyright"}]}}