{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,14]],"date-time":"2026-05-14T18:50:35Z","timestamp":1778784635453,"version":"3.51.4"},"reference-count":32,"publisher":"Elsevier BV","issue":"5","license":[{"start":{"date-parts":[[2023,9,1]],"date-time":"2023-09-01T00:00:00Z","timestamp":1693526400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2023,9,1]],"date-time":"2023-09-01T00:00:00Z","timestamp":1693526400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2024,9,1]],"date-time":"2024-09-01T00:00:00Z","timestamp":1725148800000},"content-version":"vor","delay-in-days":366,"URL":"http:\/\/www.elsevier.com\/open-access\/userlicense\/1.0\/"},{"start":{"date-parts":[[2023,9,1]],"date-time":"2023-09-01T00:00:00Z","timestamp":1693526400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2023,9,1]],"date-time":"2023-09-01T00:00:00Z","timestamp":1693526400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2023,9,1]],"date-time":"2023-09-01T00:00:00Z","timestamp":1693526400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2023,9,1]],"date-time":"2023-09-01T00:00:00Z","timestamp":1693526400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2023,9,1]],"date-time":"2023-09-01T00:00:00Z","timestamp":1693526400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Orthopaedics &amp; Traumatology: Surgery &amp; Research"],"published-print":{"date-parts":[[2023,9]]},"DOI":"10.1016\/j.otsr.2023.103590","type":"journal-article","created":{"date-parts":[[2023,3,9]],"date-time":"2023-03-09T21:04:59Z","timestamp":1678395899000},"page":"103590","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":8,"title":["Less than 1.5 cm shortening in clavicle midshaft fracture has long-term functional impact"],"prefix":"10.1016","volume":"109","author":[{"given":"Sarah","family":"Pradel","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maxime","family":"Brunaud","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R\u00e9my","family":"Coulomb","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pascal","family":"Kouyoumdjian","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8476-4347","authenticated-orcid":false,"given":"Olivier","family":"Mar\u00e8s","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"78","reference":[{"key":"10.1016\/j.otsr.2023.103590_bib0165","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 Shoulder Elbow Surg"},{"key":"10.1016\/j.otsr.2023.103590_bib0170","doi-asserted-by":"crossref","first-page":"803","DOI":"10.1007\/s00402-018-2912-2","article-title":"Quantifying shortening of the fractured clavicle assuming clavicular symmetry is unreliable","volume":"138","author":"Hoogervorst","year":"2018","journal-title":"Arch Orthop Trauma Surg"},{"key":"10.1016\/j.otsr.2023.103590_bib0175","article-title":"Conservative treatment of fractures of the clavicle","volume":"4:333.","author":"De Giorgi","year":"2011","journal-title":"BioMed Central"},{"key":"10.1016\/j.otsr.2023.103590_bib0180","doi-asserted-by":"crossref","first-page":"414","DOI":"10.1016\/j.injury.2010.11.061","article-title":"A retrospective study of the association between shortening of the clavicle after fracture, and clinical outcome in 136 patients","volume":"42","author":"Rasmussen","year":"2010","journal-title":"Injury"},{"key":"10.1016\/j.otsr.2023.103590_bib0185","doi-asserted-by":"crossref","first-page":"S53","DOI":"10.1016\/j.otsr.2016.11.007","article-title":"Clavicle fractures","volume":"103","author":"Ropars","year":"2017","journal-title":"Orthop Traumatol Surg Res"},{"key":"10.1016\/j.otsr.2023.103590_bib0190","doi-asserted-by":"crossref","first-page":"e331","DOI":"10.1016\/j.jse.2015.05.047","article-title":"Scapular dyskinesis following displaced fractures of the middle clavicle","volume":"24","author":"Shields","year":"2015","journal-title":"J Shoulder Elbow Surg"},{"key":"10.1016\/j.otsr.2023.103590_bib0195","article-title":"Scapular dyskinesia, the forgotten culprit of shoulder pain and how to rehabilitate","volume":"5:29","author":"Panagiotopoulos","year":"2019","journal-title":"SICOT J"},{"key":"10.1016\/j.otsr.2023.103590_bib0200","doi-asserted-by":"crossref","first-page":"1036","DOI":"10.1016\/j.otsr.2021.103066","article-title":"Functional outcomes and adverse effects following three interventions for displaced midshaft clavicular fractures: a Bayesian network meta-analysis of randomized controlled trials","volume":"107","author":"Ju","year":"2021","journal-title":"Orthop Traumatol Surg Res"},{"issue":"2","key":"10.1016\/j.otsr.2023.103590_bib0205","doi-asserted-by":"crossref","first-page":"197","DOI":"10.1016\/j.otsr.2014.11.018","article-title":"Intrinsic and extrinsic risk factors for nonunion after nonoperative treatment of midshaft clavicle fractures","volume":"101","author":"Liu","year":"2014","journal-title":"Orthop Traumatol Surg Res"},{"issue":"1","key":"10.1016\/j.otsr.2023.103590_bib0210","doi-asserted-by":"crossref","first-page":"31","DOI":"10.1097\/BOT.0b013e3181d8290e","article-title":"Operative versus non-operative management of displaced midshaft clavicle fracture: a prospective cohort study","volume":"25","author":"Kulshrestha","year":"2011","journal-title":"J Orthop Trauma"},{"key":"10.1016\/j.otsr.2023.103590_bib0215","doi-asserted-by":"crossref","first-page":"1153","DOI":"10.2106\/JBJS.K.01275","article-title":"Risk factors for nonunion after non-operative treatment of displaced midshaft fracture of the clavicle","volume":"95","author":"Murray","year":"2013","journal-title":"J Bone Joint Surg"},{"key":"10.1016\/j.otsr.2023.103590_bib0220","doi-asserted-by":"crossref","first-page":"191","DOI":"10.1016\/j.jse.2005.08.007","article-title":"Conservative treatment of fractures at the middle third of the clavicle: the relevance of shortening and clinical outcome","volume":"15","author":"Lazarides","year":"2006","journal-title":"J Shoulder Elbow Surg"},{"key":"10.1016\/j.otsr.2023.103590_bib0225","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 Shoulder Elbow Surg"},{"key":"10.1016\/j.otsr.2023.103590_bib0230","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":"79B","author":"Hill","year":"1997","journal-title":"J Bone Joint Surg"},{"key":"10.1016\/j.otsr.2023.103590_bib0235","doi-asserted-by":"crossref","first-page":"1","DOI":"10.2106\/JBJS.F.00020","article-title":"Non-operative treatment compared with plate fixation of displaced midshaft clavicular fractures","volume":"89","author":"Canadian Orthopaedic Trauma Society","year":"2007","journal-title":"J Bone Joint Surg Am"},{"key":"10.1016\/j.otsr.2023.103590_bib0240","doi-asserted-by":"crossref","first-page":"1571","DOI":"10.1016\/j.otsr.2019.05.013","article-title":"Screw-plate fixation for displaced middle-third clavicular fractures with three or more fragments: a report of 172 cases","volume":"105","author":"Saragaglia","year":"2019","journal-title":"Orthop Traumatol Surg Res"},{"key":"10.1016\/j.otsr.2023.103590_bib0245","doi-asserted-by":"crossref","first-page":"885","DOI":"10.1016\/j.otsr.2017.03.021","article-title":"Functional recovery following early mobilization after middle third clavicle osteosynthesis for acute fractures or nonunion: a case-control study","volume":"103","author":"L\u00e4dermann","year":"2017","journal-title":"Orthop Traumatol Surg Res"},{"key":"10.1016\/j.otsr.2023.103590_bib0250","doi-asserted-by":"crossref","first-page":"777","DOI":"10.1016\/j.clinbiomech.2012.05.003","article-title":"The effect of experimental shortening of the clavicle on shoulder kinematics","volume":"27","author":"Hillen","year":"2012","journal-title":"Clin Biomech"},{"key":"10.1016\/j.otsr.2023.103590_bib0255","doi-asserted-by":"crossref","first-page":"367","DOI":"10.4055\/cios.2016.8.4.367","article-title":"Measurement of clavicle fracture shortening using computed tomography and chest radiography","volume":"8","author":"Omid","year":"2016","journal-title":"Clin Orthop Surg"},{"key":"10.1016\/j.otsr.2023.103590_bib0260","doi-asserted-by":"crossref","first-page":"364","DOI":"10.5435\/JAAOS-20-06-364","article-title":"Scapular dyskinesis and its relation to shoulder injury","volume":"20","author":"Kibler","year":"2012","journal-title":"J Am Acad Orthop Surg"},{"key":"10.1016\/j.otsr.2023.103590_bib0265","doi-asserted-by":"crossref","first-page":"932","DOI":"10.1302\/2058-5241.6.210043","article-title":"The role of scapular dyskinesis on rotator cuff tears: a narrative review of the current knowledge","volume":"6","author":"Cabral Teixeira","year":"2021","journal-title":"EFORT Open Rev"},{"key":"10.1016\/j.otsr.2023.103590_bib0270","doi-asserted-by":"crossref","first-page":"1877","DOI":"10.1016\/j.jse.2019.03.019","article-title":"Three-dimensional clavicle displacement analysis and its effect on scapular position in acute clavicle midshaft fracture","volume":"28","author":"Jung-Han","year":"2019","journal-title":"J Shoulder Elbow Surg"},{"key":"10.1016\/j.otsr.2023.103590_bib0275","doi-asserted-by":"crossref","first-page":"1000","DOI":"10.1177\/0363546509355143","article-title":"Effect of shortening deformity of the clavicle on scapular kinematics: a cadaveric study","volume":"38","author":"Matsumura","year":"2010","journal-title":"J Sports Med Am"},{"key":"10.1016\/j.otsr.2023.103590_bib0280","first-page":"1","article-title":"Scapular dyskinesis increases the risk of shoulder pain by 43% in asymptomatic athletes: a systematic review and meta-analysis","volume":"52","author":"Hickey","year":"2017","journal-title":"BMJ"},{"key":"10.1016\/j.otsr.2023.103590_bib0285","article-title":"Effects of internal fixation for mid-shaft clavicle fractures on shoulder kinematics during humeral elevation","volume":"9:710-787","author":"Hung","year":"2021","journal-title":"Front Bioeng Biotechnol"},{"key":"10.1016\/j.otsr.2023.103590_bib0290","doi-asserted-by":"crossref","first-page":"493","DOI":"10.1016\/j.injury.2020.10.019","article-title":"Displaced midshaft clavicle fractures in adults\u00a0\u2013\u00a0is non-operative management enough?","volume":"52","author":"Narayon Subramanyam","year":"2021","journal-title":"Injury"},{"key":"10.1016\/j.otsr.2023.103590_bib0295","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 Bone Joint Surg"},{"key":"10.1016\/j.otsr.2023.103590_bib0300","doi-asserted-by":"crossref","first-page":"110","DOI":"10.1016\/j.otsr.2020.102768","article-title":"Prosepctive evaluation of early functional recovery of displaced fractures of the middle third of the clavicle whether operated or not","volume":"107","author":"Echalier","year":"2021","journal-title":"Orthop Traumatol Surg Res"},{"key":"10.1016\/j.otsr.2023.103590_bib0305","doi-asserted-by":"crossref","first-page":"762","DOI":"10.1302\/0301-620X.103B4.BJJ-2020-1636.R1","article-title":"Neither operative nor nonoperative approach is superior for treating displaced midshaft clavicle fractures: a partially blinded randomized controlled clinical trial","volume":"103B","author":"Ban","year":"2021","journal-title":"Bone Joint J"},{"key":"10.1016\/j.otsr.2023.103590_bib0310","doi-asserted-by":"crossref","first-page":"731","DOI":"10.1007\/s00264-009-0850-x","article-title":"Long-term results of conservative management of midshaft clavicle fracture","volume":"34","author":"Postacchini","year":"2010","journal-title":"Int Orthop"},{"key":"10.1016\/j.otsr.2023.103590_bib0315","doi-asserted-by":"crossref","first-page":"17","DOI":"10.1007\/s00402-015-2354-z","article-title":"Radiological and functional outcomes 2.7 years following conservatively treated completely displaced midshaft clavicle fractures","volume":"136","author":"Fuglesang","year":"2016","journal-title":"Arch Orthop Trauma Surg"},{"key":"10.1016\/j.otsr.2023.103590_bib0320","doi-asserted-by":"crossref","first-page":"310","DOI":"10.1016\/j.jos.2019.04.002","article-title":"Operative treatments compared with nonoperative treatment of displaced midshaft clavicular fractures","volume":"25","author":"Ma","year":"2019","journal-title":"J Orthop Sci"}],"container-title":["Orthopaedics &amp; Traumatology: Surgery &amp; Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1877056823000555?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1877056823000555?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,10,30]],"date-time":"2025-10-30T03:51:40Z","timestamp":1761796300000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1877056823000555"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,9]]},"references-count":32,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2023,9]]}},"alternative-id":["S1877056823000555"],"URL":"https:\/\/doi.org\/10.1016\/j.otsr.2023.103590","relation":{},"ISSN":["1877-0568"],"issn-type":[{"value":"1877-0568","type":"print"}],"subject":[],"published":{"date-parts":[[2023,9]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Less than 1.5cm shortening in clavicle midshaft fracture has long-term functional impact","name":"articletitle","label":"Article Title"},{"value":"Orthopaedics & Traumatology: Surgery & Research","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.otsr.2023.103590","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2023 Elsevier Masson SAS.","name":"copyright","label":"Copyright"}],"article-number":"103590"}}