{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T14:36:59Z","timestamp":1740148619844,"version":"3.37.3"},"reference-count":17,"publisher":"Georg Thieme Verlag KG","issue":"01","license":[{"start":{"date-parts":[[2021,3,31]],"date-time":"2021-03-31T00:00:00Z","timestamp":1617148800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev Bras Ortop (Sao Paulo)"],"published-print":{"date-parts":[[2024,2]]},"abstract":"<jats:title>Resumo<\/jats:title><jats:p>A fratura de clav\u00edcula representa 5% das fraturas em adultos. No entanto, as fraturas segmentares da clav\u00edcula s\u00e3o infrequentes e pouco estudadas na literatura atual. H\u00e1 relatos de casos com bons resultados ap\u00f3s o tratamento cir\u00fargico ou conservador, mas n\u00e3o existe consenso quanto ao diagn\u00f3stico ou manejo dessas les\u00f5es.<\/jats:p><jats:p>Relata-se um paciente com fratura segmentar m\u00e9dia e lateral da clav\u00edcula ap\u00f3s politraumatismo em acidente de tr\u00e2nsito. O paciente tamb\u00e9m apresentava traumatismo em hemicorpo direito, m\u00faltiplas fraturas segmentares da costela e do hemot\u00f3rax. Ap\u00f3s estabiliza\u00e7\u00e3o, ele foi encaminhado \u00e0 cirurgia para redu\u00e7\u00e3o aberta e fixa\u00e7\u00e3o interna da clav\u00edcula pela t\u00e9cnica de placa dupla, raramente descrita na literatura. O resultado funcional foi considerado satisfat\u00f3rio e adequado no acompanhamento p\u00f3s-operat\u00f3rio.<\/jats:p><jats:p>Apesar das poucas evid\u00eancias sobre o manejo desse tipo de patologia, o tratamento cir\u00fargico \u00e9 uma op\u00e7\u00e3o v\u00e1lida devido ao risco de n\u00e3o uni\u00e3o, apesar da poss\u00edvel diminui\u00e7\u00e3o da funcionalidade do paciente.<\/jats:p>","DOI":"10.1055\/s-0041-1724086","type":"journal-article","created":{"date-parts":[[2021,4,1]],"date-time":"2021-04-01T07:29:50Z","timestamp":1617262190000},"page":"e139-e142","source":"Crossref","is-referenced-by-count":0,"title":["Fratura segmentar da clav\u00edcula em paciente politraumatizado: Relato de caso"],"prefix":"10.1055","volume":"59","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6405-5030","authenticated-orcid":false,"given":"Carlos A.","family":"S\u00e1nchez","sequence":"additional","affiliation":[{"name":"Ortopedia e Traumatologia, Pontificia Universidad Javeriana, Bogot\u00e1, 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