{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,9]],"date-time":"2025-11-09T01:22:42Z","timestamp":1762651362247,"version":"build-2065373602"},"reference-count":16,"publisher":"Oxford University Press (OUP)","issue":"11","license":[{"start":{"date-parts":[[2025,11,5]],"date-time":"2025-11-05T00:00:00Z","timestamp":1762300800000},"content-version":"vor","delay-in-days":4,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,11,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Unstable distal clavicle fractures often develop symptomatic nonunion following conservative treatment; however, cases in which bone defect occurs at the site of nonunion are rare. We report a case of distal clavicle nonunion with a bone defect that was treated with osteosynthesis using a scorpion plate and a shaped bone graft. A 66-year-old man presented with symptomatic distal clavicle nonunion sustained 5\u00a0months earlier. We reduced the fracture fragments, revealing a bone defect at the nonunion site. We harvested a bicortical iliac bone graft with a triangular column shape to match the shape of the bone defect and used a scorpion plate for fixation. Postoperatively, bone union and the satisfactory functional outcomes were achieved. Thus, our technique is advantageous in cases of distal clavicle nonunion with bone defect. Using the scorpion plate enabled fixation of the bone graft without further fragmentation, while shape-matched bone grafting to the defect restored clavicle length.<\/jats:p>","DOI":"10.1093\/jscr\/rjaf869","type":"journal-article","created":{"date-parts":[[2025,11,9]],"date-time":"2025-11-09T01:20:51Z","timestamp":1762651251000},"source":"Crossref","is-referenced-by-count":0,"title":["Osteosynthesis using a scorpion plate and a shaped bone graft for distal clavicle nonunion with bone defect: a case report"],"prefix":"10.1093","volume":"2025","author":[{"given":"Takeaki","family":"Hashimoto","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, Ashikaga Red Cross Hospital , 284-1 Yobe-cho, Ashikaga-shi, Tochigi 326-0843 ,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ryogo","family":"Furuhata","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Ashikaga Red Cross Hospital , 284-1 Yobe-cho, Ashikaga-shi, Tochigi 326-0843 ,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Taiki","family":"Sato","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Ashikaga Red Cross Hospital , 284-1 Yobe-cho, Ashikaga-shi, Tochigi 326-0843 ,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yusuke","family":"Shiba","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Ashikaga Red Cross Hospital , 284-1 Yobe-cho, Ashikaga-shi, Tochigi 326-0843 ,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Noboru","family":"Matsumura","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Keio University School of Medicine , 35 Shinanomachi, Shinjuku-ku, Tokyo, 160-8582 ,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Atsushi","family":"Tanji","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Ashikaga Red Cross Hospital , 284-1 Yobe-cho, Ashikaga-shi, Tochigi 326-0843 ,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2025,11,5]]},"reference":[{"key":"2025110820204780100_ref1","doi-asserted-by":"publisher","first-page":"87","DOI":"10.3109\/17453679308994539","article-title":"The natural course of lateral clavicle fracture. 15 (11-21) year follow-up of 110 cases","volume":"64","author":"Nordqvist","year":"1993","journal-title":"Acta Orthop Scand"},{"key":"2025110820204780100_ref2","doi-asserted-by":"publisher","first-page":"778","DOI":"10.2106\/00004623-200404000-00016","article-title":"Primary nonoperative treatment of displaced lateral fractures of the clavicle","volume":"86","author":"Robinson","year":"2004","journal-title":"J Bone Joint Surg Am"},{"key":"2025110820204780100_ref3","doi-asserted-by":"publisher","first-page":"753","DOI":"10.2106\/00004623-198769050-00018","article-title":"Non-union of the clavicle. 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