{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,5]],"date-time":"2026-02-05T23:58:04Z","timestamp":1770335884041,"version":"3.49.0"},"reference-count":15,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","license":[{"start":{"date-parts":[[2025,12,1]],"date-time":"2025-12-01T00:00:00Z","timestamp":1764547200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>The purpose of this study was to describe our experience using superiorly applied low-profile locking plates for the operative fixation of displaced midshaft clavicle fractures (MCFs).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design:<\/jats:title>\n                    <jats:p>This was a retrospective analysis performed at an academic institution.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Eighty-three patients who presented with displaced, shortened MCFs were treated operatively by a single surgeon at our institution over a 10-year period. All patients received a precontoured low-profile locking plate applied in the superior position. A displaced midshaft clavicle fracture was fixed operatively using a precountered low-profile 2.7\/3.5 mm locking plate applied in the superior position. Data were analyzed to evaluate time to union, final shoulder range of motion, incidence of hardware removal, and rate of postoperative complications. The cohort was 66.2% male with an average age at initial injury of 36.5 \u00b1 14.1 years. At a mean of 3.6 \u00b1 1.9 months, 99% of patients had united their fracture. At an average of 7.37-month follow-up, mean range of motion was 174\u00b0 forward elevation, 173\u00b0 abduction, 82\u00b0 external rotation, and internal rotation to T7. Using the short musculoskeletal functional assessment (SMFA), the mean functional outcome index score was 4.12, bothersome index was 1.94, activity index was 1.55, emotion index was 2.51, arm and hand index was 1.14, mobility index was 0.68, and total index was 1.56. Ninety-two percent of patients had retained their hardware. There was 1 incidence of each of the following complications: infection, nonunion, hardware failure, and deep vein thrombosis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Superior clavicle plating using precontoured low-profile locking plates is an acceptable treatment modality for displaced MCF. This method yields excellent results regarding time to union, shoulder range of motion, incidence of hardware removal, and the rate of postoperative complications. Patients considering operative fixation of displaced MCF should be counseled accordingly.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1097\/bh9.0000000000000024","type":"journal-article","created":{"date-parts":[[2026,2,4]],"date-time":"2026-02-04T21:00:15Z","timestamp":1770238815000},"page":"146-149","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Superior clavicle plating using low-profile, precontoured locking plates has low complication and low hardware removal rate"],"prefix":"10.1097","volume":"83","author":[{"given":"Abhishek","family":"Ganta","sequence":"first","affiliation":[{"name":"Division of Orthopedic Trauma Surgery, Department of Orthopedic Surgery, NYU Langone Health, NYU Langone Orthopedic Hospital, New York, New York"},{"name":"Department of Orthopaedic Surgery, Jamaica Hospital Medical Center, Richmond Hill, New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sanjit R.","family":"Konda","sequence":"additional","affiliation":[{"name":"Division of Orthopedic Trauma Surgery, Department of Orthopedic Surgery, NYU Langone Health, NYU Langone Orthopedic Hospital, New York, New York"},{"name":"Department of Orthopaedic Surgery, Jamaica Hospital Medical Center, Richmond Hill, New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kenneth A.","family":"Egol","sequence":"additional","affiliation":[{"name":"Division of Orthopedic Trauma Surgery, Department of Orthopedic Surgery, NYU Langone Health, NYU Langone Orthopedic Hospital, New York, New York"},{"name":"Department of Orthopaedic Surgery, Jamaica Hospital Medical Center, Richmond Hill, New York"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","published-online":{"date-parts":[[2025,12,10]]},"reference":[{"key":"R2-20260205","doi-asserted-by":"crossref","first-page":"29","DOI":"10.1097\/00003086-196805000-00006","article-title":"An atlas of anatomy and treatment of midclavicular fractures","volume":"58","author":"Rowe","year":"1968","journal-title":"Clin Orthop Relat Res"},{"key":"R3-20260205","first-page":"35","article-title":"Deficits following nonoperative treatment of displaced midshaft clavicular fractures","volume":"88","author":"McKee","year":"2006","journal-title":"J Bone Joint Surg Am."},{"key":"R4-20260205","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":"R5-20260205","doi-asserted-by":"crossref","first-page":"504","DOI":"10.1097\/01.bot.0000172287.44278.ef","article-title":"Treatment of acute midshaft clavicle fractures: systematic review of 2144 fractures: on behalf of the evidence-based orthopaedic trauma working group","volume":"19","author":"Zlowodzki","year":"2005","journal-title":"J Orthop Trauma"},{"key":"R6-20260205","doi-asserted-by":"crossref","first-page":"1051","DOI":"10.2106\/JBJS.16.01068","article-title":"Plate fixation versus nonoperative treatment for displaced midshaft clavicular fractures: a meta-analysis of randomized controlled trials","volume":"99","author":"Woltz","year":"2017","journal-title":"J Bone Joint Surg Am"},{"key":"R7-20260205","doi-asserted-by":"crossref","first-page":"E396","DOI":"10.9778\/cmajo.20140130","article-title":"Operative versus nonoperative interventions for common fractures of the clavicle: a meta-analysis of randomized controlled trials","volume":"3","author":"Devji","year":"2015","journal-title":"CMAJ Open"},{"key":"R8-20260205","doi-asserted-by":"crossref","first-page":"171","DOI":"10.1016\/j.injury.2007.11.326","article-title":"The use of anatomic pre-contoured plates in the treatment of mid-shaft clavicle fractures","volume":"39","author":"Chandrasenan","year":"2008","journal-title":"Inj Extra"},{"key":"R9-20260205","doi-asserted-by":"crossref","first-page":"675","DOI":"10.2106\/JBJS.J.01364","article-title":"Operative versus nonoperative care of displaced midshaft clavicular fractures: a meta-analysis of randomized clinical trials","volume":"94","author":"Mckee","year":"2012","journal-title":"J Bone Joint Surg Am"},{"key":"R10-20260205","first-page":"1","article-title":"Nonoperative treatment compared with plate fixation of displaced midshaft clavicular fractures. A multicenter, randomized clinical trial","volume":"89","year":"2007","journal-title":"J Bone Joint Surg Am"},{"key":"R11-20260205","doi-asserted-by":"crossref","first-page":"1576","DOI":"10.2106\/JBJS.L.00307","article-title":"Open reduction and plate fixation versus nonoperative treatment for displaced midshaft clavicular fractures: a multicenter, randomized, controlled trial","volume":"95","author":"Robinson","year":"2013","journal-title":"J Bone Joint Surg Am"},{"key":"R12-20260205","doi-asserted-by":"crossref","first-page":"1937","DOI":"10.1177\/0363546516673615","article-title":"Surgical versus nonsurgical treatment for midshaft clavicle fractures in patients aged 16 years and older: a systematic review, meta-analysis, and comparison of randomized controlled trials and observational studies","volume":"45","author":"Smeeing","year":"2017","journal-title":"Am J Sports Med"},{"key":"R13-20260205","doi-asserted-by":"crossref","first-page":"2223","DOI":"10.1016\/j.injury.2015.08.004","article-title":"Plate fixation versus conservative treatment of displaced midshaft clavicle fractures: functional outcome and patients' satisfaction during a mean follow-up of 5 years","volume":"46","author":"Van der ven denise","year":"2015","journal-title":"Injury"},{"key":"R14-20260205","doi-asserted-by":"crossref","first-page":"778","DOI":"10.1097\/00005373-199711000-00008","article-title":"Complications of plate fixation in fresh displaced midclavicular fractures","volume":"43","author":"B\u00f6stman","year":"1997","journal-title":"J Trauma"},{"key":"R15-20260205","doi-asserted-by":"crossref","first-page":"3337","DOI":"10.1007\/s11999-011-1868-0","article-title":"Precontoured plating of clavicle fractures: decreased hardware-related complications?","volume":"469","author":"VanBeek","year":"2011","journal-title":"Clin Orthop Relat Res"},{"key":"R16-20260205","doi-asserted-by":"crossref","first-page":"448","DOI":"10.1016\/j.jse.2015.09.005","article-title":"Anteroinferior versus superior plating of clavicular fractures","volume":"25","author":"Hulsmans","year":"2016","journal-title":"J Shoulder Elbow Surg"}],"container-title":["Bulletin of the Hospital for Joint Diseases"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.lww.com\/10.1097\/bh9.0000000000000024","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,2,5]],"date-time":"2026-02-05T12:00:20Z","timestamp":1770292820000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.1097\/bh9.0000000000000024"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12]]},"references-count":15,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.1097\/bh9.0000000000000024","relation":{},"ISSN":["2328-5273"],"issn-type":[{"value":"2328-5273","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,12]]}}}