{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T15:26:51Z","timestamp":1785425211887,"version":"3.56.0"},"reference-count":9,"publisher":"SAGE Publications","issue":"10","license":[{"start":{"date-parts":[[2017,9,29]],"date-time":"2017-09-29T00:00:00Z","timestamp":1506643200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Telemed Telecare"],"published-print":{"date-parts":[[2017,12]]},"abstract":"<jats:p>The clavicle is one of the most commonly fractured bones in the adult population. Management has traditionally been conservative, however more recent research has yielded higher non-union rates associated with non-operative management. This study aims to analyse the proportion of operative and non-operative treatment methods for clavicle fracture in a tertiary hospital facility and rural health sites accessed via telehealth, comparing patient outcome between these two methods of fracture management. Following ethical approval, a retrospective review was conducted of patients presenting with clavicle fractures to the Princess Alexandra Hospital Fracture Clinics and to Orthopaedic Fracture Clinics run via teleconference with rural health sites. Only 2% of patients received operative fracture management in the telehealth group, versus 33% in the tertiary hospital sample. Patient outcome was measured in the larger tertiary hospital sample, with clinical notes reflecting good patient outcome in 70% of operatively managed patients and 85% of patients with conservatively managed clavicle fractures. For the patients in the telehealth sample that returned for follow-up appointments, 93% reported a good outcome with one of these individuals undergoing operative treatment and the rest managed conservatively.<\/jats:p>","DOI":"10.1177\/1357633x17733503","type":"journal-article","created":{"date-parts":[[2017,9,29]],"date-time":"2017-09-29T04:53:16Z","timestamp":1506660796000},"page":"856-860","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":8,"title":["Clavicle fracture management: A comparison of a tertiary hospital and rural telehealth sites"],"prefix":"10.1177","volume":"23","author":[{"given":"Megan","family":"McKerrow","sequence":"first","affiliation":[{"name":"Department of Orthopaedics, Princess Alexandra Hospital, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"North","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Princess Alexandra Hospital, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2017,9,29]]},"reference":[{"key":"bibr1-1357633X17733503","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.80B3.8079"},{"key":"bibr2-1357633X17733503","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2012.01.019"},{"key":"bibr3-1357633X17733503","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-196805000-00006"},{"key":"bibr4-1357633X17733503","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.H.00034"},{"key":"bibr5-1357633X17733503","doi-asserted-by":"crossref","first-page":"e814","DOI":"10.3928\/01477447-20160517-06","volume":"39","author":"Burnham J","year":"2016","journal-title":"Orthopedics"},{"key":"bibr6-1357633X17733503","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1960.03020100014003"},{"key":"bibr7-1357633X17733503","doi-asserted-by":"publisher","DOI":"10.1007\/s00590-013-1370-3"},{"key":"bibr8-1357633X17733503","doi-asserted-by":"publisher","DOI":"10.1177\/0300060515621638"},{"key":"bibr9-1357633X17733503","doi-asserted-by":"crossref","first-page":"587","DOI":"10.1067\/mse.2002.127096","volume":"11","author":"McKee R","year":"2002","journal-title":"J Shoulder Elbow Surg"}],"container-title":["Journal of Telemedicine and Telecare"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1357633X17733503","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1357633X17733503","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1357633X17733503","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T03:11:59Z","timestamp":1777691519000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1357633X17733503"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,9,29]]},"references-count":9,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2017,12]]}},"alternative-id":["10.1177\/1357633X17733503"],"URL":"https:\/\/doi.org\/10.1177\/1357633x17733503","relation":{},"ISSN":["1357-633X","1758-1109"],"issn-type":[{"value":"1357-633X","type":"print"},{"value":"1758-1109","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,9,29]]}}}