{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T06:28:46Z","timestamp":1777876126386,"version":"3.51.4"},"reference-count":38,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2021,2,17]],"date-time":"2021-02-17T00:00:00Z","timestamp":1613520000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2021,2,17]],"date-time":"2021-02-17T00:00:00Z","timestamp":1613520000000},"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":["Shoulder &amp; Elbow"],"published-print":{"date-parts":[[2022,4]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Management of complex lateral end clavicle fractures with coraco-clavicular ligament disruption can be challenging.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We prospectively analysed 19 (17\u2009M:2F) patients from January 2014 to June 2016. Six patients had intra-articular fractures (Edinburgh-3B2) and the remaining were extra-articular (3B1). All patients had open reduction internal fixation with lateral end locking plate augmented with a coracoid anchor. All patients were evaluated at the final follow-up by American Shoulder and Elbow Surgeon score (ASES), Disabilities of the Arm, Shoulder and Hand (DASH), Oxford Shoulder Score (OSS), return to work, sports and radiographs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      At a mean follow-up of 54 months (range 37\u201364), 19 patients were available for analysis. Mean age of patients was 34 years (range 24\u201365). At final follow-up DASH score was 1.66 (range 0\u20135); ASES score was 98.14 (93.3\u2013100) and OSS was 46.6 (42\u201348). There was no difference in the functional outcome between 3B1 and 3B2 fractures (DASH \u2013\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      (0.51); ASES\u2009\u2013\u2009\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      (0.44); OSS \u2013\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      (0.69)). All patients returned to preinjury level of function, sports and work. Five patients needed implant removal and three developed capsulitis that resolved with conservative treatment.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Locking plate fixation, augmented with coracoid anchor is an effective option in the management of these complex injuries. The need for implant removal is reduced (26%) and there is no difference in the functional outcome between 3B1 and 3B2 fractures.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1758573220981708","type":"journal-article","created":{"date-parts":[[2021,2,21]],"date-time":"2021-02-21T08:43:06Z","timestamp":1613896986000},"page":"181-188","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":5,"title":["Outcome following management of unstable lateral end clavicle fractures with locking plate and coracoid anchor augmentation"],"prefix":"10.1177","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0074-6956","authenticated-orcid":false,"given":"Karthik","family":"Karuppaiah","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, King\u2019s College Hospital, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ahmad","family":"Bilal","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, King\u2019s College Hospital, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Toby","family":"Colegate-Stone","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, King\u2019s College Hospital, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joydeep","family":"Sinha","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, King\u2019s College Hospital, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ramon","family":"Tahmassebi","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, King\u2019s College Hospital, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adel","family":"Tavakkolizadeh","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, King\u2019s College Hospital, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2021,2,17]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-196805000-00007"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.3109\/17453679308994539"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.80B3.0800476"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200404000-00016"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200407000-00002"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00402-010-1196-y"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2009.11.056"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.92B6.23558"},{"key":"e_1_3_3_10_2","doi-asserted-by":"crossref","unstructured":"Kenyon P. 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