{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T02:15:26Z","timestamp":1787019326089,"version":"build-2736575974"},"reference-count":33,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2022,10,12]],"date-time":"2022-10-12T00:00:00Z","timestamp":1665532800000},"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":[[2023,12]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The primary aim of this study was to determine the epidemiology of lateral-end clavicle fractures in adolescents. The secondary aim was to assess the outcome following non-operative management.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective review of all adolescent clavicle fractures over a 10-year period was undertaken. Fracture classification, demographics, management, and complications were analysed. Functional outcomes were undertaken with the Quick Disabilities of Arm, Shoulder and Hand and EuroQol five-dimension at mean 8.8 years post-injury.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>In total, 677 clavicle fractures were analysed, 8.7% were lateral-end fractures ( n\u2009=\u200959\/677). The median age was 14.6 (range: 13\u201317) and 92% were male ( n\u2009=\u200954\/59). The incidence was 0.17 per 100,000 per year. All displaced physeal fractures (Neer IV n\u2009=\u200914) were managed non-operatively and of the six followed-up, all united with good outcomes. The adult type displaced fracture (Neer II) occurred in fifteen fractures, five underwent operative fixation and ten were managed non-operatively with one subsequent nonunion ( n\u2009=\u20091\/10). Those patients that underwent non-operative management (response n\u2009=\u20095\/10, 50%) reported a median Quick Disabilities of Arm, Shoulder and Hand of 2.3 but approximately 40% reported cosmetic and outcome dissatisfaction at long-term follow-up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Displaced Neer II lateral-end clavicle fractures are rare in the adolescent population. Although nonunion is rare, some dissatisfaction with cosmesis persists at long-term follow-up despite good functional outcomes with non-operative management.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/17585732221131922","type":"journal-article","created":{"date-parts":[[2022,10,12]],"date-time":"2022-10-12T03:33:15Z","timestamp":1665545595000},"page":"619-625","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Adolescent displaced lateral-end clavicle fractures are not comparable to the adult variant. Epidemiology, fracture patterns and outcome of non-operative management"],"prefix":"10.1177","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0421-5354","authenticated-orcid":false,"given":"LD","family":"Baxendale-Smith","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, University of Edinburgh, Edinburgh, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R","family":"Teed","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, University of Edinburgh, Edinburgh, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3640-8254","authenticated-orcid":false,"given":"JA","family":"Nicholson","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, University of Edinburgh, Edinburgh, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2022,10,12]]},"reference":[{"key":"bibr1-17585732221131922","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2007.01.036"},{"key":"bibr2-17585732221131922","doi-asserted-by":"publisher","DOI":"10.1308\/003588402760452457"},{"key":"bibr3-17585732221131922","doi-asserted-by":"publisher","DOI":"10.1186\/s12891-017-1444-1"},{"key":"bibr4-17585732221131922","doi-asserted-by":"publisher","DOI":"10.1067\/mse.2002.126613"},{"key":"bibr5-17585732221131922","doi-asserted-by":"publisher","DOI":"10.1097\/01.bot.0000172287.44278.ef"},{"key":"bibr6-17585732221131922","doi-asserted-by":"publisher","DOI":"10.1016\/j.rbo.2015.02.003"},{"key":"bibr7-17585732221131922","doi-asserted-by":"publisher","DOI":"10.1177\/036354659101900616"},{"key":"bibr8-17585732221131922","doi-asserted-by":"publisher","DOI":"10.5435\/00124635-201107000-00002"},{"key":"bibr9-17585732221131922","doi-asserted-by":"publisher","DOI":"10.1007\/s00402-010-1196-y"},{"key":"bibr10-17585732221131922","volume":"13","author":"Vikas V","year":"2021","journal-title":"Cureus"},{"key":"bibr11-17585732221131922","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200407000-00002"},{"key":"bibr12-17585732221131922","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2021.03.151"},{"key":"bibr13-17585732221131922","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-012-1514-9"},{"key":"bibr14-17585732221131922","doi-asserted-by":"publisher","DOI":"10.1097\/BPB.0000000000000301"},{"key":"bibr15-17585732221131922","doi-asserted-by":"publisher","DOI":"10.1097\/BPO.0000000000000258"},{"key":"bibr16-17585732221131922","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.95B5.31332"},{"key":"bibr17-17585732221131922","doi-asserted-by":"publisher","DOI":"10.1097\/BOT.0000000000000527"},{"key":"bibr18-17585732221131922","doi-asserted-by":"publisher","DOI":"10.1302\/1863-2548.12.170155"},{"key":"bibr19-17585732221131922","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2017.06.040"},{"key":"bibr20-17585732221131922","doi-asserted-by":"publisher","DOI":"10.1155\/2011\/172571"},{"key":"bibr21-17585732221131922","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.103B5.BJJ-2020-1929.R1"},{"key":"bibr22-17585732221131922","doi-asserted-by":"publisher","DOI":"10.1097\/NOR.0b013e3181b579d3"},{"key":"bibr23-17585732221131922","doi-asserted-by":"publisher","DOI":"10.1097\/BPO.0000000000000757"},{"key":"bibr24-17585732221131922","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.80B3.0800476"},{"key":"bibr25-17585732221131922","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.K.01275"},{"key":"bibr26-17585732221131922","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-196303000-00001"},{"key":"bibr27-17585732221131922","first-page":"81","volume":"29","author":"Ode GE","year":"2020","journal-title":"J Surg Orthop Adv"},{"key":"bibr28-17585732221131922","doi-asserted-by":"publisher","DOI":"10.1016\/j.otsr.2019.05.013"},{"key":"bibr29-17585732221131922","doi-asserted-by":"publisher","DOI":"10.1093\/bmb\/ldw029"},{"key":"bibr30-17585732221131922","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.98B1.36260"},{"key":"bibr31-17585732221131922","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2020.10.019"},{"key":"bibr32-17585732221131922","doi-asserted-by":"publisher","DOI":"10.1007\/s12018-019-09260-4"},{"key":"bibr33-17585732221131922","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-009-0753-9"}],"container-title":["Shoulder &amp; 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