{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T12:08:00Z","timestamp":1791893280573,"version":"4.3.4"},"reference-count":26,"publisher":"British Editorial Society of Bone & Joint Surgery","issue":"5","license":[{"start":{"date-parts":[[2009,5,1]],"date-time":"2009-05-01T00:00:00Z","timestamp":1241136000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/online.boneandjoint.org.uk\/TDM"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["The Journal of Bone and Joint Surgery. British volume"],"published-print":{"date-parts":[[2009,5]]},"abstract":"<jats:p> Between 1998 and 2007, 22 patients with fractures of the scapula had operative treatment more than three weeks after injury. The indications for operation included displaced intra-articular fractures, medialisation of the glenohumeral joint, angular deformity, or displaced double lesions of the superior shoulder suspensory complex. <\/jats:p><jats:p> Radiological and functional outcomes were obtained for 16 of 22 patients. Disabilities of the Arm, Shoulder, Hand (DASH) and Short form-36 scores were collected for 14 patients who were operated on after March 2002. The mean delay from injury to surgery was 30 days (21 to 57). The mean follow-up was for 27 months (12 to 72). At the last review the mean DASH score was 14 (0 to 41). Of the 16 patients with follow-up, 13 returned to their previous employment and recreational activities without restrictions. No wound complications, infection or nonunion occurred. <\/jats:p><jats:p> Malunion of the scapula can be prevented by surgical treatment of fractures in patients with delayed presentation. Surgery is safe, effective, and gives acceptable functional results. <\/jats:p>","DOI":"10.1302\/0301-620x.91b5.22158","type":"journal-article","created":{"date-parts":[[2009,4,30]],"date-time":"2009-04-30T22:16:17Z","timestamp":1241129777000},"page":"619-626","source":"Crossref","is-referenced-by-count":63,"title":["Delayed operative management of fractures of the scapula"],"prefix":"10.1302","volume":"91-B","author":[{"given":"D. A.","family":"Herrera","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, University of Alabama at Birmingham, 1313 13th Street South, #113, Birmingham, Alabama, 35205, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.","family":"Anavian","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, University of Minnesota, Regions Hospital, 640 Jackson Street, Mailstop 11503L, Saint Paul, Minnesota 55101, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"I. 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