{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T00:39:49Z","timestamp":1789000789588,"version":"build-2803163510"},"reference-count":81,"publisher":"Bioscientifica","issue":"6","license":[{"start":{"date-parts":[[2026,2,13]],"date-time":"2026-02-13T00:00:00Z","timestamp":1770940800000},"content-version":"vor","delay-in-days":2814,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.bioscientifica.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2018,6,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Clavicle fractures are common fractures and the optimal treatment strategy remains debatable. The present paper reviews the available literature and current concepts in the management of displaced and\/or shortened midshaft clavicle fractures. Operative treatment leads to improved short-term functional outcomes, increased patient satisfaction, an earlier return to sports and lower rates of non-union compared with conservative treatment. In terms of cost-effectiveness, operative treatment also seems to be advantageous. However, operative treatment is associated with an increased risk of complications and re-operations, while long-term shoulder functional outcomes are similar. The optimal treatment strategy should be one tailor-made to the patient and his\/her specific needs and expectations by utilizing a shared decision-making model.<\/jats:p>\n                  <jats:p>Cite this article: EFORT Open Rev 2018;3:374-380. DOI: 10.1302\/2058-5241.3.170033<\/jats:p>","DOI":"10.1302\/2058-5241.3.170033","type":"journal-article","created":{"date-parts":[[2018,6,20]],"date-time":"2018-06-20T03:28:02Z","timestamp":1529465282000},"page":"374-380","update-policy":"https:\/\/doi.org\/10.1530\/crossmarkpolicy-16","source":"Crossref","is-referenced-by-count":39,"title":["Midshaft clavicle fractures: Current concepts"],"prefix":"10.1530","volume":"3","author":[{"given":"Paul","family":"Hoogervorst","sequence":"first","affiliation":[{"name":"OLVG Amsterdam, Department of Orthopaedics and Traumatology, Amsterdam"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter","family":"van Schie","sequence":"additional","affiliation":[{"name":"OLVG Amsterdam, Department of Orthopaedics and Traumatology, Amsterdam"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michel PJ","family":"van den Bekerom","sequence":"additional","affiliation":[{"name":"OLVG Amsterdam, Department of Orthopaedics and Traumatology, Amsterdam"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"416","published-online":{"date-parts":[[2018,6,20]]},"reference":[{"key":"2026070711221759200_bibr1-2058-5241.3.170033","doi-asserted-by":"crossref","first-page":"476","DOI":"10.1302\/0301-620X.80B3.0800476","article-title":"Fractures of the clavicle in the adult. 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