{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:47:13Z","timestamp":1787755633585,"version":"build-2784847793"},"reference-count":61,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"9","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2023,5,3]]},"abstract":"<jats:p>\n                    <jats:list list-type=\"plain\">\n                      <jats:list-item>\n                        <jats:p>\u27a4 Current evidence suggests that the majority of clavicular fractures in adolescents can and should be treated nonoperatively.<\/jats:p>\n                      <\/jats:list-item>\n                      <jats:list-item>\n                        <jats:p>\u27a4 Although rare, in certain patients or fracture patterns, nonoperative management may be associated with delayed healing, prolonged disability, and\/or poor functional outcome requiring secondary reconstruction.<\/jats:p>\n                      <\/jats:list-item>\n                      <jats:list-item>\n                        <jats:p>\u27a4 When warranted, primary open reduction and internal fixation with plate and screw application has consistently good outcomes with a low complication rate, with the most common complication being implant-related symptoms requiring a secondary surgical procedure for implant removal.<\/jats:p>\n                      <\/jats:list-item>\n                      <jats:list-item>\n                        <jats:p>\u27a4 Prospective, comparative studies examining operative and nonoperative treatment, including measures of early return to function, injury burden, return to athletic activity, complication and reoperation rates, and shoulder-girdle-specific, long-term outcome measures are warranted to further elucidate which fractures may benefit from primary fixation.<\/jats:p>\n                      <\/jats:list-item>\n                    <\/jats:list>\n                  <\/jats:p>","DOI":"10.2106\/jbjs.22.01036","type":"journal-article","created":{"date-parts":[[2023,2,8]],"date-time":"2023-02-08T14:58:42Z","timestamp":1675868322000},"page":"713-723","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":12,"title":["Clavicular Fractures in the Adolescent"],"prefix":"10.2106","volume":"105","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4282-9584","authenticated-orcid":false,"given":"Midhat","family":"Patel","sequence":"first","affiliation":[{"name":"Department of Orthopedics, University of Arizona College of Medicine\u2013Phoenix, Phoenix, Arizona"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2572-1344","authenticated-orcid":false,"given":"Benton E.","family":"Heyworth","sequence":"additional","affiliation":[{"name":"Division of Sports Medicine, Boston Children\u2019s Hospital, Boston, Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5180-4311","authenticated-orcid":false,"given":"Niloofar","family":"Dehghan","sequence":"additional","affiliation":[{"name":"The CORE Institute, Phoenix, Arizona"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charles T.","family":"Mehlman","sequence":"additional","affiliation":[{"name":"Division of Pediatric Orthopaedic Surgery, Cincinnati Children\u2019s Hospital Medical Center, Cincinnati, Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4306-4090","authenticated-orcid":false,"given":"Michael D.","family":"McKee","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, University of Arizona College of Medicine\u2013Phoenix, Phoenix, Arizona"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2023,2,8]]},"reference":[{"issue":"8","key":"bib1-20250430","doi-asserted-by":"crossref","first-page":"675","DOI":"10.2106\/JBJS.J.01364","article-title":"Operative versus nonoperative care of displaced midshaft clavicular fractures: a meta-analysis of randomized clinical trials","volume":"94","author":"McKee","year":"2012","journal-title":"J Bone Joint Surg Am."},{"issue":"4","key":"bib2-20250430","doi-asserted-by":"crossref","first-page":"307","DOI":"10.1097\/BPO.0b013e3181db3227","article-title":"Operative versus nonoperative treatment of midshaft clavicle fractures in adolescents","volume":"30","author":"Vander Have","year":"2010","journal-title":"J Pediatr Orthop."},{"issue":"1","key":"bib3-20250430","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1097\/BPB.0000000000000810","article-title":"Plate osteosynthesis of midshaft clavicle fractures in adolescent contact sports athletes - 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