{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T07:21:59Z","timestamp":1789543319905,"version":"build-2803163510"},"reference-count":70,"publisher":"MDPI AG","issue":"7","license":[{"start":{"date-parts":[[2022,4,2]],"date-time":"2022-04-02T00:00:00Z","timestamp":1648857600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>A delay or failure to heal is the most common possible complication in clavicle fractures, especially in cases primarily treated conservatively. As the current standard therapy, surgical revision achieves good healing results, but is associated with potential surgery-related complications. Shockwave therapy as a non-invasive therapy shows similar reasonable consolidation rates in the non-union of different localizations, but avoids complications. Compromised clavicle fractures in the middle and lateral third treated with focused high-energy shockwave therapy were compared with those treated with surgical revision (ORIF). In addition, a three-dimensional computer simulation for evaluating the pressure distribution during shockwave application accompanied the clinical study. A comparable healing rate in bony consolidation was achieved in both groups. Significantly fewer complications, however, occurred in the shockwave group. The simulations showed safe application in this instance, particularly in avoiding lung tissue affection. When applied correctly, shockwaves represent a safe and promising therapy option for compromised clavicle fractures in the middle and lateral third.<\/jats:p>","DOI":"10.3390\/jcm11071988","type":"journal-article","created":{"date-parts":[[2022,4,3]],"date-time":"2022-04-03T02:59:52Z","timestamp":1648954792000},"page":"1988","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Safe and Effective Treatment of Compromised Clavicle Fracture of the Medial and Lateral Third Using Focused Shockwaves"],"prefix":"10.3390","volume":"11","author":[{"given":"Rainer","family":"Mittermayr","sequence":"first","affiliation":[{"name":"Department Meidling, AUVA Trauma Center Vienna, 1120 Vienna, Austria"},{"name":"Ludwig Boltzmann Institute for Traumatology, 1200 Vienna, Austria"},{"name":"Austrian Cluster for Tissue Regeneration, 1090 Vienna, Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicolas","family":"Haffner","sequence":"additional","affiliation":[{"name":"Ludwig Boltzmann Institute for Traumatology, 1200 Vienna, Austria"},{"name":"Austrian Cluster for Tissue Regeneration, 1090 Vienna, Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sebastian","family":"Eder","sequence":"additional","affiliation":[{"name":"Department Meidling, AUVA Trauma Center Vienna, 1120 Vienna, Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonas","family":"Flatscher","sequence":"additional","affiliation":[{"name":"Ludwig Boltzmann Institute for Traumatology, 1200 Vienna, Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wolfgang","family":"Schaden","sequence":"additional","affiliation":[{"name":"Department Meidling, AUVA Trauma Center Vienna, 1120 Vienna, Austria"},{"name":"Ludwig Boltzmann Institute for Traumatology, 1200 Vienna, Austria"},{"name":"Austrian Cluster for Tissue Regeneration, 1090 Vienna, Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul","family":"Slezak","sequence":"additional","affiliation":[{"name":"Ludwig Boltzmann Institute for Traumatology, 1200 Vienna, Austria"},{"name":"Austrian Cluster for Tissue Regeneration, 1090 Vienna, Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4718-9966","authenticated-orcid":false,"given":"Cyrill","family":"Slezak","sequence":"additional","affiliation":[{"name":"Ludwig Boltzmann Institute for Traumatology, 1200 Vienna, Austria"},{"name":"Austrian Cluster for Tissue Regeneration, 1090 Vienna, Austria"},{"name":"Department of Physics, Utah Valley University, Orem, UT 84058, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2022,4,2]]},"reference":[{"key":"ref_1","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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