{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,26]],"date-time":"2026-03-26T14:06:58Z","timestamp":1774534018108,"version":"3.50.1"},"reference-count":38,"publisher":"SLACK, Inc.","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Orthopedics"],"published-print":{"date-parts":[[2026,3,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Midshaft clavicle fracture (MSCF) combined with ipsilateral acromioclavicular joint dislocations (ACJD) are rare injuries with no consensus on optimal management. This study evaluated a novel technique using a titanium elastic nail (TEN) for MSCF fixation combined with coracoclavicular (CC) ligament reconstruction and acromioclavicular (AC) joint capsule repair for ACJD stabilization.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>This retrospective study included 7 patients with MSCF and ipsilateral ACJD who were treated between November 2017 and February 2024. Surgical procedures involved TEN fixation for the MSCF and CC ligament reconstruction with No. 5 Ethibond sutures, augmented with AC joint capsule suturing using No. 2 Ethibond sutures. Clinical assessments included the Constant-Murley score (CMS), Disabilities of the Arm, Shoulder, and Hand (DASH) score, visual analog scale (VAS), range of motion, radiographs, and complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Mean follow-up was 24.9 months. All fractures healed at a mean of 10.9 weeks. The mean CMS was 95.9 points (range, 92\u2013100 points), the mean DASH was 5.0 points (range, 2\u20139 points), and the mean VAS was 0.4 points (range, 0\u20132 points). The mean active forward flexion, abduction, external rotation, and internal rotation (level) were 175\u00b0, 169\u00b0, 56\u00b0, and T9, respectively. One patient required nail removal for persistent skin irritation. No major complications occurred, including nonunion, implant failure, AC joint arthritis, or recurrent dislocation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The simple, combined technique of TEN fixation with CC ligament and AC joint capsule reconstruction provided reliable stability and satisfactory short-term radiographic and functional outcomes for MSCF with ipsilateral ACJD, representing a viable, minimally invasive alternative.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3928\/01477447-20260216-01","type":"journal-article","created":{"date-parts":[[2026,3,26]],"date-time":"2026-03-26T13:12:47Z","timestamp":1774530767000},"source":"Crossref","is-referenced-by-count":0,"title":["A Novel Technique for Midshaft Clavicle Fracture With Ipsilateral Acromioclavicular Dislocation: Titanium Elastic Nail Combined With Coracoclavicular Ligament Reconstruction and Joint Capsule Suture"],"prefix":"10.3928","volume":"49","author":[{"given":"Lu-Lu","family":"Zeng","sequence":"first","affiliation":[{"name":"Department of Anesthesiology, Zhuhai People's Hospital, The Affiliated Hospital of Beijing Institute of Technology, Zhuhai Clinical Medical College of Jinan University, Guangdong, China."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hai-Lin","family":"Wu","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Zhuhai People's Hospital, The Affiliated Hospital of Beijing Institute of Technology, Zhuhai Clinical Medical College of Jinan University, Guangdong, China."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yuan-Hui","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Zhuhai People's Hospital, The Affiliated Hospital of Beijing Institute of Technology, Zhuhai Clinical Medical College of Jinan University, Guangdong, China."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Heng","family":"Fu","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Zhuhai People's Hospital, The Affiliated Hospital of Beijing Institute of Technology, Zhuhai Clinical Medical College of Jinan University, Guangdong, China."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yu-Wen","family":"Jiang","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Zhuhai People's Hospital, The Affiliated Hospital of Beijing Institute of Technology, Zhuhai Clinical Medical College of Jinan University, Guangdong, China."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lang-Qing","family":"Zeng","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Zhuhai People's Hospital, The Affiliated Hospital of Beijing Institute of Technology, Zhuhai Clinical Medical College of Jinan University, Guangdong, China."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2308","reference":[{"key":"e_1_3_1_2_2","doi-asserted-by":"publisher","DOI":"10.1067\/mse.2002.126613"},{"key":"e_1_3_1_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1058-2746(05)80063-1"},{"key":"e_1_3_1_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2008.09.011"},{"key":"e_1_3_1_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1058-2746(05)80069-2"},{"key":"e_1_3_1_6_2","doi-asserted-by":"publisher","DOI":"10.1097\/00042752-200209000-00011"},{"key":"e_1_3_1_7_2","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199274010-00018"},{"key":"e_1_3_1_8_2","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.F.00020"},{"key":"e_1_3_1_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2014.12.013"},{"key":"e_1_3_1_10_2","doi-asserted-by":"publisher","DOI":"10.3928\/01477447-20210618-10"},{"issue":"3","key":"e_1_3_1_11_2","first-page":"532","article-title":"Surgical treatment of acromioclavicular dislocation associated with midshaft fracture of the ipsilateral clavicle","volume":"86","author":"Schots JP","year":"2020","unstructured":"Schots JP, van Laarhoven SN, Hustinx PA, Pijnenburg AM, Meesters B, de Loos ER. Surgical treatment of acromioclavicular dislocation associated with midshaft fracture of the ipsilateral clavicle. Acta Orthop Belg. 2020;86(3):532\u2013538. PMID:33581039","journal-title":"Acta Orthop Belg"},{"key":"e_1_3_1_12_2","doi-asserted-by":"publisher","DOI":"10.4103\/0973-6042.123536"},{"issue":"1","key":"e_1_3_1_13_2","first-page":"69","article-title":"Simultaneous middle third clavicle fracture and type 3 acromioclavicular joint dislocation; a case report","volume":"2","author":"Solooki S","year":"2014","unstructured":"Solooki S, Azad A. Simultaneous middle third clavicle fracture and type 3 acromioclavicular joint dislocation; a case report. Arch Bone Jt Surg. 2014;2(1):69\u201371. PMID:25207318","journal-title":"Arch Bone Jt Surg"},{"key":"e_1_3_1_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.xrrt.2022.11.007"},{"key":"e_1_3_1_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2016.12.021"},{"key":"e_1_3_1_16_2","doi-asserted-by":"publisher","DOI":"10.4103\/0973-6042.174518"},{"key":"e_1_3_1_17_2","doi-asserted-by":"publisher","DOI":"10.12659\/AJCR.939325"},{"key":"e_1_3_1_18_2","doi-asserted-by":"publisher","DOI":"10.13107\/jocr.2024.v14.i09.4714"},{"key":"e_1_3_1_19_2","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.J.01364"},{"key":"e_1_3_1_20_2","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.J.01999"},{"key":"e_1_3_1_21_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2012.11.023"},{"key":"e_1_3_1_22_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2009.09.004"},{"key":"e_1_3_1_23_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546508315200"},{"key":"e_1_3_1_24_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2010.10.030"},{"key":"e_1_3_1_25_2","doi-asserted-by":"publisher","unstructured":"Spencer HT Hsu L Sodl J Arianjam A Yian EH. Radiographic failure and rates of re-operation after acromioclavicular joint reconstruction: a comparison of surgical techniques. Bone Joint J. 2016;98-B(4):512\u2013518. 10.1302\/0301-620X.98B4.35935 PMID:27037434","DOI":"10.1302\/0301-620X.98B4.35935"},{"key":"e_1_3_1_26_2","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.N.00497"},{"key":"e_1_3_1_27_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11552-011-9323-y"},{"key":"e_1_3_1_28_2","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.H.00034"},{"key":"e_1_3_1_29_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2023.08.008"},{"key":"e_1_3_1_30_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0126131"},{"key":"e_1_3_1_31_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-022-06929-0"},{"key":"e_1_3_1_32_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2023.05.015"},{"key":"e_1_3_1_33_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2023.05.023"},{"key":"e_1_3_1_34_2","doi-asserted-by":"publisher","DOI":"10.1177\/1758573214564496"},{"key":"e_1_3_1_35_2","doi-asserted-by":"publisher","DOI":"10.5435\/JAAOS-D-24-00696"},{"key":"e_1_3_1_36_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00402-022-04382-9"},{"key":"e_1_3_1_37_2","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.74828"},{"key":"e_1_3_1_38_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2023.03.019"},{"key":"e_1_3_1_39_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00590-016-1898-0"}],"container-title":["Orthopedics"],"original-title":[],"language":"en","deposited":{"date-parts":[[2026,3,26]],"date-time":"2026-03-26T13:12:54Z","timestamp":1774530774000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.healio.com\/doi\/10.3928\/01477447-20260216-01"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3,1]]},"references-count":38,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2026,3,1]]}},"alternative-id":["10.3928\/01477447-20260216-01"],"URL":"https:\/\/doi.org\/10.3928\/01477447-20260216-01","relation":{},"ISSN":["0147-7447","1938-2367"],"issn-type":[{"value":"0147-7447","type":"print"},{"value":"1938-2367","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3,1]]}}}