{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,27]],"date-time":"2026-02-27T15:37:54Z","timestamp":1772206674744,"version":"3.50.1"},"reference-count":11,"publisher":"Korean Shoulder and Elbow Society","issue":"3","license":[{"start":{"date-parts":[[2025,3,20]],"date-time":"2025-03-20T00:00:00Z","timestamp":1742428800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["cisejournal.org"],"crossmark-restriction":true},"short-container-title":["Clin Shoulder Elb"],"published-print":{"date-parts":[[2025,9,1]]},"abstract":"<jats:p>Brachial plexus paralysis is a rare but serious complication following clavicle fractures that is often linked to neurovascular compression, with an incidence of 0.5% to 9.0%. This report presents a case of brachial plexus paralysis in a 61-year-old woman after surgical fixation of a deformed mid-clavicle fracture with a metal plate. Revision surgery was performed to address the paralysis, involving removal of the metal plate, arcuate osteoplasty to create a smooth arch beneath the clavicle, and re-fixation of the plate with adjusted superior angularity. We used this approach to relieve neurovascular compression and restore thoracic outlet space. Over a period of 1 year, significant recovery and successful fracture union were achieved. This case demonstrates that managing brachial plexus paralysis with revision surgery and osteoplasty can effectively restore both neurological function and bone healing.<\/jats:p>","DOI":"10.5397\/cise.2024.00717","type":"journal-article","created":{"date-parts":[[2025,3,20]],"date-time":"2025-03-20T03:27:18Z","timestamp":1742441238000},"page":"394-399","update-policy":"https:\/\/doi.org\/10.5397\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Arcuate osteoplasty for brachial plexus paralysis after plate fixation of mid-clavicle fracture: a case report and literature review"],"prefix":"10.5397","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3612-3988","authenticated-orcid":true,"given":"Dongju","family":"Shin","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0339-1150","authenticated-orcid":true,"given":"Jae Hwi","family":"Han","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"3351","reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.13107\/jocr.2250-0685.109"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.CC.K.00124"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.95B1.29625"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1308\/003588413x13511609956174"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.2106\/jbjs.cc.n.00187"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.12671\/jkfs.2019.32.2.97"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.12671\/jkfs.2020.33.1.22"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.CC.19.00434"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1186\/s12893-021-01335-8"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1097\/bot.0000000000002343"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1016\/j.tcr.2024.101025"}],"container-title":["Clinics in Shoulder and Elbow"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/cisejournal.org\/upload\/pdf\/cise-2024-00717.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/cisejournal.org\/journal\/view.php?doi=10.5397\/cise.2024.00717","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/cisejournal.org\/upload\/pdf\/cise-2024-00717.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,1]],"date-time":"2025-09-01T03:57:37Z","timestamp":1756699057000},"score":1,"resource":{"primary":{"URL":"http:\/\/cisejournal.org\/journal\/view.php?doi=10.5397\/cise.2024.00717"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,9,1]]},"references-count":11,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2025,9]]}},"URL":"https:\/\/doi.org\/10.5397\/cise.2024.00717","relation":{},"ISSN":["2288-8721"],"issn-type":[{"value":"2288-8721","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,9,1]]},"assertion":[{"value":"2024-09-12","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-11-02","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-03-20","order":2,"name":"published","label":"Published online","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-09-01","order":3,"name":"published","label":"Print publication","group":{"name":"publication_history","label":"Publication History"}}]}}