{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T04:54:36Z","timestamp":1785819276727,"version":"3.56.0"},"reference-count":20,"publisher":"Springer Science and Business Media LLC","issue":"6","license":[{"start":{"date-parts":[[2024,6,25]],"date-time":"2024-06-25T00:00:00Z","timestamp":1719273600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,6,25]],"date-time":"2024-06-25T00:00:00Z","timestamp":1719273600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/100006034","name":"University of Southern California","doi-asserted-by":"crossref","id":[{"id":"10.13039\/100006034","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Eur J Orthop Surg Traumatol"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Purpose<\/jats:title>\n                <jats:p>Supracondylar humerus (SCH) fractures account for approximately 30% of injuries for those younger than 7\u00a0years of age (Cheng et al. in J Pediatr Orthop 19:344\u2013350, 1999). Recent studies examining the association of patient age and SCH fracture outcomes have provided conflicting findings. The purpose of this study is to investigate SCH fracture outcomes in children at different ages of skeletal development.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>Retrospective review of a Level I pediatric trauma center between 2010 and 2014 was conducted. 190 patients with SCH fractures, age\u2009&lt;\u200914\u00a0years, fracture type Gartland III or IV (AO\/OTA 13-M 3.1 III and IV) were included. Patients were sorted into age groups:\u2009&lt;\u20092\u00a0years, 4\u20136\u00a0years, and\u2009&gt;\u20098\u00a0years. Patients were treated with either a closed or open reduction with percutaneous fixation. Clinical outcomes including postoperative elbow range of motion, nerve palsy, compartment syndrome, infection, and cubitus varus were assessed.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>Patients in younger age groups were more likely to obtain postoperative full elbow flexion (&lt;\u20092\u00a0years\u2009=\u200977%; 4\u20136\u00a0years\u2009=\u200966%;\u2009&gt;\u20098\u00a0years\u2009=\u200943%) and full elbow extension (&lt;\u20092\u00a0years\u2009=\u200996%; 4\u20136\u00a0years\u2009=\u200988%;\u2009&gt;\u20098\u00a0years\u2009=\u200964%). Age was a significant predictor of nerve palsy on admission, mean operative time (&lt;\u20092\u00a0years\u2009=\u200921.8\u00a0min; 4\u20136\u00a0years\u2009=\u200943.0\u00a0min;\u2009&gt;\u20098\u00a0years\u2009=\u200980.7\u00a0min), and mean fluoroscopy time (&lt;\u20092\u00a0years\u2009=\u200922.9\u00a0s; 4\u20136\u00a0years\u2009=\u200959.5\u00a0s;\u2009&gt;\u20098\u00a0years\u2009=\u2009171.9\u00a0s). There were no differences in rates of open reduction, compartment syndrome, pin tract infection, cubitus varus, or reoperation among groups.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>Increasing age is associated with increased elbow stiffness after percutaneous fixation of Gartland Type III and Type IV SCH fractures. Older patients with SCH fractures may benefit from formal rehabilitation.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Level of evidence<\/jats:title>\n                <jats:p>III.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00590-024-04031-4","type":"journal-article","created":{"date-parts":[[2024,6,25]],"date-time":"2024-06-25T07:01:50Z","timestamp":1719298910000},"page":"3067-3071","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Age is a predictor of elbow stiffness after type III or IV supracondylar humerus fractures"],"prefix":"10.1007","volume":"34","author":[{"given":"Kavish","family":"Gupta","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mary Kate","family":"Erdman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ali","family":"Siddiqui","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mathew","family":"Schur","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erin","family":"Meisel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rachel Y.","family":"Goldstein","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,6,25]]},"reference":[{"issue":"3","key":"4031_CR1","doi-asserted-by":"publisher","first-page":"344","DOI":"10.1097\/01241398-199905000-00011","volume":"19","author":"JC Cheng","year":"1999","unstructured":"Cheng JC, Ng BK, Ying SY, Lam PK (1999) A 10-year study of the changes in the pattern and treatment of 6,493 fractures. 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