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The patient underwent closed reduction and serial casting, but hand weakness and forearm sensory loss persisted. Needle electromyography localized the injury to the mid\/proximal arm near the fracture site, resulting in damage to the posterior and medial cords of the brachial plexus with profound involvement of the radial, ulnar, and median nerves and sparing of the axillary nerve. After months of occupational therapy, hand strength improved, with a nearly full return of function.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p>V<\/jats:p><\/jats:sec>","DOI":"10.1016\/j.pmrj.2017.05.009","type":"journal-article","created":{"date-parts":[[2017,6,10]],"date-time":"2017-06-10T10:00:50Z","timestamp":1497088850000},"page":"1294-1298","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Brachial Plexus Injury in a 6\u2010Year\u2010Old Boy with 100% Displaced Proximal Humeral Metaphyseal Fracture: A Case Presentation"],"prefix":"10.1002","volume":"9","author":[{"given":"Elizabeth Nora","family":"Jovanovich","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"suffix":"Jr.","given":"James F.","family":"Howard","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,6,9]]},"reference":[{"key":"e_1_2_5_2_2","doi-asserted-by":"publisher","DOI":"10.1097\/01202412-199704000-00002"},{"key":"e_1_2_5_3_2","doi-asserted-by":"publisher","DOI":"10.3171\/2010.3.PEDS09538"},{"key":"e_1_2_5_4_2","doi-asserted-by":"crossref","first-page":"77","DOI":"10.5435\/JAAOS-D-14-00033","article-title":"Evaluation and management of pediatric proximal humerus fractures","volume":"23","author":"Popkin C.A.","year":"2015","journal-title":"J Am Acad Orthop Surg"},{"key":"e_1_2_5_5_2","doi-asserted-by":"publisher","DOI":"10.1067\/mse.2001.118002"},{"key":"e_1_2_5_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0303-8467(99)00011-6"},{"key":"e_1_2_5_7_2","doi-asserted-by":"crossref","first-page":"24","DOI":"10.1016\/S0266-7681(05)80009-9","article-title":"A slowly evolving brachial plexus injury following a proximal humeral fracture in a child","volume":"20","author":"Drew S.J.","year":"1995","journal-title":"J Hand Surg Br"},{"key":"e_1_2_5_8_2","volume-title":"Pediatric Clinical Electromyography","author":"Jones H.R.","year":"1996"},{"key":"e_1_2_5_9_2","doi-asserted-by":"publisher","DOI":"10.4103\/0972-2327.107686"},{"key":"e_1_2_5_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0733-8619(18)30189-0"},{"key":"e_1_2_5_11_2","doi-asserted-by":"crossref","first-page":"2066","DOI":"10.1016\/j.jse.2016.09.008","article-title":"Outcomes after operative treatment of elbow contractures in the pediatric and adolescent population","volume":"25","author":"Ek E.T.","year":"2016","journal-title":"J Shoulder Elbow Surg"}],"container-title":["PM&amp;R"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1016%2Fj.pmrj.2017.05.009","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1934148217306573?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1934148217306573?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.pmrj.2017.05.009","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,14]],"date-time":"2023-09-14T11:39:56Z","timestamp":1694691596000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1016\/j.pmrj.2017.05.009"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,6,9]]},"references-count":10,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2017,12]]}},"alternative-id":["10.1016\/j.pmrj.2017.05.009"],"URL":"https:\/\/doi.org\/10.1016\/j.pmrj.2017.05.009","archive":["Portico"],"relation":{},"ISSN":["1934-1482","1934-1563"],"issn-type":[{"value":"1934-1482","type":"print"},{"value":"1934-1563","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,6,9]]},"assertion":[{"value":"2016-06-24","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2017-05-05","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2017-06-09","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}