{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T12:04:29Z","timestamp":1753877069162,"version":"3.41.2"},"reference-count":6,"publisher":"Oxford University Press (OUP)","issue":"12","license":[{"start":{"date-parts":[[2022,12,18]],"date-time":"2022-12-18T00:00:00Z","timestamp":1671321600000},"content-version":"vor","delay-in-days":17,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Eve Robertson-Waters is a Royal College of Surgeons 1-Year Clinical Research Fellow","award":["2022-23"],"award-info":[{"award-number":["2022-23"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,12,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>The Covid-19 pandemic encouraged remote healthcare and led to dependency on virtual fracture clinics (VFC). VFC are orthopaedic consultant-led clinics where cases are reviewed virtually following referral by emergency department clinicians. Success is contingent on a comprehensive initial history and examination. This pathway has high patient satisfaction rates and cost-saving benefits. However, clinicians must be vigilant for high-energy mechanisms or examination findings suggestive of greater underlying injury. In this case, VFC missed a rare ipsilateral annular ligament injury in a 15-year old with an undisplaced radial neck fracture, following a fall from a horse. This led to radial head dislocation and delayed surgical repair. Untreated, radial head dislocations lead to pain and reduced range of movement. Despite the rarity of this injury pattern, face-to-face orthopaedic examination would have raised concern for significant ligamentous injury. A high-energy mechanism of injury mandates face-to-face senior orthopaedic review to avoid missing serious concomitant injury.<\/jats:p>","DOI":"10.1093\/jscr\/rjac587","type":"journal-article","created":{"date-parts":[[2022,12,18]],"date-time":"2022-12-18T14:36:51Z","timestamp":1671374211000},"source":"Crossref","is-referenced-by-count":0,"title":["Virtual fracture clinics: be vigilant for the ligamentous elbow injury"],"prefix":"10.1093","volume":"2022","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2756-7501","authenticated-orcid":false,"given":"Eve E","family":"Robertson-Waters","sequence":"first","affiliation":[{"name":"Department of Trauma and Orthopaedic surgery, Addenbrooke\u2019s Hospital , Cambridge CB2 0QQ , UK"},{"name":"University of Cambridge Department of Surgery, Division of Trauma and Orthopaedic Surgery, , Addenbrooke\u2019s Hospital, Cambridge CB2 0QQ , UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rory","family":"Cuthbert","sequence":"additional","affiliation":[{"name":"Department of Trauma and Orthopaedic surgery, Addenbrooke\u2019s Hospital , Cambridge CB2 0QQ , UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lee","family":"Van Rensburg","sequence":"additional","affiliation":[{"name":"Department of Trauma and Orthopaedic surgery, Addenbrooke\u2019s Hospital , Cambridge CB2 0QQ , UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2022,12,17]]},"reference":[{"volume-title":"BOAST-Fracture Clinic Services","author":"BOA","key":"2022121814363865700_ref1"},{"key":"2022121814363865700_ref2","doi-asserted-by":"crossref","first-page":"442","DOI":"10.1302\/2058-5241.5.200041","article-title":"An analysis of virtual fracture clinics in orthopaedic trauma in the UK during the coronavirus crisis","volume":"5","author":"Rhind","year":"2020","journal-title":"EFORT Open Rev"},{"key":"2022121814363865700_ref3","doi-asserted-by":"crossref","first-page":"186","DOI":"10.1302\/1863-2548.15.200235","article-title":"One and done? Outcomes from 3961 patients managed via a virtual fracture clinic pathway for paediatric fractures","volume":"15","author":"Kennedy","year":"2021","journal-title":"J Child Orthop"},{"key":"2022121814363865700_ref4","doi-asserted-by":"crossref","first-page":"297","DOI":"10.1016\/j.jse.2013.11.006","article-title":"A new \u2018virtual\u2019 patient pathway for the management of radial head and neck fractures","volume":"23","author":"Jayaram","year":"2014","journal-title":"J Shoulder Elbow Surg"},{"key":"2022121814363865700_ref5","doi-asserted-by":"crossref","first-page":"151","DOI":"10.1302\/0301-620X.95B2.29877","article-title":"Fractures of the radial head","volume":"95-B","author":"DA","year":"2013","journal-title":"Bone Joint J"},{"key":"2022121814363865700_ref6","first-page":"620","article-title":"Anterior dislocation of the radial head in children","volume":"70","author":"Bucknill","year":"1977","journal-title":"Proc R Soc Med"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2022\/12\/rjac587\/48077030\/rjac587.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2022\/12\/rjac587\/48077030\/rjac587.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,12,18]],"date-time":"2022-12-18T14:36:58Z","timestamp":1671374218000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjac587\/6927249"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,12,1]]},"references-count":6,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2022,12,1]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjac587","relation":{},"ISSN":["2042-8812"],"issn-type":[{"type":"electronic","value":"2042-8812"}],"subject":[],"published-other":{"date-parts":[[2022,12]]},"published":{"date-parts":[[2022,12,1]]},"article-number":"rjac587"}}