{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,20]],"date-time":"2025-05-20T16:40:05Z","timestamp":1747759205215,"version":"3.41.0"},"reference-count":7,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:p>The subcondylar fossa is the bony depression between the articulating surface of the proximal and middle phalanges of the fingers that allows for full flexion at the proximal interphalangeal joint. A bony block may form in the subcondylar fossa secondary to the malunion of a proximal phalangeal neck fracture. If there is a substantial loss of flexion, surgical correction could be indicated. Corrective osteotomy is technically challenging in the proximal interphalangeal joint area as the phalangeal head is small, creating fixation challenges and carrying the risk of avascular necrosis and joint contracture. Current literature describes multiple techniques with varying complexity and there is no consensus on the ideal operation to manage these fractures after malunion. The subcondylar fossa reconstruction first proposed by Simmons and colleagues is a simple and safe surgical technique that involves directly removing the bony block at the phalangeal neck. Despite its utility, it has not been described in pediatric patients since its original report of 3 patients in 1987. This study describes the subcondylar fossa reconstruction technique and presents the outcomes of its application in 4 pediatric patients.<\/jats:p>","DOI":"10.1097\/bth.0000000000000512","type":"journal-article","created":{"date-parts":[[2025,3,27]],"date-time":"2025-03-27T10:02:15Z","timestamp":1743069735000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Subcondylar Fossa Reconstruction in Pediatric Patients Following Malunion of Proximal Phalangeal Neck Fractures: Technique and Case Series"],"prefix":"10.1097","volume":"29","author":[{"given":"David P.","family":"VanEenenaam","sequence":"first","affiliation":[{"name":"Division of Orthopaedics, The Children\u2019s Hospital of Philadelphia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarah L.","family":"Struble","sequence":"additional","affiliation":[{"name":"Division of Plastic, Reconstructive Surgery and Oral Surgery, The Children\u2019s Hospital of Philadelphia, Philadelphia, PA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eliza","family":"Buttrick","sequence":"additional","affiliation":[{"name":"Division of Orthopaedics, The Children\u2019s Hospital of Philadelphia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Benjamin","family":"Chang","sequence":"additional","affiliation":[{"name":"Division of Plastic, Reconstructive Surgery and Oral Surgery, The Children\u2019s Hospital of Philadelphia, Philadelphia, PA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9597-5665","authenticated-orcid":false,"given":"Apurva S.","family":"Shah","sequence":"additional","affiliation":[{"name":"Division of Orthopaedics, The Children\u2019s Hospital of Philadelphia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","published-online":{"date-parts":[[2025,6]]},"reference":[{"key":"R1-20250520","doi-asserted-by":"crossref","first-page":"112","DOI":"10.1054\/jhsb.2000.0506","article-title":"Phalangeal neck fractures in children: classification and outcome in 66 cases","volume":"26","author":"Al-qattan","year":"2001","journal-title":"J Hand Surg Br Eur Vol"},{"key":"R2-20250520","doi-asserted-by":"crossref","first-page":"1079","DOI":"10.1016\/S0363-5023(87)80117-X","article-title":"Subcondylar fossa reconstruction for malunion of fractures of the proximal phalanx in children","volume":"12","author":"Simmons","year":"1987","journal-title":"J Hand Surg"},{"key":"R3-20250520","doi-asserted-by":"crossref","first-page":"123","DOI":"10.1142\/S0218810414720095","article-title":"Simple surgery to improve flexion deficit resulting from mal-union of fracture neck of the proximal phalanx\u2014a case report","volume":"19","author":"Kang","year":"2014","journal-title":"Hand Surg Hand Surg"},{"key":"R4-20250520","doi-asserted-by":"crossref","first-page":"31","DOI":"10.1054\/JHSB.2001.0694","article-title":"Condylar advancement osteotomy for correcting condylar malunion of the finger","volume":"27","author":"Teoh","year":"2002","journal-title":"J Hand Surg Edinb Scotl"},{"key":"R5-20250520","doi-asserted-by":"crossref","first-page":"491","DOI":"10.3349\/ymj.2005.46.4.491","article-title":"Operative treatment for proximal phalangeal neck fractures of the finger in children","volume":"46","author":"Kang","year":"2005","journal-title":"Yonsei Med J"},{"key":"R6-20250520","doi-asserted-by":"crossref","first-page":"707","DOI":"10.1016\/j.jhsa.2004.03.007","article-title":"Percutaneous reduction of incipient malunion of phalangeal neck fractures in children1","volume":"29","author":"Waters","year":"2004","journal-title":"J Hand Surg"},{"key":"R7-20250520","doi-asserted-by":"crossref","first-page":"47","DOI":"10.34239\/ajops.v3n1.158","article-title":"Conservative treatment of subcapital phalangeal fracture malunions: a case series","volume":"3","author":"McCombe","year":"2020","journal-title":"Australas J Plast Surg"}],"container-title":["Techniques in Hand &amp; Upper Extremity Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.lww.com\/10.1097\/BTH.0000000000000512","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,5,20]],"date-time":"2025-05-20T16:00:32Z","timestamp":1747756832000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.1097\/BTH.0000000000000512"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,3,27]]},"references-count":7,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.1097\/bth.0000000000000512","relation":{},"ISSN":["1531-6572"],"issn-type":[{"type":"electronic","value":"1531-6572"}],"subject":[],"published":{"date-parts":[[2025,3,27]]}}}