{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,23]],"date-time":"2025-09-23T13:41:12Z","timestamp":1758634872594},"reference-count":14,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"11","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pediatr Emer Care"],"published-print":{"date-parts":[[2017,11]]},"abstract":"<jats:sec>\n            <jats:title>Objective<\/jats:title>\n            <jats:p>The aim of this study was to verify the use of initial plain radiographs, specifically the presence of a longitudinal crack on the olecranon, for diagnosing olecranon occult fractures in children.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods<\/jats:title>\n            <jats:p>We retrospectively reviewed all patients younger than 16 years who were diagnosed with proximal radial fractures treated at our hospital between April 1, 2006 and September 31, 2014. We included 22 patients (9 boys and 13 girls) with a mean age of 8.5 years. Three hand surgeons were blinded to each other's results after examining all the initial radiographs of the injured elbows. To diagnose the fracture, we evaluated computed tomography scans in 9 cases and follow-up radiographs in the other 13 cases. Finally, we classified the fractured olecranon into 3 types: medial crack, posterior flat, and posterior crack.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results<\/jats:title>\n            <jats:p>Twelve cases (54.5%) had associated olecranon fractures. According to the fracture type of the olecranon, 3 cases were a medial crack, 5 were a posterior flat, and 3 were a posterior crack. Each type of fracture had characteristic findings on plain radiographs. The mean value for sensitivity was 97.2% (range, 91.7%\u2013100%), and the specificity was 90.0% (90.0%).<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusions<\/jats:title>\n            <jats:p>Our data indicated that this easy, noninvasive use of plain radiographs for checking whether a longitudinal crack exists on the olecranon benefits the patient by preventing missed diagnoses of pediatric olecranon fractures.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1097\/pec.0000000000000899","type":"journal-article","created":{"date-parts":[[2016,10,7]],"date-time":"2016-10-07T12:03:07Z","timestamp":1475841787000},"page":"e105-e107","source":"Crossref","is-referenced-by-count":4,"title":["Useful Plain Radiographic Findings in Diagnosis of Pediatric Olecranon Fracture Complicated With Proximal Radial Fracture"],"prefix":"10.1097","volume":"33","author":[{"given":"Yuki","family":"Fujihara","sequence":"first","affiliation":[{"name":"From the *Inazawa Municipal Hospital, Inazawa City; \u2020Hand and Microsurgery Center, Anjo Kosei Hospital, Anjo City; \u2021Tsushima Municipal Hospital, Tsushima City; \u00a7Shizuoka Saiseikai General Hospital, Suruga Ward, Shizuoka City; and \u2016Department of Hand Surgery, Nagoya University School of Medicine, Showaku, Nagoya City, Japan."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masahiro","family":"Tatebe","sequence":"additional","affiliation":[{"name":"From the *Inazawa Municipal Hospital, Inazawa City; \u2020Hand and Microsurgery Center, Anjo Kosei Hospital, Anjo City; \u2021Tsushima Municipal Hospital, Tsushima City; \u00a7Shizuoka Saiseikai General Hospital, Suruga Ward, Shizuoka City; and \u2016Department of Hand Surgery, Nagoya University School of Medicine, Showaku, Nagoya City, Japan."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nasa","family":"Fujihara","sequence":"additional","affiliation":[{"name":"From the *Inazawa Municipal Hospital, Inazawa City; \u2020Hand and Microsurgery Center, Anjo Kosei Hospital, Anjo City; \u2021Tsushima Municipal Hospital, Tsushima City; \u00a7Shizuoka Saiseikai General Hospital, Suruga Ward, Shizuoka City; and \u2016Department of Hand Surgery, Nagoya University School of Medicine, Showaku, Nagoya City, Japan."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hiromasa","family":"Tanaka","sequence":"additional","affiliation":[{"name":"From the *Inazawa Municipal Hospital, Inazawa City; \u2020Hand and Microsurgery Center, Anjo Kosei Hospital, Anjo City; \u2021Tsushima Municipal Hospital, Tsushima City; \u00a7Shizuoka Saiseikai General Hospital, Suruga Ward, Shizuoka City; and \u2016Department of Hand Surgery, Nagoya University School of Medicine, Showaku, Nagoya City, Japan."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hitoshi","family":"Hirata","sequence":"additional","affiliation":[{"name":"From the *Inazawa Municipal Hospital, Inazawa City; \u2020Hand and Microsurgery Center, Anjo Kosei Hospital, Anjo City; \u2021Tsushima Municipal Hospital, Tsushima City; \u00a7Shizuoka Saiseikai General Hospital, Suruga Ward, Shizuoka City; and \u2016Department of Hand Surgery, Nagoya University School of Medicine, Showaku, Nagoya City, Japan."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"bib1-20230930","doi-asserted-by":"crossref","first-page":"1206","DOI":"10.1016\/j.injury.2004.12.033","article-title":"Missed Monteggia injuries","volume":"36","year":"2005","journal-title":"Injury"},{"key":"bib2-20230930","doi-asserted-by":"crossref","first-page":"1394","DOI":"10.2106\/JBJS.H.00644","article-title":"Long-term clinical and radiographic outcomes after open reduction for missed Monteggia fracture-dislocations in children","volume":"91","year":"2009","journal-title":"J Bone Joint Surg Am"},{"key":"bib3-20230930","doi-asserted-by":"crossref","first-page":"763","DOI":"10.1097\/BPO.0000000000000199","article-title":"A line drawn along the radial shaft misses the capitellum in 16% of radiographs of normal elbows","volume":"34","year":"2014","journal-title":"J Pediatr Orthop"},{"key":"bib4-20230930","doi-asserted-by":"crossref","first-page":"53","DOI":"10.2214\/ajr.176.1.1760053","article-title":"Acute elbow trauma in children: spectrum of injury revealed by MR imaging not apparent on radiographs","volume":"176","year":"2001","journal-title":"AJR Am J Roentgenol"},{"key":"bib5-20230930","doi-asserted-by":"crossref","first-page":"28","DOI":"10.1097\/00005373-200207000-00006","article-title":"Advanced ultrasonic diagnosis of extremity trauma: the FASTER examination","volume":"53","year":"2002","journal-title":"J Trauma"},{"key":"bib6-20230930","doi-asserted-by":"crossref","first-page":"329","DOI":"10.1097\/01.TA.0000088005.35520.CB","article-title":"Goal-directed ultrasound in the detection of long-bone fractures","volume":"57","year":"2004","journal-title":"J Trauma"},{"key":"bib7-20230930","doi-asserted-by":"crossref","first-page":"123","DOI":"10.1007\/s10396-010-0263-x","article-title":"Ultrasound diagnosis of juvenile forearm fractures","volume":"37","year":"2010","journal-title":"J Med Ultrason (2001)"},{"key":"bib8-20230930","doi-asserted-by":"crossref","first-page":"9","DOI":"10.1016\/j.annemergmed.2012.07.112","article-title":"Accuracy of point-of-care ultrasonography for diagnosis of elbow fractures in children","volume":"61","year":"2013","journal-title":"Ann Emerg Med"},{"key":"bib10-20230930","doi-asserted-by":"crossref","first-page":"987","DOI":"10.2214\/ajr.176.4.1760987","article-title":"Rate of abnormal osteoarticular radiographic findings in pediatric patients","volume":"176","year":"2001","journal-title":"AJR Am J Roentgenol"},{"key":"bib11-20230930","doi-asserted-by":"crossref","first-page":"508","DOI":"10.1302\/0301-620X.39B3.508","article-title":"Anterior dislocation of the head of the radius associated with undisplaced fracture of the olecranon in children","volume":"39-B","year":"1957","journal-title":"J Bone Joint Surg Br"},{"key":"bib14-20230930","first-page":"1177","article-title":"Accuracy of emergency room physicians' interpretation of elbow fractures in children","volume":"31","year":"2008","journal-title":"Orthopedics"},{"key":"bib15-20230930","doi-asserted-by":"crossref","first-page":"710","DOI":"10.1080\/02841850600806340","article-title":"Systematic analysis of missed extremity fractures in emergency radiology","volume":"47","year":"2006","journal-title":"Acta Radiol"},{"key":"bib16-20230930","doi-asserted-by":"crossref","first-page":"756","DOI":"10.1097\/BPO.0000000000000299","article-title":"Radial neck fractures in children: results when open reduction is indicated","volume":"34","year":"2014","journal-title":"J Pediatr Orthop"},{"key":"bib17-20230930","doi-asserted-by":"crossref","first-page":"127","DOI":"10.1097\/BPB.0b013e32835b5700","article-title":"Percutaneous reduction and intramedullary fixation technique for displaced pediatric radial neck fractures","volume":"22","year":"2013","journal-title":"J Pediatr Orthop B"}],"container-title":["Pediatric Emergency Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.lww.com\/00006565-201711000-00014","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,30]],"date-time":"2023-09-30T08:08:10Z","timestamp":1696061290000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/00006565-201711000-00014"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,11]]},"references-count":14,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2017]]}},"URL":"https:\/\/doi.org\/10.1097\/pec.0000000000000899","relation":{},"ISSN":["1535-1815","0749-5161"],"issn-type":[{"value":"1535-1815","type":"electronic"},{"value":"0749-5161","type":"print"}],"subject":[],"published":{"date-parts":[[2017,11]]}}}