{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,6]],"date-time":"2025-10-06T09:23:41Z","timestamp":1759742621044,"version":"3.40.5"},"reference-count":13,"publisher":"Wiley","issue":"7-8","license":[{"start":{"date-parts":[[2022,5,19]],"date-time":"2022-05-19T00:00:00Z","timestamp":1652918400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2022,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Supracondylar fractures are the most common elbow fracture. There have been no studies published analysing flexion\u2010type fractures in the Australian paediatric population. This paper aims to investigate flexion\u2010type supracondylar fractures in an Australian paediatric population. Eight hundred and three paediatric supracondylar elbow fractures were retrospectively reviewed at one hospital over a 5 year time period. The focus was on flexion\u2010type fractures.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Supracondylar fractures that presented to the Women's and Children's Hospital Emergency Department between 2015 and 2020 were retrospectively reviewed. Fractures were classified on plain radiographs according to the Modified Gartland Classification System. Injury and treatment data were collected for flexion\u2010type fractures.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Twenty\u2010one (2.6%) of fractures were flexion\u2010type. The average age of injury was 6.8\u2009years old. Flexion\u2010type fractures were more common in females (62%) and with high energy mechanisms (81%). Ulnar nerve palsies occurred in five cases (24%). Two ulna nerve palsies did completely resolve at 3\u2009months follow up. One open fracture occurred. No vascular injuries occurred. Ten of the 21 flexion\u2010type fractures (48%) were treated surgically.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The authors conclude that: flexion fractures are uncommon, they occur more often after high energy mechanisms such as falls from monkey bars, swings, or trampolines. Flexion\u2010type fractures occur more often in slightly older females. The ulnar nerve is most frequently injured and in the current study\u2014exclusively injured. At 3\u2009month follow up, spontaneous nerve recovery had occurred in three of the five cases (60%).<\/jats:p><\/jats:sec>","DOI":"10.1111\/ans.17773","type":"journal-article","created":{"date-parts":[[2022,5,19]],"date-time":"2022-05-19T12:22:12Z","timestamp":1652962932000},"page":"1826-1830","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Incidence of <scp>flexion\u2010type<\/scp> supracondylar fractures at a single Australian level one Paediatric Trauma Centre"],"prefix":"10.1111","volume":"92","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1400-1912","authenticated-orcid":false,"given":"April","family":"De Silva","sequence":"first","affiliation":[{"name":"School of Medicine The University of Adelaide School of Medicine  4 North Terrace Adelaide South Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Angela C.","family":"Alder\u2010Price","sequence":"additional","affiliation":[{"name":"School of Medicine The University of Adelaide School of Medicine  4 North Terrace Adelaide South Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paul","family":"Allcock","sequence":"additional","affiliation":[{"name":"School of Medicine The University of Adelaide School of Medicine  4 North Terrace Adelaide South Australia Australia"},{"name":"Department of Orthopaedic Surgery Women's and Children's Hospital  72 King William Road North Adelaide South Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,5,19]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.17.00068"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/BPB.0000000000000702"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.12659\/AJCR.921293"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/230949900701500210"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1080\/17453674.2016.1176825"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.RVW.18.00114"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2018.10.012"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/01241398-200107000-00009"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.bpb.0000279032.04892.6c"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.3345\/kjp.2018.06814"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1136\/injuryprev-2019-043501"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/1753-6405.12783"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/BPO.0000000000001056"}],"container-title":["ANZ Journal of Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ans.17773","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/ans.17773","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ans.17773","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,23]],"date-time":"2023-08-23T13:30:10Z","timestamp":1692797410000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ans.17773"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,5,19]]},"references-count":13,"journal-issue":{"issue":"7-8","published-print":{"date-parts":[[2022,7]]}},"alternative-id":["10.1111\/ans.17773"],"URL":"https:\/\/doi.org\/10.1111\/ans.17773","archive":["Portico"],"relation":{},"ISSN":["1445-1433","1445-2197"],"issn-type":[{"type":"print","value":"1445-1433"},{"type":"electronic","value":"1445-2197"}],"subject":[],"published":{"date-parts":[[2022,5,19]]},"assertion":[{"value":"2022-03-23","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-04-30","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-05-19","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}