{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T18:40:08Z","timestamp":1756320008334,"version":"3.44.0"},"reference-count":16,"publisher":"BMJ","issue":"5","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2019,5,1]]},"published-print":{"date-parts":[[2019,5]]},"abstract":"<jats:p>A 15-year-old boy with right humeral shortening underwent distraction osteogenesis with 1\u2009mm\/day lengthening. Preoperative Sauvegrain method showed skeletal maturity and lengthening did not account for future growth. Functional loading was encouraged 2\u2009months before end of consolidation phase to hasten consolidation and fixator removal was done in the clinic without local anaesthesia at the patient\u2019s request 1\u2009month earlier. A Sarmiento brace was made and compliance taught to the patient; however, the patient did not wear the brace and resumed body weight exercise weeks after removal of the fixator. Two months after removal of the external fixator, plain radiographs showed good recanalisation of the humeral shaft with no fracture or distortion. However, the left humerus grew and is now 1\u2009cm longer than the right humerus. Nevertheless, the patient was satisfied with the upper limb length discrepancy.<\/jats:p>","DOI":"10.1136\/bcr-2018-228222","type":"journal-article","created":{"date-parts":[[2019,5,15]],"date-time":"2019-05-15T17:29:04Z","timestamp":1557941344000},"page":"e228222","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Distraction osteogenesis of the humerus: a case of 100% humeral lengthening in a short duration without permanent complications"],"prefix":"10.1136","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6211-4546","authenticated-orcid":false,"given":"Sheng Da Jowell","family":"Cheng","sequence":"first","affiliation":[{"name":"MD Program, Duke\u2013NUS Medical School, Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kenneth Pak Leung","family":"Wong","sequence":"additional","affiliation":[{"name":"KK Women\u2019s and Children\u2019s Hospital, Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2019,5,15]]},"reference":[{"key":"2025082711145992000_12.5.e228222.1","doi-asserted-by":"crossref","first-page":"117","DOI":"10.1097\/00003086-199001000-00014","article-title":"Lengthening of the humerus using the Ilizarov technique. Description of the method and report of 43 cases","volume":"250","author":"Cattaneo","year":"1990","journal-title":"Clin Orthop Relat Res"},{"key":"2025082711145992000_12.5.e228222.2","doi-asserted-by":"crossref","first-page":"1577","DOI":"10.1302\/0301-620X.97B11.36037","article-title":"Bilateral humeral lengthening in achondroplasia with unilateral external fixators: is it safe and does it improve daily life?","volume":"97-B","author":"Balci","year":"2015","journal-title":"Bone Joint J"},{"key":"2025082711145992000_12.5.e228222.3","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-200110000-00029"},{"key":"2025082711145992000_12.5.e228222.4","doi-asserted-by":"crossref","first-page":"128","DOI":"10.1302\/0301-620X.94B1.27567","article-title":"Comparison between upper and lower limb lengthening in patients with achondroplasia: a retrospective study","volume":"94","author":"Kim","year":"2012","journal-title":"J Bone Joint Surg Br"},{"key":"2025082711145992000_12.5.e228222.5","first-page":"597","article-title":"Bilateral humeral lengthening in patients with achondroplasia","volume":"92","author":"Marangoz","year":"2010","journal-title":"J Bone Joint Surg Br"},{"key":"2025082711145992000_12.5.e228222.6","doi-asserted-by":"publisher","DOI":"10.1097\/00004694-200003000-00004"},{"key":"2025082711145992000_12.5.e228222.7","doi-asserted-by":"crossref","first-page":"585","DOI":"10.1007\/s11832-016-0789-6","article-title":"Humeral lengthening and deformity correction","volume":"10","author":"Hosny","year":"2016","journal-title":"J Child Orthop"},{"key":"2025082711145992000_12.5.e228222.8","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-012-2543-9"},{"key":"2025082711145992000_12.5.e228222.9","doi-asserted-by":"crossref","first-page":"1432","DOI":"10.2106\/00004623-200010000-00010","article-title":"Multiplier method for predicting limb-length discrepancy","volume":"82-A","author":"Paley","year":"2000","journal-title":"J Bone Joint Surg Am"},{"key":"2025082711145992000_12.5.e228222.10","doi-asserted-by":"crossref","first-page":"385.e1","DOI":"10.1016\/j.jhsa.2007.11.007","article-title":"Multiplier method for limb-length prediction in the upper extremity","volume":"33","author":"Paley","year":"2008","journal-title":"J Hand Surg Am"},{"key":"2025082711145992000_12.5.e228222.11","unstructured":"Sauvegrain J , Nahum H , Bronstein H . Study of bone maturation of the elbow. in Annales de radiologie , 1962."},{"key":"2025082711145992000_12.5.e228222.12","doi-asserted-by":"publisher","DOI":"10.1007\/BF00390185"},{"key":"2025082711145992000_12.5.e228222.13","doi-asserted-by":"publisher","DOI":"10.3109\/17453674.2013.786636"},{"key":"2025082711145992000_12.5.e228222.14","doi-asserted-by":"publisher","DOI":"10.1097\/BPB.0b013e328341bc87"},{"key":"2025082711145992000_12.5.e228222.15","doi-asserted-by":"publisher","DOI":"10.1097\/BPO.0b013e3181f0eaf9"},{"key":"2025082711145992000_12.5.e228222.16","first-page":"636","article-title":"Humeral lengthening by distraction osteogenesis: a safe procedure?","volume":"79","author":"Ruette","year":"2013","journal-title":"Acta Orthop Belg"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2018-228222","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T18:15:07Z","timestamp":1756318507000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2018-228222"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,5]]},"references-count":16,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2019,5,15]]},"published-print":{"date-parts":[[2019,5]]}},"alternative-id":["10.1136\/bcr-2018-228222"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2018-228222","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2019,5]]}}}