{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T19:11:28Z","timestamp":1777662688570,"version":"3.51.4"},"reference-count":10,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2020,5,23]],"date-time":"2020-05-23T00:00:00Z","timestamp":1590192000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Hand (New York, N,Y.)"],"published-print":{"date-parts":[[2020,9]]},"abstract":"<jats:p>Background: Although cases of impaired long bone growth due to bone and joint infections in childhood are sometimes reported, few cases of growth impairment of the ulna due to septic osteomyelitis have been described. We report herein a case of ulnar partial physeal arrest treated using the Langenski\u00f6ld procedure. Materials and Methods: A boy developed septic osteomyelitis of the right distal ulna at age 2 years 6 months. Osteomyelitis subsided after antibiotic treatment and external immobilization. As a result of impaired growth of the ulna along the long axis, shortening and trumpet-shaped deformity of the metaphysis gradually appeared. Computed tomography revealed a bony bridge, and premature epiphyseal closure due to osteomyelitis was diagnosed. The Langenski\u00f6ld procedure was performed at 4 years 4 months old. Results: As of 2 years 9 months later, no further ulnar shortening has occurred and morphological remodeling has been confirmed. Conclusions: The treatments employed for ulnar shortening include ulnar lengthening by callotasis as well as stapling of the distal radial epiphyseal line or radial shortening osteotomy. In this case, the Langenski\u00f6ld procedure proved effective because the patient was still young with growth potential and the area of the bony bridge after osteomyelitis-induced epiphyseal line damage was &lt;30%.<\/jats:p>","DOI":"10.1177\/1558944720919183","type":"journal-article","created":{"date-parts":[[2020,5,23]],"date-time":"2020-05-23T03:22:32Z","timestamp":1590204152000},"page":"NP63-NP67","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Langenski\u00f6ld Procedure for Treatment of Partial Growth Arrest of Distal Ulna After Septic Osteomyelitis: A Case Report"],"prefix":"10.1177","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0465-9641","authenticated-orcid":false,"given":"Takashi","family":"Yoshida","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, North Medical Center, Kyoto Prefectural University of Medicine, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yoshinobu","family":"Oka","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Atsushi","family":"Nishida","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hiroaki","family":"Wada","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wook-Cheol","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Uji Takeda Hospital, Kyoto, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2020,5,23]]},"reference":[{"key":"bibr1-1558944720919183","doi-asserted-by":"publisher","DOI":"10.1097\/01241398-198101010-00002"},{"key":"bibr2-1558944720919183","unstructured":"Beaty JH, Kasser JR. Rockwood and Wilkins\u2019 Fractures in Children. 7th ed. Philadelphia, PA: Lippincott Williams & Willkins; 2010:91-119."},{"key":"bibr3-1558944720919183","doi-asserted-by":"publisher","DOI":"10.1007\/s11552-012-9464-7"},{"key":"bibr4-1558944720919183","doi-asserted-by":"publisher","DOI":"10.1097\/01241398-199603000-00012"},{"key":"bibr5-1558944720919183","doi-asserted-by":"publisher","DOI":"10.1016\/S0266-7681(96)80090-8"},{"key":"bibr6-1558944720919183","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2009.09.002"},{"key":"bibr7-1558944720919183","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.93B11.27538"},{"key":"bibr8-1558944720919183","doi-asserted-by":"publisher","DOI":"10.1097\/BPO.0b013e31821a5e27"},{"key":"bibr9-1558944720919183","doi-asserted-by":"publisher","DOI":"10.1016\/j.hcl.2005.11.001"},{"key":"bibr10-1558944720919183","first-page":"65","volume":"6","author":"Klassen RA","year":"1982","journal-title":"Ortho Trans"}],"container-title":["HAND"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1558944720919183","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1558944720919183","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1558944720919183","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T07:29:56Z","timestamp":1777447796000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1558944720919183"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,5,23]]},"references-count":10,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2020,9]]}},"alternative-id":["10.1177\/1558944720919183"],"URL":"https:\/\/doi.org\/10.1177\/1558944720919183","relation":{},"ISSN":["1558-9447","1558-9455"],"issn-type":[{"value":"1558-9447","type":"print"},{"value":"1558-9455","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,5,23]]}}}