{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T10:06:55Z","timestamp":1777889215197,"version":"3.51.4"},"reference-count":17,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2014,9,30]],"date-time":"2014-09-30T00:00:00Z","timestamp":1412035200000},"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":["J Hand Surg Eur Vol"],"published-print":{"date-parts":[[2015,7]]},"abstract":"<jats:p>The distal phalanx in Kirner\u2019s disease is abnormal and recognizable both clinically and radiologically. Despite previous investigation, the cause of these abnormalities is not clear. The current study seeks to evaluate the abnormal physis in Kirner\u2019s deformity using radiological investigation, intraoperative observation and histopathological assessment in three clinical cases. Similarities with clinodactyly are described. Three patients with Kirner\u2019s deformity underwent plain-film radiography and magnetic resonance imaging. Intraoperative observations were recorded, and histologic assessment of anatomically abnormal tissue was performed in all three cases. All three modalities of investigation (plain-film X-rays, magnetic resonance imaging and histological findings) were consistent and supported the intraoperative observation of cartilage abnormally situated anterior to the diaphysis and deep to the flexor tendon. There is thus evidence for the presence of an incomplete volar bracket or L-shaped physis in Kirner\u2019s deformity, analogous with the C-shaped bracket found in clinodactyly.<\/jats:p>\n                  <jats:p>Level of Evidence: Aetiological Study; Level 4<\/jats:p>","DOI":"10.1177\/1753193414551911","type":"journal-article","created":{"date-parts":[[2014,10,1]],"date-time":"2014-10-01T20:16:56Z","timestamp":1412194616000},"page":"633-637","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":13,"title":["The pathogenesis of Kirner\u2019s deformity: A clinical, radiological and histological study"],"prefix":"10.1177","volume":"40","author":[{"given":"S. M.","family":"Fairbank","sequence":"first","affiliation":[{"name":"Department of Plastic Reconstructive and Maxillofacial Surgery, Royal Children\u2019s Hospital, Victoria, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"W. M.","family":"Rozen","sequence":"additional","affiliation":[{"name":"Department of Plastic Reconstructive and Maxillofacial Surgery, Royal Children\u2019s Hospital, Victoria, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C. J.","family":"Coombs","sequence":"additional","affiliation":[{"name":"Department of Plastic Reconstructive and Maxillofacial Surgery, Royal Children\u2019s Hospital, Victoria, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2014,9,30]]},"reference":[{"key":"bibr1-1753193414551911","doi-asserted-by":"publisher","DOI":"10.1055\/s-2004-817890"},{"key":"bibr2-1753193414551911","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-197052080-00019"},{"key":"bibr3-1753193414551911","doi-asserted-by":"publisher","DOI":"10.1016\/S0753-9053(05)80532-0"},{"key":"bibr4-1753193414551911","doi-asserted-by":"publisher","DOI":"10.1016\/S0363-5023(86)80095-8"},{"key":"bibr5-1753193414551911","doi-asserted-by":"publisher","DOI":"10.1148\/105.2.375"},{"key":"bibr6-1753193414551911","first-page":"625","volume":"11","author":"Garavaglia C","year":"1966","journal-title":"Minerva Radiol"},{"key":"bibr7-1753193414551911","first-page":"204","volume":"14","author":"Grandis C","year":"1982","journal-title":"Handchir Mikrochir Plast Chir"},{"key":"bibr8-1753193414551911","first-page":"490","volume":"86","author":"Kaufmann H","year":"1961","journal-title":"Am J Roentgenol, Rad Ther Nucl Med"},{"key":"bibr9-1753193414551911","doi-asserted-by":"publisher","DOI":"10.1080\/03014460110045155"},{"key":"bibr10-1753193414551911","first-page":"133","volume":"60","author":"Luppino T","year":"1971","journal-title":"Chir Organi Mov"},{"key":"bibr11-1753193414551911","doi-asserted-by":"publisher","DOI":"10.1016\/S0753-9053(82)80049-5"},{"key":"bibr12-1753193414551911","first-page":"34","volume":"28","author":"Moser N","year":"1996","journal-title":"Handchir Mikrochir Plast Chir"},{"key":"bibr13-1753193414551911","first-page":"1023","volume":"109","author":"Niederwieser E","year":"1979","journal-title":"Schweiz Med Wochenschr"},{"key":"bibr14-1753193414551911","doi-asserted-by":"publisher","DOI":"10.1148\/104.1.1"},{"key":"bibr15-1753193414551911","doi-asserted-by":"publisher","DOI":"10.1111\/cga.12010"},{"key":"bibr16-1753193414551911","doi-asserted-by":"publisher","DOI":"10.1007\/s00276-005-0011-x"},{"key":"bibr17-1753193414551911","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-196648060-00014"}],"container-title":["Journal of Hand Surgery (European Volume)"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1753193414551911","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1753193414551911","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1753193414551911","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T22:46:56Z","timestamp":1777502816000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1753193414551911"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,9,30]]},"references-count":17,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2015,7]]}},"alternative-id":["10.1177\/1753193414551911"],"URL":"https:\/\/doi.org\/10.1177\/1753193414551911","relation":{},"ISSN":["1753-1934","2043-6289"],"issn-type":[{"value":"1753-1934","type":"print"},{"value":"2043-6289","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014,9,30]]}}}