{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T23:17:08Z","timestamp":1789773428650,"version":"4.0.1"},"reference-count":25,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2023,6,28]],"date-time":"2023-06-28T00:00:00Z","timestamp":1687910400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"the Key Clinical Specialty of Fujian Province","award":["20220104"],"award-info":[{"award-number":["20220104"]}]},{"name":"The authors gratefully acknowledge the financial support of the Fujian Provincial Clinical Medical Research Center for First Aid and Rehabilitation in Orthopedic Trauma","award":["2020Y2014"],"award-info":[{"award-number":["2020Y2014"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Children's Orthopaedics"],"published-print":{"date-parts":[[2023,8]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>The simultaneous and ipsilateral occurrence of medial epicondylar and radial neck fractures is rare. This study evaluated the clinical and radiological outcomes of medial to lateral diagonal injury of the elbow (MELAINE).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Six males and 6 females were diagnosed with MELAINE (left: 10, 83.3%; right: 2, 16.7%). Medial epicondylar and radial neck fractures were classified according to Papavasiliou\u2019s classification (seven type II, two type III, three type IV) and Judet\u2019s classification (three type I, four type II and five type III), respectively. All patients underwent surgery. The carrying angle, range of motion, and Kim et al. Elbow Performance Score were used to evaluate clinical and functional outcomes; related complications were recorded.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Mean age at injury and mean follow-up were 11.1\u2009\u00b1\u20092.5 (range, 6\u201314) and 40\u2009\u00b1\u200925.6\u2009months (range, 13\u201390), respectively. All fractures consolidated in 6.3\u2009\u00b1\u20091.2\u2009weeks on average (4\u20139). Outcomes were good (n\u2009=\u20091; 8.3%) to excellent (n\u2009=\u200911; 91.7%). The carrying angle of the injured and uninjured side was 15.5\u00b0\u00b1\u20092.6\u00b0 and 14.7\u00b0\u00b1\u20092\u00b0, respectively (p\u2009=\u20090.218). The range of motion of elbow flexion-extension and forearm pronation-supination of the injured side was 144.2\u00b0\u00b1\u200910.4\u00b0, 4.6\u00b0\u00b1\u20095.4\u00b0, 76.7\u00b0\u00b1\u20099.1\u00b0, 80.4\u00b0\u00b1\u20099.2\u00b0, respectively, with no significant differences from the healthy side (p\u2009&gt;\u20090.05). The Elbow Performance Score of the injured and uninjured side was 96.3\u2009\u00b1\u20095.3 and 98.8\u2009\u00b1\u20092.3, respectively (p\u2009=\u20090.139). No cases of infection, cubitus valgus, stiffness, or instability were recorded.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Although uncommon, MELAINE should not be neglected. Surgery aims to stabilize the elbow and avoid valgus deformity. If diagnosed and treated, clinical and radiological results are excellent in most cases.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/18632521231182422","type":"journal-article","created":{"date-parts":[[2023,6,28]],"date-time":"2023-06-28T08:30:39Z","timestamp":1687941039000},"page":"339-347","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":6,"title":["Diagnosis and treatment of \u201cmedial to lateral diagonal injury of the elbow\u201d in children: Concomitant medial epicondylar and radial neck fractures"],"prefix":"10.1177","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6594-9917","authenticated-orcid":false,"given":"Yunan","family":"Lu","sequence":"first","affiliation":[{"name":"Department of Pediatric Orthopedics, Fuzhou Second Hospital Affiliated to Xiamen University, The Third Clinical Medical College of Fujian Medical University, Fuzhou, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Federico","family":"Canavese","sequence":"additional","affiliation":[{"name":"Department of Pediatric Orthopedic Surgery, Lille University Centre, Jeanne de Flandre Hospital, Lille, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yongjie","family":"Xia","sequence":"additional","affiliation":[{"name":"Department of Pediatric Orthopedics, Shenzhen Children\u2019s Hospital, Shenzhen, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ran","family":"Lin","sequence":"additional","affiliation":[{"name":"Department of Pediatric Orthopedics, Fuzhou Second Hospital Affiliated to Xiamen University, The Third Clinical Medical College of Fujian Medical University, Fuzhou, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dianhua","family":"Huang","sequence":"additional","affiliation":[{"name":"Department of Pediatric Orthopedics, Fuzhou Second Hospital Affiliated to Xiamen University, The Third Clinical Medical College of Fujian Medical University, Fuzhou, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tianlai","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Pediatric Orthopedics, Fuzhou Second Hospital Affiliated to Xiamen University, The Third Clinical Medical College of Fujian Medical University, Fuzhou, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shunyou","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Pediatric Orthopedics, Fuzhou Second Hospital Affiliated to Xiamen University, The Third Clinical Medical College of Fujian Medical University, Fuzhou, China"},{"name":"Fujian Provincial Clinical Medical Research Center for First Aid and Rehabilitation in Orthopedic Trauma, Fuzhou, China"},{"name":"Key Clinical Specialty of Fujian Province, Fuzhou, 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