{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:48:16Z","timestamp":1787755696168,"version":"build-2784847793"},"reference-count":6,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>Gymnasts may suffer elbow injuries due to repetitive loading. However, coronoid stress fractures remain uncommon. We report a case of a high-level female competitive gymnast with a nondisplaced coronoid stress fracture that failed to heal with conservative management. Arthroscopic-assisted in situ fixation of the coronoid nonunion was performed, and the gymnast returned to competition after the fracture healed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Coronoid stress fractures should be considered in gymnasts presenting with chronic elbow pain. If nonoperative treatment is unsuccessful, arthroscopic fixation can be successful in stimulating healing of the nonunion without the morbidity of an open approach or bone grafting.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.20.00089","type":"journal-article","created":{"date-parts":[[2020,8,24]],"date-time":"2020-08-24T10:07:44Z","timestamp":1598263664000},"page":"e20.00089-e20.00089","source":"Crossref","is-referenced-by-count":1,"title":["Arthroscopic-assisted Fixation of a Nonunited Coronoid Stress Fracture in a Competitive Gymnast"],"prefix":"10.2106","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9231-5370","authenticated-orcid":false,"given":"Cameron G.","family":"Kerl","sequence":"first","affiliation":[{"name":"University of Texas Health Science Center at Houston, McGovern Medical School, Houston, Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3361-9809","authenticated-orcid":false,"given":"Charles M.","family":"Chassay","sequence":"additional","affiliation":[{"name":"University of Texas Health Science Center at Houston, McGovern Medical School, Houston, Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James M.","family":"Gregory","sequence":"additional","affiliation":[{"name":"University of Texas Health Science Center at Houston, McGovern Medical School, Houston, Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2020]]},"reference":[{"key":"bib1-20230720","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1155\/2016\/9172483","article-title":"Stress fracture and nonunion of coronoid process in a gymnast","volume":"2016","author":"Hetling","year":"2016","journal-title":"Case Rep Orthop."},{"issue":"4","key":"bib2-20230720","doi-asserted-by":"crossref","first-page":"321","DOI":"10.1097\/JSM.0b013e31804c777e","article-title":"Stress fracture of the coronoid process of a nonthrowing athlete: a case report","volume":"17","author":"Rettig","year":"2007","journal-title":"Clin J Sport Med."},{"issue":"1","key":"bib3-20230720","doi-asserted-by":"crossref","first-page":"40","DOI":"10.3121\/cmr.2008.753","article-title":"Coronoid fractures of the elbow","volume":"6","author":"Wells","year":"2008","journal-title":"Clin Med Res."},{"issue":"12","key":"bib4-20230720","doi-asserted-by":"crossref","first-page":"1749","DOI":"10.2106\/00004623-200012000-00009","article-title":"The role of the coronoid process in elbow stability: a biomechanical analysis of axial loading","volume":"82","author":"Closkey","year":"2000","journal-title":"J Bone Joint Surg Am."},{"issue":"3","key":"bib5-20230720","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1177\/2325967117692513","article-title":"Osteochondritis dissecans of the humeral capitellum in young athletes: comparison between baseball players and gymnasts","volume":"5","author":"Kajiyama","year":"2017","journal-title":"Orthop J Sport Med."},{"issue":"9","key":"bib6-20230720","doi-asserted-by":"crossref","first-page":"1917","DOI":"10.1177\/0363546509354969","article-title":"Osteochondritis dissecans of the capitellum","volume":"38","author":"Baker","year":"2010","journal-title":"Am J Sports Med."}],"container-title":["JBJS Case Connector"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.20.00089","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T13:46:56Z","timestamp":1787752016000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.20.00089"}},"subtitle":["A Case Report"],"short-title":[],"issued":{"date-parts":[[2020]]},"references-count":6,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2020]]}},"URL":"https:\/\/doi.org\/10.2106\/jbjs.cc.20.00089","relation":{},"ISSN":["2160-3251"],"issn-type":[{"value":"2160-3251","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020]]}}}