{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:44:51Z","timestamp":1787755491775,"version":"build-2784847793"},"reference-count":20,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>We present a case of a 6-year-old male child with ipsilateral proximal and distal physeal separation of humerus with subperiosteal extrusion after manipulation by a bonesetter. Treatment included open reduction and internal fixation with Kirschner wire proximally and distally. At 1.5-year follow-up, the child had a shortening of 0.5 cm, no pain, and\/or no instability.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Manipulation by bonesetters, a commonplace in developing countries, can produce unpredictable complications and compromise outcomes. Although accepted in certain settings, the regional orthopaedic surgeons should be mindful of the unique clinical challenges imposed by such a practice.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.20.00881","type":"journal-article","created":{"date-parts":[[2022,1,31]],"date-time":"2022-01-31T23:01:32Z","timestamp":1643670092000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Ipsilateral Displaced Physeal Fractures of the Proximal and Distal Humerus with Subperiosteal Extrusion in a 6-Year-Old Child"],"prefix":"10.2106","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9713-2485","authenticated-orcid":false,"given":"Aditya","family":"Kaushal","sequence":"first","affiliation":[{"name":"Department of Orthopaedics, PGIMER, Chandigarh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2324-1117","authenticated-orcid":false,"given":"Sanya","family":"Vermani","sequence":"additional","affiliation":[{"name":"Department of Radiodiagnosis, PGIMER, Chandigarh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3286-0203","authenticated-orcid":false,"given":"Jessica","family":"Kaushal","sequence":"additional","affiliation":[{"name":"Government Medical College, Amritsar, Punjab, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4840-7868","authenticated-orcid":false,"given":"Lalit","family":"Kaushal","sequence":"additional","affiliation":[{"name":"Magnus Hospital, Panchkula, Haryana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2021,10]]},"reference":[{"key":"bib1-20240805","doi-asserted-by":"crossref","first-page":"24","DOI":"10.1097\/00003086-196500410-00003","article-title":"Fractures of the proximal humeral epiphysial plate","volume":"41","author":"Neer","year":"1965","journal-title":"Clin Orthop Relat Res."},{"issue":"2","key":"bib2-20240805","doi-asserted-by":"crossref","first-page":"89","DOI":"10.1007\/s12306-008-0050-7","article-title":"Fractures of the proximal humerus in children","volume":"92","author":"Di Gennaro","year":"2008","journal-title":"Chir Organi Mov."},{"issue":"3","key":"bib3-20240805","doi-asserted-by":"crossref","first-page":"255","DOI":"10.3109\/17453679008993512","article-title":"Fractures of the proximal humerus in children. Nine-year follow-up of 64 unoperated on cases","volume":"61","author":"Larsen","year":"1990","journal-title":"Acta Orthop Scand."},{"issue":"2","key":"bib4-20240805","doi-asserted-by":"crossref","first-page":"84","DOI":"10.4103\/0189-6725.44183","article-title":"Operative treatment of proximal humeral fractures in children: indications and results","volume":"5","author":"Odehouri","year":"2008","journal-title":"Afr J Paediatr Surg."},{"key":"bib5-20240805","doi-asserted-by":"crossref","first-page":"41","DOI":"10.1097\/01.blo.0000156005.01503.43","article-title":"Pediatric shoulder trauma","volume":"432","author":"Bishop","year":"2005","journal-title":"Clin Orthop Relat Res."},{"issue":"2","key":"bib6-20240805","doi-asserted-by":"crossref","first-page":"208","DOI":"10.1097\/01241398-200303000-00015","article-title":"Severely displaced proximal humeral epiphyseal fractures","volume":"23","author":"Dobbs","year":"2003","journal-title":"J Pediatr 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