{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:39:55Z","timestamp":1787755195688,"version":"build-2784847793"},"reference-count":10,"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>A Salter-Harris II fracture of the small finger middle phalanx with complete extrusion of the epiphyseal fragment in a 6-year-old boy is described. Closed reduction was unsuccessful. Open reduction was performed, the epiphysis was reduced, and a single Kirschner wire was placed obliquely across the fracture and joint.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>This is an extremely rare injury. Open reduction and pinning was successful in preserving functional range of motion. Despite eventual growth arrest, there was no clinically significant angular deformity, and the joint was preserved. Surgical technique and early hand therapy allowed the patient to return to high-level activity without pain or functional limitation thus far at the 27-month follow-up.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.21.00184","type":"journal-article","created":{"date-parts":[[2021,10,20]],"date-time":"2021-10-20T16:07:56Z","timestamp":1634746076000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Treatment of an Extruded Middle Phalanx Epiphysis in a 6-Year-Old Boy"],"prefix":"10.2106","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4658-3689","authenticated-orcid":false,"given":"Jonathon","family":"Lentz","sequence":"first","affiliation":[{"name":"The Johns Hopkins Hospital, Baltimore, Maryland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura","family":"Klingbeil","sequence":"additional","affiliation":[{"name":"Regions Hospital, St. Paul, Minnesota"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8374-9110","authenticated-orcid":false,"given":"Neal","family":"Hochwald","sequence":"additional","affiliation":[{"name":"Long Island Hand to Shoulder Center, Huntington, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0582-7237","authenticated-orcid":false,"given":"Kamal","family":"Dagly","sequence":"additional","affiliation":[{"name":"Long Island Hand to Shoulder Center, Huntington, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2021,10]]},"reference":[{"issue":"1","key":"bib1-20240805","doi-asserted-by":"crossref","first-page":"51","DOI":"10.1016\/S0072-968X(80)80029-5","article-title":"Displaced epiphyseal plate of the terminal phalanx in a child","volume":"12","author":"Michelinakis","year":"1980","journal-title":"Hand."},{"issue":"1","key":"bib2-20240805","doi-asserted-by":"crossref","first-page":"126","DOI":"10.1016\/0266-7681_90_90069-G","article-title":"Complete detachment of the epiphysis of the distal phalanx","volume":"15","author":"Savage","year":"1990","journal-title":"J Hand Surg Br."},{"issue":"4","key":"bib3-20240805","doi-asserted-by":"crossref","first-page":"581","DOI":"10.1016\/0363-5023(93)90293-C","article-title":"Dislocation of the distal phalanx epiphysis in toddlers","volume":"18","author":"Waters","year":"1993","journal-title":"J Hand Surg Am."},{"issue":"2","key":"bib4-20240805","first-page":"14","article-title":"Dislocation of the epiphysis of the distal phalanx: a case report and treatment with S-Quatro","volume":"3","author":"Sadiq","year":"2006","journal-title":"Internet J Orthop Surg."},{"issue":"5","key":"bib5-20240805","doi-asserted-by":"crossref","first-page":"465","DOI":"10.1177\/1753193412437339","article-title":"Dislocation of the unossified epiphysis of the distal phalanx of a finger","volume":"37","author":"Lee","year":"2012","journal-title":"J Hand Surg Eur Vol."},{"issue":"2","key":"bib6-20240805","doi-asserted-by":"crossref","first-page":"146","DOI":"10.1016\/S0363-5023(81)80167-0","article-title":"Extrusion of the proximal interphalangeal joint: case report","volume":"6","author":"Blair","year":"1981","journal-title":"J Hand Surg Am."},{"issue":"186","key":"bib7-20240805","first-page":"212","article-title":"An irreducible phalangeal epiphyseal fracture-dislocation. 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