{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:45:16Z","timestamp":1787755516225,"version":"build-2784847793"},"reference-count":12,"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 2.5-year-old male child presented to the clinic for evaluation of left wrist popping. Ten months earlier, he sustained a closed left both-bone forearm fracture (BBFF) treated with reduction and casting. His clinical course was complicated by redisplacement requiring secondary manipulation and casting before osseous union. His parents reported wrist popping with active motion in the setting of a 20\u00b0 apex volar malunion of the midshaft radius. He has been treated with observation and monitoring of deformity remodeling.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Distal radioulnar joint instability is a potential complication of malunited BBFF, even in a pediatric population. Residual deformity, especially in the radius, should prompt clinical follow-ups after osseous union to assess functional recovery and deformity remodeling.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.21.00578","type":"journal-article","created":{"date-parts":[[2021,11,19]],"date-time":"2021-11-19T10:04:27Z","timestamp":1637316267000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Volar DRUJ Instability After Midshaft Both-Bone Forearm Fracture in a Toddler"],"prefix":"10.2106","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0289-6835","authenticated-orcid":false,"given":"T. Hunter","family":"Stocker-Downing","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, Dwight D. Eisenhower Army Medical Center, Fort Gordon, Georgia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6097-1253","authenticated-orcid":false,"given":"Francesco","family":"Biolzi","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Dwight D. Eisenhower Army Medical Center, Fort Gordon, Georgia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6958-433X","authenticated-orcid":false,"given":"Frederick P.","family":"O'Brien","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Dwight D. Eisenhower Army Medical Center, Fort Gordon, Georgia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3553-2889","authenticated-orcid":false,"given":"K. Aaron","family":"Shaw","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Dwight D. Eisenhower Army Medical Center, Fort Gordon, Georgia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2021,10]]},"reference":[{"issue":"5","key":"bib1-20240805","doi-asserted-by":"crossref","first-page":"908","DOI":"10.1053\/jhsu.2001.26322","article-title":"The frequency and epidemiology of hand and forearm fractures in the United States","volume":"26","author":"Chung","year":"2001","journal-title":"J Hand Surg Am."},{"issue":"6","key":"bib2-20240805","doi-asserted-by":"crossref","first-page":"811","DOI":"10.1097\/01241398-199911000-00021","article-title":"The management of forearm fractures in children: a plea for conservatism","volume":"19","author":"Jones","year":"1999","journal-title":"J Pediatr Orthop."},{"issue":"2","key":"bib3-20240805","first-page":"5325","article-title":"Treatment of diaphyseal forearm fractures in children","volume":"6","author":"Vopat","year":"2014","journal-title":"Orthop Rev (Pavia)."},{"issue":"3","key":"bib4-20240805","doi-asserted-by":"crossref","first-page":"146","DOI":"10.5435\/00124635-199805000-00002","article-title":"Forearm and distal radius fractures in children","volume":"6","author":"Noonan","year":"1998","journal-title":"J Am Acad Orthop Surg."},{"key":"bib5-20240805","doi-asserted-by":"crossref","first-page":"S82","DOI":"10.1097\/BPO.0b013e3181bbf1b4","article-title":"Acceptable Alignment of forearm fractures in children: open reduction indications","volume":"30","author":"Price","year":"2010","journal-title":"J Pediatr Orthop."},{"issue":"9","key":"bib6-20240805","first-page":"563","article-title":"Paediatric forearm fractures: functional outcome of conservative treatment","volume":"110","author":"Tarmuzi","year":"2009","journal-title":"Bratisl Lek Listy."},{"issue":"1","key":"bib7-20240805","doi-asserted-by":"crossref","first-page":"81.e1","DOI":"10.1016\/j.jhsa.2017.07.012","article-title":"Outcomes of isolated radial osteotomy for volar distal radioulnar joint instability following radial malunion in children","volume":"43","author":"Miller","year":"2018","journal-title":"J Hand Surg Am."},{"issue":"5","key":"bib8-20240805","doi-asserted-by":"crossref","first-page":"473","DOI":"10.1097\/BPO.0b013e318259f425","article-title":"Volar dislocation of the distal ulna in supination caused by apex volar malunion of the radial shaft: a report of 2 cases","volume":"32","author":"Bowers","year":"2012","journal-title":"J Pediatr Orthop."},{"issue":"6","key":"bib9-20240805","doi-asserted-by":"crossref","first-page":"428","DOI":"10.1097\/01.bpb.0000210594.81393.fe","article-title":"Acceptance of angulation in the non-operative treatment of paediatric forearm fractures","volume":"15","author":"Ploegmakers","year":"2006","journal-title":"J Pediatr Orthop B."},{"issue":"1","key":"bib10-20240805","doi-asserted-by":"crossref","first-page":"14","DOI":"10.2106\/00004623-198264010-00003","article-title":"The effect on supination-pronation of angular malalignment of fractures of both bones of the forearm","volume":"64","author":"Matthews","year":"1982","journal-title":"J Bone Joint Surg Am."},{"issue":"1","key":"bib11-20240805","doi-asserted-by":"crossref","first-page":"121","DOI":"10.1002\/jor.1100100115","article-title":"Angular deformities and forearm function","volume":"10","author":"Sarmiento","year":"1992","journal-title":"J Orthop Res."},{"issue":"2","key":"bib12-20240805","first-page":"84","article-title":"Remodeling of forearm fractures in children","volume":"8","author":"Johari","year":"1999r","journal-title":"J Pediatr Orthop B."}],"container-title":["JBJS Case Connector"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.21.00578","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T13:43:38Z","timestamp":1787751818000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.21.00578"}},"subtitle":["A Case Report"],"short-title":[],"issued":{"date-parts":[[2021,10]]},"references-count":12,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2021]]}},"URL":"https:\/\/doi.org\/10.2106\/jbjs.cc.21.00578","relation":{},"ISSN":["2160-3251"],"issn-type":[{"value":"2160-3251","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,10]]}}}