{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T04:15:00Z","timestamp":1791951300711,"version":"4.3.4"},"reference-count":7,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","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 7-year-old girl sustained a radiographic appearance seemed harmless (TRASH) elbow lesion after falling from play equipment. Initial radiographs demonstrated a transolecranon fracture-dislocation. Additional injury was suspected, given valgus instability after reduction. Subsequent magnetic resonance imaging (MRI) revealed a large osteochondral coronoid fragment only partially visible on initial radiographs and computed tomography (CT). Successful outcomes were achieved by ulnar nerve decompression, open reduction, and fixation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>TRASH lesions, including this osteochondral coronoid injury, may be overlooked in younger children because of an abundance of unossified cartilage. A high index of suspicion and early MRI can lead to successful diagnosis and treatment.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.22.00015","type":"journal-article","created":{"date-parts":[[2022,4,6]],"date-time":"2022-04-06T15:00:09Z","timestamp":1649257209000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":3,"title":["\u201cTRASH\u201d Transolecranon Fracture-Dislocation with Occult Osteochondral Coronoid Fracture"],"prefix":"10.2106","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1000-4449","authenticated-orcid":false,"given":"Jenny L.","family":"Zheng","sequence":"first","affiliation":[{"name":"Department of Orthopaedics, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9597-5665","authenticated-orcid":false,"given":"Apurva S.","family":"Shah","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania"},{"name":"Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jie","family":"Nguyen","sequence":"additional","affiliation":[{"name":"Department of Radiology, The Children's Hospital of Philadelphia, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2333-9061","authenticated-orcid":false,"given":"Keith D.","family":"Baldwin","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania"},{"name":"Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2022,4]]},"reference":[{"issue":"3","key":"bib1-20240805","doi-asserted-by":"crossref","first-page":"539","DOI":"10.1007\/s43465-020-00333-x","article-title":"Trash lesions around the elbow: a review of approach to diagnosis and management","volume":"55","author":"Patwardhan","year":"2021","journal-title":"Indian J Orthop."},{"key":"bib3-20240805","doi-asserted-by":"crossref","first-page":"S77","DOI":"10.1097\/BPO.0b013e3181c18a9f","article-title":"Elbow \u201cTRASH\u201d (The Radiographic Appearance Seemed Harmless) lesions","volume":"30","author":"Waters","year":"2010","journal-title":"J Pediatr Orthop."},{"issue":"2","key":"bib4-20240805","doi-asserted-by":"crossref","first-page":"105","DOI":"10.1097\/00013611-200015020-00003","article-title":"The medial \u201cover the top\u201d approach to the elbow","volume":"15","author":"Hotchkiss","year":"2000","journal-title":"Tech Orthop."},{"key":"bib5-20240805","doi-asserted-by":"crossref","first-page":"100399","DOI":"10.1016\/j.tcr.2021.100399","article-title":"Pediatric trans-olecranon fracture dislocation of the elbow associated with fracture of the radial head and with medial collateral ligament lesion: a case report and review of the literature","volume":"32","author":"Massetti","year":"2021","journal-title":"Trauma Case Rep."},{"issue":"8","key":"bib6-20240805","doi-asserted-by":"crossref","first-page":"2025","DOI":"10.1007\/s00264-021-05010-8","article-title":"Trans-olecranon fracture\u2013dislocation of the elbow in children","volume":"45","author":"Yang","year":"2021","journal-title":"Int Orthop."},{"issue":"7","key":"bib7-20240805","doi-asserted-by":"crossref","first-page":"1435","DOI":"10.1002\/ccr3.2268","article-title":"Isolated pediatric transolecranon fracture-dislocation of the elbow managed nonoperatively: a case report and review of literature","volume":"7","author":"Arain","year":"2019","journal-title":"Clin Case Rep."},{"issue":"1","key":"bib8-20240805","doi-asserted-by":"crossref","first-page":"213","DOI":"10.1007\/s00590-018-2294-8","article-title":"Osteochondral flap fracture of the coronoid in pediatric elbow dislocation: a case report and literature review","volume":"29","author":"Valisena","year":"2019","journal-title":"Eur J Orthop Surg Traumatol."}],"container-title":["JBJS Case Connector"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.22.00015","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T13:42:15Z","timestamp":1787751735000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.22.00015"}},"subtitle":["A Case 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