{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:43:01Z","timestamp":1787755381291,"version":"build-2784847793"},"reference-count":7,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"\n Case:<\/jats:title>\n A 6-year-old boy sustained complete radial nerve palsy with a Gartland type III supracondylar humerus fracture (SCHF). Posteromedial displacement of the distal fragment was so severe that the tip of the proximal fragment protruded subcutaneously at the anterolateral aspect of the antecubital fossa. Immediate surgical exploration was performed to reveal radial nerve laceration. Neurorrhaphy after fixation of the fracture resulted in full recovery of radial nerve function 1 year postoperatively.<\/jats:p>\n <\/jats:sec>\n \n Conclusions:<\/jats:title>\n Severe posteromedial displacement with complete radial nerve palsy may warrant acute surgical exploration even in a closed SCHF because primary neurorrhaphy may achieve better results than late reconstruction.<\/jats:p>\n <\/jats:sec>","DOI":"10.2106\/jbjs.cc.22.00658","type":"journal-article","created":{"date-parts":[[2023,3,4]],"date-time":"2023-03-04T12:00:41Z","timestamp":1677931241000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":3,"title":["Gartland Type III Pediatric Supracondylar Humerus Fracture with Radial Nerve Laceration"],"prefix":"10.2106","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3669-3713","authenticated-orcid":false,"given":"Rina","family":"Ito","sequence":"first","affiliation":[{"name":"Department of Orthopedic Surgery, Nishio Municipal Hospital, Nishio, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0965-2350","authenticated-orcid":false,"given":"Junko","family":"Otsuka","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Japanese Red Cross Aichi Medical Center Nagoya Daiichi Hospital, Nagoya, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2732-1221","authenticated-orcid":false,"given":"Emiko","family":"Horii","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Japanese Red Cross Aichi Medical Center Nagoya Daiichi Hospital, Nagoya, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2478-2046","authenticated-orcid":false,"given":"Shukuki","family":"Koh","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Japanese Red Cross Aichi Medical Center Nagoya Daiichi Hospital, Nagoya, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2023,1]]},"reference":[{"issue":"1","key":"bib1-20240731","doi-asserted-by":"crossref","first-page":"34","DOI":"10.1097\/BPO.0b013e31829c0046","article-title":"Clinical characteristics of severe supracondylar humerus fractures in children","volume":"34","author":"Garg","year":"2014","journal-title":"J Pediatr Orthop."},{"issue":"1","key":"bib2-20240731","doi-asserted-by":"crossref","first-page":"51","DOI":"10.1097\/01202412-200601000-00011","article-title":"Neurovascular complications and severe displacement in supracondylar humerus fractures in children: defensive or offensive strategy?","volume":"15","author":"Louahem","year":"2006","journal-title":"J Pediatr Orthop B."},{"issue":"1","key":"bib3-20240731","doi-asserted-by":"crossref","first-page":"47","DOI":"10.1097\/01241398-199501000-00011","article-title":"Neurovascular injury and displacement in type III supracondylar humerus fractures","volume":"15","author":"Campbell","year":"1995","journal-title":"J Pediatr Orthop."},{"issue":"3","key":"bib4-20240731","doi-asserted-by":"crossref","first-page":"253","DOI":"10.1097\/BPO.0b013e3181d213a6","article-title":"Nerve injuries associated with pediatric supracondylar humeral fractures: a meta-analysis","volume":"30","author":"Babal","year":"2010","journal-title":"J Pediatr Orthop."},{"issue":"9","key":"bib8-20240731","doi-asserted-by":"crossref","first-page":"e652","DOI":"10.1097\/BPO.0000000000001056","article-title":"Recovery of motor nerve injuries associated with displaced, extension-type pediatric supracondylar humerus fractures","volume":"39","author":"Shore","year":"2019","journal-title":"J Pediatr Orthop."},{"issue":"6","key":"bib9-20240731","doi-asserted-by":"crossref","first-page":"851","DOI":"10.1302\/0301-620X.98B6.35686","article-title":"Nerve injuries associated with supracondylar fractures of the humerus in children: our experience in a specialist peripheral nerve injury unit","volume":"98-B","author":"Kwok","year":"2016","journal-title":"Bone Joint J."},{"issue":"6","key":"bib10-20240731","doi-asserted-by":"crossref","first-page":"647","DOI":"10.1097\/01241398-198611000-00001","article-title":"Neurological complications resulting from supracondylar fractures of the humerus in children","volume":"6","author":"McGraw","year":"1986","journal-title":"J Pediatr Orthop."}],"container-title":["JBJS Case Connector"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.22.00658","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T13:42:10Z","timestamp":1787751730000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.22.00658"}},"subtitle":["A Case 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