{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:45:08Z","timestamp":1787755508376,"version":"build-2784847793"},"reference-count":10,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","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>Distal phalangeal fractures are often treated conservatively. However, some patients experience residual pain. We report 2 cases of patients who underwent low-intensity pulsed ultrasound (LIPUS) therapy for pseudarthrosis after fracture of the distal phalanx of the fifth toe with symphalangism. Both patients (female, 63 and 33-year-old, respectively) underwent conservative treatment with buddy-taping fixation; however, bone union failed, and LIPUS therapy was initiated. In both cases, bone union was achieved and pain resolved after 3 months.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Bone union occasionally fails after conservative treatment of distal phalangeal fractures. LIPUS is a useful treatment of symptomatic pseudarthrosis after such fractures.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.23.00227","type":"journal-article","created":{"date-parts":[[2023,8,31]],"date-time":"2023-08-31T14:35:49Z","timestamp":1693492549000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Low-Intensity Pulsed Ultrasound for Symptomatic Pseudarthrosis After Toe Fracture with Symphalangism"],"prefix":"10.2106","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4930-0007","authenticated-orcid":false,"given":"Hiroaki","family":"Shima","sequence":"first","affiliation":[{"name":"Department of Orthopedic Surgery, Osaka Medical and Pharmaceutical University, Takatsuki, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kosho","family":"Togei","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Osaka Medical and Pharmaceutical University, Takatsuki, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2799-504X","authenticated-orcid":false,"given":"Yoshihiro","family":"Hirai","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Osaka Medical and Pharmaceutical University, Takatsuki, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ken","family":"Tanaka","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Osaka Medical and Pharmaceutical University, Takatsuki, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Atsunori","family":"Saito","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Osaka Medical and Pharmaceutical University, Takatsuki, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4777-6204","authenticated-orcid":false,"given":"Toshito","family":"Yasuda","sequence":"additional","affiliation":[{"name":"Faculty of Nursing, Osaka Medical and Pharmaceutical University, Takatsuki, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9208-6419","authenticated-orcid":false,"given":"Masashi","family":"Neo","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Osaka Medical and Pharmaceutical University, Takatsuki, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2023,7]]},"reference":[{"issue":"8","key":"bib1-20240805","doi-asserted-by":"crossref","first-page":"691","DOI":"10.1016\/j.injury.2006.04.130","article-title":"Epidemiology of adult fractures: a review","volume":"37","author":"Court-Brown","year":"2006","journal-title":"Injury."},{"issue":"8","key":"bib3-20240805","doi-asserted-by":"crossref","first-page":"690","DOI":"10.1177\/107110070002100812","article-title":"Fracture of an interphalangeal coalition: a report of two cases","volume":"21","author":"Sammarco","year":"2000","journal-title":"Foot Ankle Int."},{"issue":"3","key":"bib4-20240805","doi-asserted-by":"crossref","first-page":"69","DOI":"10.5704\/MOJ.1911.012","article-title":"Surgical fixation and inter-phalangeal arthrodesis of symptomatic non-union of fracture of a lesser toe distal phalanx: a case report","volume":"13","author":"Gl","year":"2019","journal-title":"Malays Orthop J."},{"key":"bib7-20240805","first-page":"133","article-title":"Fractures of the forefoot","volume":"39","author":"Shereff","year":"1990","journal-title":"Instr Course Lect."},{"issue":"3","key":"bib8-20240805","doi-asserted-by":"crossref","first-page":"307","DOI":"10.1053\/j.jfas.2011.02.003","article-title":"Demographics and functional outcome of toe fractures","volume":"50","author":"Van Vliet-Koppert","year":"2011","journal-title":"J Foot Ankle Surg."},{"issue":"3","key":"bib9-20240805","first-page":"175","article-title":"Clinical study of symphalangism and toe fractures in human feet (in Japanese)","volume":"32","author":"Asami","year":"2001","journal-title":"J Kyorin Med Soc."},{"issue":"2","key":"bib10-20240805","first-page":"619","article-title":"Results of the bi-phalangeal toe fracture at the site of fusion (in Japanese)","volume":"41","author":"Hatanaka","year":"2019","journal-title":"Kossetsu."},{"issue":"11","key":"bib11-20240805","doi-asserted-by":"crossref","first-page":"2589","DOI":"10.2106\/JBJS.H.00841","article-title":"Extracorporeal shock-wave therapy compared with surgery for hypertrophic long-bone nonunions","volume":"91","author":"Cacchio","year":"2009","journal-title":"J Bone Joint Surg Am."},{"issue":"1","key":"bib12-20240805","doi-asserted-by":"crossref","first-page":"24","DOI":"10.1186\/1749-799X-7-24","article-title":"Pulsed electromagnetic fields for the treatment of tibial delayed unions and nonunions. A prospective clinical study and review of the literature","volume":"7","author":"Assiotis","year":"2012","journal-title":"J Orthop Surg Res."},{"issue":"3","key":"bib13-20240805","doi-asserted-by":"crossref","first-page":"e78","DOI":"10.2106\/JBJS.CC.N.00209","article-title":"Low-intensity pulsed ultrasound bone stimulator treatment for symptomatic distal phalangeal shaft fracture nonunion","volume":"5","author":"Abboudi","year":"2015","journal-title":"JBJS Case Connect."}],"container-title":["JBJS Case Connector"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.23.00227","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T13:44:17Z","timestamp":1787751857000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.23.00227"}},"subtitle":["A Report of 2 Cases"],"short-title":[],"issued":{"date-parts":[[2023,7]]},"references-count":10,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2023]]}},"URL":"https:\/\/doi.org\/10.2106\/jbjs.cc.23.00227","relation":{},"ISSN":["2160-3251"],"issn-type":[{"value":"2160-3251","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,7]]}}}