{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:50:54Z","timestamp":1787755854089,"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>We discuss a 16-year-old adolescent boy presenting with a minimally displaced greenstick fracture of the distal third ulnar diaphysis sustained during a fall playing football. Initial treatment consisted of in situ casting followed by removable forearm splinting. The patient returned 3 months postinjury with complete forearm motion loss. Imaging demonstrated a post-traumatic radioulnar synostosis. Surgical management of the synostosis restored forearm motion without recurrence.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Clinicians should be aware of this atypical presentation of a radioulnar synostosis when evaluating stiffness in the post-treatment setting even for fractures that are minimally displaced and do not require reduction or surgery.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.24.00299","type":"journal-article","created":{"date-parts":[[2024,10,31]],"date-time":"2024-10-31T14:00:38Z","timestamp":1730383238000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Distal Radioulnar Synostosis Following Greenstick Fracture of the Ulnar Diaphysis"],"prefix":"10.2106","volume":"14","author":[{"given":"David M.","family":"Kell","sequence":"first","affiliation":[{"name":"Division of Orthopaedics, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benjamin","family":"Chang","sequence":"additional","affiliation":[{"name":"Division 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":"Division of Orthopaedics, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6247-4146","authenticated-orcid":false,"given":"Brendan A.","family":"Williams","sequence":"additional","affiliation":[{"name":"Division of Orthopaedics, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2024,10]]},"reference":[{"issue":"3","key":"bib1-20241031","doi-asserted-by":"crossref","first-page":"399","DOI":"10.1016\/S0749-0712(21)01178-1","article-title":"Radioulnar synostosis","volume":"10","author":"Sachar","year":"1994","journal-title":"Hand Clin."},{"issue":"3","key":"bib2-20241031","doi-asserted-by":"crossref","first-page":"142","DOI":"10.1007\/BF00395796","article-title":"Post-traumatic radioulnar synostosis after forearm fracture osteosynthesis","volume":"110","author":"Bauer","year":"1991","journal-title":"Arch Orthop Trauma Surg."},{"issue":"3","key":"bib3-20241031","doi-asserted-by":"crossref","first-page":"287","DOI":"10.2106\/00004623-197557030-00001","article-title":"Compression-plate fixation in acute diaphyseal fractures of the radius and ulna","volume":"57","author":"Anderson","year":"1975","journal-title":"J Bone Joint Surg Am."},{"issue":"7","key":"bib4-20241031","doi-asserted-by":"crossref","first-page":"450","DOI":"10.5435\/JAAOS-20-07-450","article-title":"Management of posttraumatic radioulnar synostosis","volume":"20","author":"Bergeron","year":"2012","journal-title":"J Am Acad Orthop Surg."},{"issue":"5","key":"bib5-20241031","doi-asserted-by":"crossref","first-page":"640","DOI":"10.2106\/00004623-198769050-00002","article-title":"Cross-union complicating fracture of the forearm. Part I: adults","volume":"69","author":"Vince","year":"1987","journal-title":"J Bone Joint Surg Am."},{"issue":"6","key":"bib6-20241031","doi-asserted-by":"crossref","first-page":"855","DOI":"10.1016\/j.jse.2014.02.007","article-title":"Proximal radial diaphyseal segment resection for posttraumatic proximal radioulnar synostosis: a prospective study of 15 cases","volume":"23","author":"Kamrani","year":"2014","journal-title":"J Shoulder Elbow Surg."},{"issue":"2","key":"bib7-20241031","doi-asserted-by":"crossref","first-page":"143","DOI":"10.1016\/J.JHSB.2006.09.004","article-title":"The use of a proximally based posterior interosseous adipofascial flap to prevent recurrence of synostosis of the elbow joint and forearm","volume":"32","author":"Jones","year":"2007","journal-title":"J Hand Surg Eur Vol."},{"issue":"5","key":"bib8-20241031","doi-asserted-by":"crossref","first-page":"598","DOI":"10.1097\/01241398-200209000-00006","article-title":"Surgical treatment of posttraumatic radioulnar synostosis in children","volume":"22","author":"Aner","year":"2002","journal-title":"J Pediatr Orthops."},{"issue":"2","key":"bib9-20241031","doi-asserted-by":"crossref","first-page":"308","DOI":"10.1016\/j.jhsa.2009.11.015","article-title":"Radial artery perforator flap","volume":"35","author":"Ho","year":"2010","journal-title":"J Hand Surg Am."},{"issue":"1","key":"bib10-20241031","doi-asserted-by":"crossref","first-page":"1","DOI":"10.2106\/JBJS.CC.21.00590","article-title":"Post-traumatic radioulnar synostosis in distal forearm fractures in children: a report of 2 cases","volume":"12","author":"Gounot","year":"2022","journal-title":"JBJS Case Connector."}],"container-title":["JBJS Case Connector"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.24.00299","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T13:52:33Z","timestamp":1787752353000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.24.00299"}},"subtitle":["A Case Report"],"short-title":[],"issued":{"date-parts":[[2024,10]]},"references-count":10,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2024]]}},"URL":"https:\/\/doi.org\/10.2106\/jbjs.cc.24.00299","relation":{},"ISSN":["2160-3251"],"issn-type":[{"value":"2160-3251","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,10]]}}}