{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:41:23Z","timestamp":1787755283502,"version":"build-2784847793"},"reference-count":13,"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\/>\n                    <jats:p>An 89-year-old man presented with right elbow pain after a low-energy fall. At age 2 years, he sustained an untreated distal humeral fracture dislocation, which resulted in progressive remodeling and formation of a functional pseudoarticulation. Despite permanent deformity, he maintained stable functional motion for decades and performed heavy manual labor. Imaging revealed a displaced distal humeral fracture through the chronically remodeled elbow. Open reduction and internal fixation with a variable-angle locking plate was performed, while the pseudoarticulation was intentionally left untreated. The patient regained his preinjury functional baseline.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Fracture treatment should consider the clinical relevance of pre-existing but functional musculoskeletal abnormalities.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.25.00588","type":"journal-article","created":{"date-parts":[[2026,6,5]],"date-time":"2026-06-05T18:00:52Z","timestamp":1780682452000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Open Reduction and Internal Fixation of a Distal Humerus Fracture Through an Elbow Pseudoarticulation After Untreated Pediatric Dislocation"],"prefix":"10.2106","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-7144-7113","authenticated-orcid":false,"given":"Marc","family":"Schmid","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2033-5735","authenticated-orcid":false,"given":"Sotirios","family":"Ntaoulas","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-6404-8907","authenticated-orcid":false,"given":"Yannik","family":"Da Silva","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2512-3368","authenticated-orcid":false,"given":"Michael","family":"Dietrich","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,4]]},"reference":[{"issue":"4","key":"bib1-20260605","doi-asserted-by":"crossref","first-page":"242","DOI":"10.5455\/msm.2014.242-245","article-title":"Comparison of treatment results for fractures of the distal humerus in children according to the indication for conservative or surgical solution","volume":"26","author":"Buturovic","year":"2014","journal-title":"Materia Socio Med."},{"issue":"10","key":"bib2-20260605","doi-asserted-by":"crossref","first-page":"526","DOI":"10.1302\/2058-5241.3.170049","article-title":"Management of supracondylar fractures of the humerus in children","volume":"3","author":"Vaquero-Picado","year":"2018","journal-title":"EFORT Open Rev."},{"issue":"1","key":"bib3-20260605","doi-asserted-by":"crossref","first-page":"30","DOI":"10.1055\/s-0043-121893","article-title":"Ellenbogenfraktur im Alter\u2014erhalt oder Ersatz?","volume":"156","author":"Plath","year":"2018","journal-title":"Z Orthop Unfall."},{"key":"bib4-20260605","doi-asserted-by":"crossref","first-page":"94","DOI":"10.5397\/cise.2020.00052","article-title":"Comparison of open reduction and internal fixation with total elbow arthroplasty for intra-articular distal humeral fractures in older age: a retrospective study","volume":"23","author":"Jong Seok","year":"2020","journal-title":"Clin Shoulder Elb."},{"issue":"10","key":"bib5-20260605","doi-asserted-by":"crossref","first-page":"673","DOI":"10.5435\/JAAOS-D-15-00683","article-title":"Distal humerus fractures in the elderly population","volume":"25","author":"Varecka","year":"2017","journal-title":"The J Am Acad Orthopaedic Surgeons."},{"issue":"6","key":"bib6-20260605","doi-asserted-by":"crossref","first-page":"698","DOI":"10.4103\/0019-5413.104221","article-title":"Management of neglected lateral condyle fractures of humerus in children: a retrospective study","volume":"46","author":"Agarwal","year":"2012","journal-title":"Indian J Orthop."},{"issue":"4","key":"bib7-20260605","doi-asserted-by":"crossref","first-page":"593","DOI":"10.2106\/00004623-200204000-00013","article-title":"Long-standing nonunion of fractures of the lateral humeral condyle","volume":"84","author":"Toh","year":"2002","journal-title":"J Bone Joint Surg Am Vol."},{"issue":"2","key":"bib8-20260605","doi-asserted-by":"crossref","first-page":"509","DOI":"10.1007\/s00264-007-0463-1","article-title":"Outcome of lateral humeral condylar mass fractures in children associated with elbow dislocation or olecranon fracture","volume":"33","author":"Sharma","year":"2009","journal-title":"Int Orthop."},{"issue":"4","key":"bib9-20260605","doi-asserted-by":"crossref","first-page":"419","DOI":"10.3109\/17453678809149395","article-title":"Delayed management of fracture of the lateral humeral condyle in children","volume":"59","author":"Dhillon","year":"1988","journal-title":"Acta Orthop Scand."},{"issue":"8","key":"bib10-20260605","doi-asserted-by":"crossref","first-page":"1087","DOI":"10.2106\/00004623-197557080-00009","article-title":"Prevention and treatment of non-union of slightly displaced fractures of the lateral humeral condyle in children. 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