{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,22]],"date-time":"2026-07-22T05:22:34Z","timestamp":1784697754776,"version":"3.55.0"},"reference-count":17,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2023,7,17]],"date-time":"2023-07-17T00:00:00Z","timestamp":1689552000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Pediatr."],"abstract":"<jats:p>This case report presents a rare and intricate pediatric floating elbow fracture involving a Monteggia-equivalent fracture, ipsilateral humeral shaft fracture, and radial nerve injury. The unique mechanism of injury highlights the importance of increased awareness and parental education for accident prevention. Elastic intramedullary nailing was employed for both humeral shaft and forearm fractures, leading to favorable outcomes. Despite the severity of the fractures and radial nerve injury, the prognosis was positive, with nerve function restoration and satisfactory functional recovery. However, the development of avascular necrosis of the radial head remains a challenge, emphasizing the need for further research to better understand and manage these uncommon and complex injuries.<\/jats:p>","DOI":"10.3389\/fped.2023.1219518","type":"journal-article","created":{"date-parts":[[2023,7,18]],"date-time":"2023-07-18T01:01:23Z","timestamp":1689642083000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":2,"title":["Case report: Pediatric floating elbow fracture with monteggia-equivalent lesion, ipsilateral humeral shaft fracture, and radial nerve injury: a unique case and favorable treatment outcomes"],"prefix":"10.3389","volume":"11","author":[{"given":"Li","family":"Ju","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mengqiu","family":"Xu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gang","family":"Lin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2023,7,17]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"500","DOI":"10.1016\/S2255-4971(15)30403-1","article-title":"Floating elbow in children: a descriptive study of 31 cases attended in a reference center for pediatric trauma","volume":"46","author":"Malheiros","year":"2011","journal-title":"Rev Bras Ortop"},{"key":"B2","doi-asserted-by":"publisher","first-page":"251","DOI":"10.5604\/01.3001.0015.9986","article-title":"Humeral shaft fractures in children incidence, management and treatment effects","volume":"24","author":"Wiktor","year":"2022","journal-title":"Ortop Traumatol Rehabil"},{"key":"B3","doi-asserted-by":"crossref","first-page":"71","DOI":"10.1097\/00003086-196701000-00008","article-title":"The monteggia lesion","volume":"50","author":"Bado","year":"1967","journal-title":"Clin Orthop Relat Res"},{"key":"B4","doi-asserted-by":"publisher","first-page":"218","DOI":"10.1097\/00003086-198011000-00031","article-title":"Simultaneous ipsilateral fractures of the arm and forearm in children","volume":"153","author":"Stanitski","year":"1980","journal-title":"Clin Orthop Relat Res"},{"key":"B5","doi-asserted-by":"publisher","first-page":"e000283","DOI":"10.1136\/wjps-2021-000283","article-title":"Monteggia equivalent lesion in children: a narrative review","volume":"4","author":"Xu","year":"2021","journal-title":"World J Pediatr Surg"},{"key":"B6","doi-asserted-by":"publisher","first-page":"e29124","DOI":"10.7759\/cureus.29124","article-title":"Pediatric floating elbow caused by a novel mechanism: a case report","volume":"14","author":"Albattat","year":"2022","journal-title":"Cureus"},{"key":"B7","first-page":"527","article-title":"Surgical treatment of fractures of the long bones in children. 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