{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,22]],"date-time":"2026-01-22T23:19:00Z","timestamp":1769123940356,"version":"3.49.0"},"reference-count":19,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,1,22]],"date-time":"2026-01-22T00:00:00Z","timestamp":1769040000000},"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:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Surgical intervention is indicated for significantly displaced lateral humeral condyle fractures (LHCFs) in children. Arthroscopic-assisted closed reduction represents a minimally invasive alternative; however, its widespread adoption has been limited by the technical challenges inherent in both pediatric fracture management and elbow arthroscopy. This study introduces a simplified technique utilizing a single proximal anterolateral portal for arthroscopic-assisted reduction, which has shown promising efficacy and safety.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective analysis was performed on 18 pediatric patients with LHCFs who underwent arthroscopic-assisted closed reduction via a single proximal anterolateral portal at our institution between March 2024 and February 2025. The cohort included 14 boys and 4 girls, with a mean age of 6.1\u2009\u00b1\u20091.6 years. The mean interval from injury to surgery was 4.7\u2009\u00b1\u20092.1 days. Data on fracture classification, operative time, duration of K-wire fixation, and functional outcomes were collected and analyzed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>All 18 patients successfully underwent the procedure. The mean operative time was 56.9\u2009\u00b1\u200910.0\u2005min, and K-wires were maintained for a mean of 35\u2009\u00b1\u20098.5 days. At the final follow-up, no significant differences in the carrying angle were observed between the injured and contralateral limbs. According to the Flynn criteria, 16 cases were rated as excellent and 2 as good. One case of a superficial pin site infection resolved with conservative wound care. No instances of delayed union, nonunion, neurovascular injury, or compartment syndrome were recorded.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The single proximal anterolateral portal technique for arthroscopic-assisted reduction of LHCFs facilitates minimally invasive debridement of the fracture site and provides direct visualization of the reduction process. This approach serves as a viable and effective alternative for managing lateral condylar fractures that are not amenable to conventional closed reduction due to severe displacement or a prolonged delay from injury. The technique demonstrates a favorable safety profile, and shows promise for broader clinical adoption pending further validation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fped.2026.1751163","type":"journal-article","created":{"date-parts":[[2026,1,22]],"date-time":"2026-01-22T06:54:03Z","timestamp":1769064843000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["A novel single-portal arthroscopic technique for the management of pediatric humeral lateral condylar fractures"],"prefix":"10.3389","volume":"14","author":[{"given":"Mingjing","family":"Li","sequence":"first","affiliation":[{"name":"Department of Pediatric Orthopedics, Wuhan Fourth Hospital","place":["Wuhan, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fan","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Pediatric Orthopedics, Wuhan Fourth Hospital","place":["Wuhan, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yushun","family":"Fang","sequence":"additional","affiliation":[{"name":"Department of Sports Medicine, Wuhan Fourth Hospital","place":["Wuhan, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ming","family":"Tang","sequence":"additional","affiliation":[{"name":"Department of Sports Medicine, Wuhan Fourth Hospital","place":["Wuhan, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jiang","family":"Xiang","sequence":"additional","affiliation":[{"name":"Department of Pediatric Orthopedics, Wuhan Fourth Hospital","place":["Wuhan, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chunquan","family":"Zhu","sequence":"additional","affiliation":[{"name":"Department of Pediatric Orthopedics, Wuhan Fourth Hospital","place":["Wuhan, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jian","family":"Xu","sequence":"additional","affiliation":[{"name":"Department of Pediatric Orthopedics, Wuhan Fourth Hospital","place":["Wuhan, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zonghui","family":"Dai","sequence":"additional","affiliation":[{"name":"Department of Pediatric Orthopedics, Wuhan Fourth Hospital","place":["Wuhan, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sen","family":"Tang","sequence":"additional","affiliation":[{"name":"Department of Pediatric Orthopedics, Wuhan Fourth Hospital","place":["Wuhan, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fucheng","family":"Ouyang","sequence":"additional","affiliation":[{"name":"Department of Pediatric Orthopedics, Wuhan Fourth Hospital","place":["Wuhan, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jiawen","family":"Yu","sequence":"additional","affiliation":[{"name":"Department of Pediatric Orthopedics, Wuhan Fourth Hospital","place":["Wuhan, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2026,1,22]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"350","DOI":"10.5435\/00124635-201106000-00005","article-title":"Management of lateral humeral condylar fracture in children","volume":"19","author":"Tejwani","year":"2011","journal-title":"J Am Acad Orthop Surg"},{"key":"B2","doi-asserted-by":"publisher","first-page":"809","DOI":"10.1007\/s00402-018-2920-2","article-title":"Paediatric lateral condyle fractures: a systematic review","volume":"138","author":"Tan","year":"2018","journal-title":"Arch Orthop Trauma Surg"},{"key":"B3","doi-asserted-by":"publisher","first-page":"e865","DOI":"10.1097\/BPO.0000000000002777","article-title":"Closed reduction techniques are associated with fewer complications than open reductions in treating moderately displaced pediatric lateral humeral condyle fractures: a multicenter study","volume":"44","author":"Tippabhatla","year":"2024","journal-title":"J Pediatr Orthop"},{"key":"B4","doi-asserted-by":"publisher","first-page":"22","DOI":"10.1016\/j.jor.2024.02.031","article-title":"Comparative analysis of surgical outcomes in children with type 3 and type 4 lateral physeal condylar humerus fractures in China: closed reduction-PerCutaneous pinning (CRPP) vs. open reduction-internal fixation (ORIF)","volume":"54","author":"Sojib","year":"2024","journal-title":"J Orthop"},{"key":"B5","doi-asserted-by":"publisher","first-page":"2291","DOI":"10.1007\/s00264-022-05476-0","article-title":"Closed reduction and percutaneous pinning versus open reduction and internal fixation for Jakob type 3 lateral condyle fractures in children","volume":"46","author":"Liu","year":"2022","journal-title":"Int Orthop"},{"key":"B6","doi-asserted-by":"publisher","first-page":"780","DOI":"10.1097\/BPO.0000000000000570","article-title":"Closed reduction and percutaneous pinning versus open reduction and internal fixation for type II lateral condyle humerus fractures in children displaced >2 mm","volume":"36","author":"Pennock","year":"2016","journal-title":"J Pediatr Orthop"},{"key":"B7","doi-asserted-by":"publisher","first-page":"2113","DOI":"10.1016\/j.jse.2021.01.031","article-title":"Ultrasound-assisted closed reduction and percutaneous pinning for displaced and rotated lateral condylar humeral fractures in children","volume":"30","author":"Li","year":"2021","journal-title":"J Shoulder Elbow Surg"},{"key":"B8","doi-asserted-by":"publisher","first-page":"1392910","DOI":"10.3389\/fsurg.2024.1392910","article-title":"Comparison of ultrasound-guided closed reduction and percutaneous pinning fixation for unstable humeral lateral condylar fractures","volume":"11","author":"Xu","year":"2024","journal-title":"Front Surg"},{"key":"B9","doi-asserted-by":"publisher","first-page":"739","DOI":"10.1097\/BPO.0b013e3181558ac5","article-title":"Arthroscopically-assisted treatment of pediatric lateral humeral condyle fractures","volume":"27","author":"Hausman","year":"2007","journal-title":"J Pediatr Orthop"},{"key":"B10","doi-asserted-by":"publisher","first-page":"111309","DOI":"10.1016\/j.injury.2023.111309","article-title":"Arthroscopically assisted closed reduction for displaced lateral humeral condyle fractures over 4 mm in children","volume":"55","author":"Weng","year":"2024","journal-title":"Injury"},{"key":"B11","doi-asserted-by":"publisher","first-page":"e548","DOI":"10.1097\/BPO.0000000000001319","article-title":"Outcomes of arthroscopy-assisted closed reduction and percutaneous pinning for a displaced pediatric lateral condylar humeral fracture","volume":"39","author":"Kang","year":"2019","journal-title":"J Pediatr Orthop"},{"key":"B12","doi-asserted-by":"publisher","first-page":"694","DOI":"10.1053\/jars.2001.25338","article-title":"Elbow arthroscopy in the pediatric and adolescent population","volume":"17","author":"Micheli","year":"2001","journal-title":"Arthroscopy"},{"key":"B13","doi-asserted-by":"publisher","first-page":"263","DOI":"10.2106\/00004623-197456020-00004","article-title":"Blind pinning of displaced supracondylar fractures of the humerus in children. Sixteen years\u2019 experience with long-term follow-up","volume":"56","author":"Flynn","year":"1974","journal-title":"J Bone Joint Surg Am"},{"key":"B14","doi-asserted-by":"publisher","first-page":"e9","DOI":"10.5435\/JAAOS-D-17-00815","article-title":"Current concepts in the treatment of lateral condyle fractures in children","volume":"28","author":"Abzug","year":"2020","journal-title":"J Am Acad Orthop Surg"},{"key":"B15","doi-asserted-by":"publisher","first-page":"593","DOI":"10.1016\/j.otsr.2015.04.003","article-title":"Diagnostic arthroscopy in the treatment of minimally displaced lateral humeral condyle fractures in children","volume":"101","author":"Temporin","year":"2015","journal-title":"Orthop Traumatol Surg Res"},{"key":"B16","doi-asserted-by":"publisher","first-page":"651","DOI":"10.1016\/j.hcl.2015.06.011","article-title":"Arthroscopic management of elbow fractures","volume":"31","author":"Fink Barnes","year":"2015","journal-title":"Hand Clin"},{"key":"B17","doi-asserted-by":"publisher","first-page":"1131.e1","DOI":"10.1016\/j.arthro.2006.11.030","article-title":"Arthroscopic-assisted reduction and percutaneous external fixation of lateral condyle fractures of the humerus","volume":"23","author":"Perez Carro","year":"2007","journal-title":"Arthroscopy"},{"key":"B18","doi-asserted-by":"publisher","first-page":"2029","DOI":"10.1016\/j.arthro.2013.08.016","article-title":"The role of arthroscopy in chronic elbow instability","volume":"29","author":"Goodwin","year":"2013","journal-title":"Arthroscopy"},{"key":"B19","doi-asserted-by":"publisher","first-page":"985","DOI":"10.1186\/s12891-021-04880-8","article-title":"Closed reduction and percutaneous pinning vs open reduction and internal fixation in pediatric lateral condylar humerus fractures displaced by > 4mm: an observational cross-sectional study","volume":"22","author":"Xie","year":"2021","journal-title":"BMC Musculoskelet Disord"}],"container-title":["Frontiers in Pediatrics"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fped.2026.1751163\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,22]],"date-time":"2026-01-22T06:54:03Z","timestamp":1769064843000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fped.2026.1751163\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1,22]]},"references-count":19,"alternative-id":["10.3389\/fped.2026.1751163"],"URL":"https:\/\/doi.org\/10.3389\/fped.2026.1751163","relation":{},"ISSN":["2296-2360"],"issn-type":[{"value":"2296-2360","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1,22]]},"article-number":"1751163"}}