{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T00:42:30Z","timestamp":1760143350557,"version":"build-2065373602"},"reference-count":12,"publisher":"MDPI AG","issue":"1","license":[{"start":{"date-parts":[[2024,1,17]],"date-time":"2024-01-17T00:00:00Z","timestamp":1705449600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Children"],"abstract":"<jats:p>Non-unions are quite rare in closed fractures in children. Most distal radius fractures require orthopedic reduction and conservative treatment with very good radiological and clinical\/functional results. In case of unsatisfactory reduction, surgical treatment is necessary to correct significant displacement. Surgical treatment consists of closed reduction and percutaneous fixation using K-wires. If closed reduction is not possible, open reduction and fixation is mandatory. Generally, fixation is obtained using K-wires, in most cases, even if open reduction is necessary, rarely locking plates, especially in adolescents. The present paper presents a case of non-union that eventually required open reduction and plating. During surgery, however, it became evident that the cause for non-union was the traumatic transposition of the long extensor radialis tendon, through the fracture site to the volar side of the distal forearm. The movement of the carpus translated to constant mobility in the fracture site, leading to non-union and a continuous tendency towards anterior angulation of the distal fragment. The tendon was reduced to its anatomical position, the fracture was reduced, and fixed using a locking plate, and union was achieved with no complications. Traumatic transpositions of tendons should be considered in pediatric non-unions, and restoring anatomy is essential.<\/jats:p>","DOI":"10.3390\/children11010116","type":"journal-article","created":{"date-parts":[[2024,1,17]],"date-time":"2024-01-17T10:39:47Z","timestamp":1705487987000},"page":"116","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Case Report of a Unique Intra-Operative Finding in a Pediatric Distal Radius Non-Union: Does This Shed Light on Other Non-Unions or Malunions in Children?"],"prefix":"10.3390","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6655-2623","authenticated-orcid":false,"given":"Marius","family":"Negru","sequence":"first","affiliation":[{"name":"Department of Pediatric Surgery, Faculty of Medicine, \u201cVictor Babes\u201d University of Medicine and Pharmacy, 300041 Timisoara, Romania"},{"name":"Luis Turcanu Emergency Children\u2019s Hospital, 300011 Timisoara, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adrian Emil","family":"Lazarescu","sequence":"additional","affiliation":[{"name":"Department of Anatomy, Faculty of Medicine, \u201cVictor Babes\u201d University of Medicine and Pharmacy, 300041 Timisoara, Romania"},{"name":"2nd Clinic of Orthopaedics and Traumatology, Timisoara Emergency County Hospital, 300723 Timisoara, Romania"},{"name":"Teodor Sora Research Centre, UMFT, Department of Orthopaedics and Traumatology, 300041 Timisoara, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6784-0165","authenticated-orcid":false,"given":"Corina Maria","family":"Stanciulescu","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Faculty of Medicine, \u201cVictor Babes\u201d University of Medicine and Pharmacy, 300041 Timisoara, Romania"},{"name":"Luis Turcanu Emergency Children\u2019s Hospital, 300011 Timisoara, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Liliana","family":"Catan","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation, Faculty of Medicine, \u201cVictor Babes\u201d University of Medicine and Pharmacy, Physical Medicine and Rheumatology, 300041 Timisoara, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Calin Marius","family":"Popoiu","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Faculty of Medicine, \u201cVictor Babes\u201d University of Medicine and Pharmacy, 300041 Timisoara, Romania"},{"name":"Luis Turcanu Emergency Children\u2019s Hospital, 300011 Timisoara, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eugen Sorin","family":"Boia","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Faculty of Medicine, \u201cVictor Babes\u201d University of Medicine and Pharmacy, 300041 Timisoara, Romania"},{"name":"Luis Turcanu Emergency Children\u2019s Hospital, 300011 Timisoara, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2024,1,17]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"225","DOI":"10.1007\/s12306-020-00684-6","article-title":"Management of pediatric forearm fractures: What is the best therapeutic choice? A narrative review of the literature","volume":"105","author":"Caruso","year":"2021","journal-title":"Musculoskelet. Surg."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"421","DOI":"10.1007\/s00264-007-0334-9","article-title":"Paediatric forearm fractures: The increasing use of elastic stable intra-medullary nails","volume":"32","author":"Cumming","year":"2008","journal-title":"Int. Orthop."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"10","DOI":"10.1016\/j.ijsu.2018.01.005","article-title":"Comparison of three surgical fixation methods for dual-bone forearm fractures in older children: A retrospective cohort study","volume":"51","author":"Zheng","year":"2018","journal-title":"Int. J. Surg."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"109","DOI":"10.4103\/0019-5413.143919","article-title":"Nonunion in a distal radius metaphyseal fracture in a child: Role of intact periosteal sleeve in management","volume":"49","author":"Sivashanmugam","year":"2015","journal-title":"Indian J. Orthop."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"313","DOI":"10.1007\/s00068-021-01613-3","article-title":"Failure analysis and recommendations for treatment of posttraumatic non-unions of the distal humerus during childhood","volume":"47","author":"Sommerfeldt","year":"2021","journal-title":"Eur. J. Trauma Emerg. Surg."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"240","DOI":"10.1302\/0301-620X.34B2.240","article-title":"Fracture-dislocation of the shoulder with interposition of long head of biceps","volume":"34-B","author":"Henderson","year":"1952","journal-title":"J. Bone Jt. Surg. Br. 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Surg."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"558","DOI":"10.1016\/S0266-7681(98)80152-6","article-title":"Tendon interposition in a juxta-epiphyseal fracture of the proximal phalanx","volume":"23","author":"Freedman","year":"1998","journal-title":"J. Hand Surg. Br."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"255","DOI":"10.1016\/0363-5023(89)90016-6","article-title":"Interposition of extensor digitorum tendon in distal radius fracture mimicking a compartment syndrome","volume":"14","author":"Hussain","year":"1989","journal-title":"J. Hand Surg. Am."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"173","DOI":"10.1007\/s00068-007-6168-8","article-title":"Nonunion of a Pediatric Distal Radial Metaphyseal Fracture Following Open Reduction and Internal Fixation: A Case Report and Review of the Literature","volume":"34","author":"Kemnitz","year":"2008","journal-title":"Eur. J. Trauma Emerg. Surg."}],"container-title":["Children"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2227-9067\/11\/1\/116\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T13:49:03Z","timestamp":1760104143000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2227-9067\/11\/1\/116"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,1,17]]},"references-count":12,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2024,1]]}},"alternative-id":["children11010116"],"URL":"https:\/\/doi.org\/10.3390\/children11010116","relation":{},"ISSN":["2227-9067"],"issn-type":[{"type":"electronic","value":"2227-9067"}],"subject":[],"published":{"date-parts":[[2024,1,17]]}}}