{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T22:38:06Z","timestamp":1783550286790,"version":"3.55.0"},"reference-count":28,"publisher":"MDPI AG","issue":"11","license":[{"start":{"date-parts":[[2022,11,15]],"date-time":"2022-11-15T00:00:00Z","timestamp":1668470400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Medicina"],"abstract":"<jats:p>Background and\u00a0Objectives: Arm wrestling is a simple and popular activity among young people that causes distal-third humeral fractures. However, injury to the young population may cause economic loss; therefore, they need to return to work as soon as possible. Accordingly, we aimed to compare radiological and functional outcomes of distal-third humeral fractures caused by arm wrestling treated with double and single plating. Materials and Methods: Thirty-four patients with distal-third humeral fractures caused by arm wrestling were treated between January 2015 and January 2021. They were separated into double- and single-plating groups and treated using a triceps-sparing approach. Regular follow-up was performed to evaluate elbow functionality, range of motion, bone union, and complications; the American Shoulder and Elbow Surgeons score was used for functional assessment. Results: Patients treated with single plating exhibited union rate, union time, and elbow range of motion similar to those of patients treated with double plating; however, they exhibited better pain and functional outcomes (American Shoulder and Elbow Surgeons score) at 2 weeks, 1 month, and 3 months postoperatively (84.50 \u00b1 5.01 vs. 61.70 \u00b1 12.53 at 2 weeks, 96.20 \u00b1 2.63 vs. 84.25 \u00b1 14.56 at 1 month, and 100.00 vs. 94.76 \u00b1 9.71 at 3 months, p &lt; 0.05). The two groups exhibited no significant differences after 1 year (100.00 vs. 98.54 \u00b1 3.99, p &lt; 0.13). The overall complication rate was significantly higher in patients treated with double plating than in those treated with single plating (18.75% vs. 5.56%). Radial nerve palsy was observed in patients in both groups. Conclusions: In patients with distal-third humeral fractures caused by arm wrestling, single plating provides a union rate and elbow range of motion similar to those of double plating, with significantly fewer complications and lower surgical time and blood loss with improved early functional outcomes.<\/jats:p>","DOI":"10.3390\/medicina58111654","type":"journal-article","created":{"date-parts":[[2022,11,16]],"date-time":"2022-11-16T02:27:34Z","timestamp":1668565654000},"page":"1654","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Clinical Outcomes of Single Versus Double Plating in Distal-Third Humeral Fractures Caused by Arm Wrestling: A Retrospective Analysis"],"prefix":"10.3390","volume":"58","author":[{"given":"Jui-Ting","family":"Mao","sequence":"first","affiliation":[{"name":"Department of Orthopaedics, China Medical University Hospital, China Medical University, Taichung 40447, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hao-Wei","family":"Chang","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, China Medical University Hospital, China Medical University, Taichung 40447, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tsung-Li","family":"Lin","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, China Medical University Hospital, China Medical University, Taichung 40447, Taiwan"},{"name":"Department of Sports Medicine, College of Health Care, China Medical University, Taichung 40447, Taiwan"},{"name":"Graduate Institute of Biomedical Sciences, China Medical University, Taichung 40447, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"I-Hao","family":"Lin","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, China Medical University Hospital, China Medical University, Taichung 40447, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4370-2219","authenticated-orcid":false,"given":"Chia-Yu","family":"Lin","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, China Medical University Hospital, China Medical University, Taichung 40447, Taiwan"},{"name":"Spine Center, China Medical University Hospital, China Medical University, Taichung 40447, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chin-Jung","family":"Hsu","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, China Medical University Hospital, China Medical University, Taichung 40447, Taiwan"},{"name":"School of Chinese Medicine, China Medical University, Taichung 40447, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2022,11,15]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"249","DOI":"10.1302\/0301-620X.80B2.0800249","article-title":"The epidemiology of humeral shaft fractures","volume":"80","author":"McQueen","year":"1998","journal-title":"J. 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