{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T13:46:38Z","timestamp":1791812798704,"version":"4.3.4"},"reference-count":5,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"Suppl 3","license":[{"start":{"date-parts":[[2026,6,5]],"date-time":"2026-06-05T00:00:00Z","timestamp":1780617600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Supracondylar humerus fractures in children are most commonly of the extension type, whereas flexion-type injuries are rare. Sequential occurrence of extension- and flexion-type supracondylar fractures in the same elbow is extremely uncommon. We report a child who sustained a Gartland type II extension-type supracondylar fracture at 5 years of age, managed conservatively with above-elbow casting. He recovered fully and resumed normal activities. Ten months later, at age 6 years, he sustained a new fall on the same limb and presented with a Gartland type III flexion-type supracondylar fracture. Closed reduction and crossed K-wire fixation were performed, wires were removed at three weeks, and mobilization was initiated. At 1-year follow-up, he demonstrated a full range of motion and no deformity. This rare sequential pattern may represent either two independent trauma events or a possible refracture in the setting of structurally unverified healing after conservative treatment. The case highlights refracture-related considerations reported in pediatric fracture literature and underscores the importance of radiographic follow-up and counseling regarding return to activity in children treated non-operatively.<\/jats:p>","DOI":"10.4103\/aam.aam_11_26","type":"journal-article","created":{"date-parts":[[2026,6,8]],"date-time":"2026-06-08T07:00:10Z","timestamp":1780902010000},"page":"S569-S571","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Sequential Opposite-pattern Supracondylar Fractures in the Same Elbow of a Child"],"prefix":"10.4103","volume":"25","author":[{"given":"Vishwas","family":"Kadambila","sequence":"first","affiliation":[{"name":"Department of Orthopaedics, Kanachur Institute of Medical Sciences, Mangalore, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B. S. Sudharshan","family":"Abhishek","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Kanachur Institute of Medical Sciences, Mangalore, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammed Tameez Ud","family":"Din","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Kanachur Institute of Medical Sciences, Mangalore, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John Joe","family":"Jacob","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Kanachur Institute of Medical Sciences, Mangalore, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,6,5]]},"reference":[{"key":"R1-20261012","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"},{"key":"R2-20261012","first-page":"8","article-title":"Recurrent supracondylar humerus fracture following prior malunion","volume":"21","author":"Noonan","year":"2001","journal-title":"Iowa Orthop J"},{"key":"R3-20261012","article-title":"(2024). Complications and Outcomes of Surgically Treated Pediatric Supracondylar Humerus Fractures. Children, 11(7), 791","author":"Hahn"},{"key":"R4-20261012","doi-asserted-by":"crossref","first-page":"2287","DOI":"10.1007\/s00264-015-2975-4","article-title":"Supracondylar humeral fractures in children: current concepts for management and prognosis","volume":"39","author":"Zorrilla S de Neira","year":"2015","journal-title":"Int Orthop"},{"key":"R5-20261012","doi-asserted-by":"crossref","first-page":"e40","DOI":"10.2106\/JBJS.24.01014","article-title":"Refractures in Children","volume":"107","author":"Pakarinen","year":"2025","journal-title":"J Bone Joint Surg Am"}],"container-title":["Annals of African Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/aam.aam_11_26","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T13:01:48Z","timestamp":1791810108000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/aam.aam_11_26"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6,5]]},"references-count":5,"journal-issue":{"issue":"Suppl 3","published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.4103\/aam.aam_11_26","relation":{},"ISSN":["1596-3519","0975-5764"],"issn-type":[{"value":"1596-3519","type":"print"},{"value":"0975-5764","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,6,5]]},"assertion":[{"value":"2026-01-05","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-04-27","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}