Retrospective 2-year multicenter study of 488 elbow fractures in children under 15 across 11 hospitals in Okinawa, Japan. Characterizes fracture type distribution, operative rates by classification grade, age and sex patterns, seasonal variation, and leading injury mechanisms by age subgroup. Provides a Japanese regional comparison against Western epidemiologic benchmarks.
A child aged 6–10 presents after a fall while skateboarding with a swollen elbow — this cohort tells you that board sports are the top single mechanism in that age group, not bikes, and that the fracture is most likely supracondylar or lateral condyle.
When you see a medial epicondyle fracture, don't be reassured by 'minimal displacement.' Even Watson-Jones Grade I fractures were operated on 81.8% of the time in this series, because the key driver of instability is medial capsular ligament disruption. Not the fragment position itself. Assess for ulnar nerve function and valgus instability before committing to nonoperative management.
The Wadsworth and Gartland classifications are not just academic. They function as operative decision thresholds in practice. Gartland III is 100% operative. Wadsworth III is 100% operative. Grade II for both sits in the shared-decision zone (roughly 50–77%).
The near-flat seasonal distribution here is a useful reminder that epidemiology is population-specific. The 2.5–2.7× summer excess from Danish and Canadian data does not apply in subtropical or year-round warm climates.
Epidemiology of Paediatric Elbow Fractures: a Retrospective Multi-Centre Study of 488 Fractures
Radiological Assessment of Osteo-Arthrosis.
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Traumatic Arthritis of the Hip after Dislocation and Acetabular Fractures: Treatment by Mold Arthroplasty. an End-Result Study Using a New Method of Result Evaluation.
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Prevention of Infection in the Treatment of One Thousand and Twenty-Five Open Fractures of Long Bones: Retrospective and Prospective Analyses.
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The Value of Postural Reduction in the Initial Management of Closed Injuries of the Spine with Paraplegia and Tetraplegia. I.
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A System for the Functional Evaluation of Reconstructive Procedures after Surgical Treatment of Tumors of the Musculoskeletal System.
A Controlled Trial of Arthroscopic Surgery for Osteoarthritis of the Knee
The Stabilizing System of the Spine. Part I. Function, Dysfunction, Adaptation, and Enhancement.
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The Tension-Stress Effect on the Genesis and Growth of Tissues. Part I. the Influence of Stability of Fixation and Soft-Tissue Preservation.
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Clinician's Guide to Prevention and Treatment of Osteoporosis.
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Epidemiology of Adult Fractures: a Review.
Centers for Disease Control and Prevention Guideline for the Prevention of Surgical Site Infection, 2017.
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A Joint Coordinate System for the Clinical Description of Three-Dimensional Motions: Application to the Knee.
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Estimating the Prevalence of Limb Loss in the United States: 2005 to 2050.
Metastasis to Bone: Causes, Consequences and Therapeutic Opportunities.
Role of Proinflammatory Cytokines in the Pathophysiology of Osteoarthritis.
The Basic Science of Articular Cartilage: Structure, Composition, and Function.
Osteoporosis: Now and the Future.
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Retrospective 2-year multicenter study of 488 elbow fractures in children under 15 across 11 hospitals in Okinawa, Japan. Characterizes fracture type distribution, operative rates by classification grade, age and sex patterns, seasonal variation, and leading injury mechanisms by age subgroup. Provides a Japanese regional comparison against Western epidemiologic benchmarks.
A child aged 6–10 presents after a fall while skateboarding with a swollen elbow — this cohort tells you that board sports are the top single mechanism in that age group, not bikes, and that the fracture is most likely supracondylar or lateral condyle.
When you see a medial epicondyle fracture, don't be reassured by 'minimal displacement.' Even Watson-Jones Grade I fractures were operated on 81.8% of the time in this series, because the key driver of instability is medial capsular ligament disruption. Not the fragment position itself. Assess for ulnar nerve function and valgus instability before committing to nonoperative management.
The Wadsworth and Gartland classifications are not just academic. They function as operative decision thresholds in practice. Gartland III is 100% operative. Wadsworth III is 100% operative. Grade II for both sits in the shared-decision zone (roughly 50–77%).
The near-flat seasonal distribution here is a useful reminder that epidemiology is population-specific. The 2.5–2.7× summer excess from Danish and Canadian data does not apply in subtropical or year-round warm climates.