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Nonunion of the Radius After Elastic Stable Intramedullary Nailing of a Midshaft Forearm Fracture in a Seven-Year-Old ChildA Case Report
Anne Guro Vreim Holm, MD1; Per-Henrik Randsborg, MD, PhD1
1 Department of Orthopaedic Surgery (A.G.V.H.) and Health Services Research Unit (P.-H.R.), Akershus University Hospital, 1478 Lørenskog, Norway. E-mail address for P.-H. Randsborg: pran@ahus.no
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Investigation performed at Akershus University Hospital, Lørenskog, Norway



Disclosure: None of the authors received payments or services, either directly or indirectly (i.e., via his or her institution), from a third party in support of any aspect of this work. None of the authors, or their institution(s), have had any financial relationship, in the thirty-six months prior to submission of this work, with any entity in the biomedical arena that could be perceived to influence or have the potential to influence what is written in this work. Also, no author has had any other relationships, or has engaged in any other activities, that could be perceived to influence or have the potential to influence what is written in this work. The complete Disclosures of Potential Conflicts of Interest submitted by authors are always provided with the online version of the article.

Copyright © 2013 by The Journal of Bone and Joint Surgery, Inc.
JBJS Case Connector, 2013 Aug 14;3(3):e81 1-5. doi: 10.2106/JBJS.CC.M.00049
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Extract

Although closed reduction and immobilization remains the gold standard for treating the vast majority of forearm fractures in children, there has been an increased trend toward surgical fixation with elastic stable intramedullary nailing (ESIN) of unstable fractures1. This method allows for early mobilization, and the technique is fairly easy to master. Although complications are rare, pseudarthrosis of the ulna has been reported2,3. To the best of our knowledge, nonunion of the radius has not previously been described after ESIN of forearm fractures in children. This report describes a nonunion of the radius after ESIN of a midshaft forearm fracture in a young child. The patient and his parents were informed that data concerning the case would be submitted for publication, and they provided consent.
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    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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