{
  "abstract": "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.",
  "abstract_shown": true,
  "affiliations": [
    "Department of Orthopaedics, Kanachur Institute of Medical Sciences, Mangalore, Karnataka, India"
  ],
  "article_type": "case report",
  "arxiv": null,
  "author_total": 4,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Vishwas Kadambila"
    },
    {
      "affs": [
        0
      ],
      "name": "B. S. Sudharshan Abhishek"
    },
    {
      "affs": [
        0
      ],
      "name": "Mohammed Tameez Ud Din"
    },
    {
      "affs": [
        0
      ],
      "name": "John Joe Jacob"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/6z7v6xhcs4vsr.bib",
  "cited_by": 0,
  "doi": "10.4103/aam.aam_11_26",
  "fulltext_url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC13734653/",
  "id": "6z7v6xhcs4vsr",
  "issns": [
    "1596-3519",
    "0975-5764"
  ],
  "landing_url": "https://doi.org/10.4103/aam.aam_11_26",
  "language": "en",
  "licence": "CC-BY-NC-SA-4.0",
  "licence_label": "CC BY-NC-SA 4.0",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by-nc-sa/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "heading",
      "Case Report"
    ],
    [
      "openalex",
      "2732|Elbow and Forearm Trauma Treatment"
    ]
  ],
  "openalex": "W7163903519",
  "pdf_url": null,
  "pmcid": "PMC13734653",
  "pmid": "42252805",
  "published": "2026-06-05",
  "publisher": "Wolters Kluwer -- Medknow Publications",
  "ris": "https://research.draconitic.com/paper/6z7v6xhcs4vsr.ris",
  "sources": [
    {
      "first_seen": "2026-11-08T12:24:05Z",
      "native_id": "PMC13734653",
      "source": "pmc",
      "url": "https://doi.org/10.4103/aam.aam_11_26"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2732|Elbow and Forearm Trauma Treatment",
      "subfield": "surgery"
    }
  ],
  "title": "Sequential Opposite-pattern Supracondylar Fractures in the Same Elbow of a Child",
  "title_text": "Sequential Opposite-pattern Supracondylar Fractures in the Same Elbow of a Child",
  "type": "peer-reviewed",
  "updated_at": "2026-11-08T12:24:05Z",
  "url": "https://research.draconitic.com/paper/6z7v6xhcs4vsr",
  "venue": "Annals of African Medicine",
  "versions": []
}