Publication Name	World Journal of Clinical Cases
Manuscript ID	54076
Country	China

Category	Orthopedics
Manuscript Type	Case Report
Article Title	Unusual presentation of congenital radioulnar synostosis with osteoporosis, fragility fracture and nonunion: A case report and review of literature
Manuscript Source	Unsolicited Manuscript
All Author List	Zhan-Yu Yang, Jiang-Dong Ni, Ze Long, Le-Tian Kuang and Shi-Bin Tao
Funding Agency and Grant Number
Corresponding Author	Jiang-Dong Ni, MD, Professor, Department of Orthopedics, The Second Xiangya Hospital, Central South University, No. 139 Renmin Street, Changsha 410000, Hunan Province, China. nijiangdong001@csu.edu.cn
Key Words	Congenital radioulnar synostosis; Surgical indication; Osteoporosis; Fragility fracture; Nonunion; Case report
Core Tip	Congenital radioulnar synostosis is a rare deformity of the upper extremity, which is characterized by loss of rotation and a variety of functional limitations. We present a rare case of bilateral congenital proximal radioulnar synostosis with osteoporosis, fragility fracture and nonunion. This case suggests that internal fixation plus bone grafting or stimulus of osteogenesis may result in much better outcome than expected. In addition, this case highlights that surgery should not be the first choice except for those with severe daily activity limitations, and physiotherapy is not inferior to surgical treatment.
Citation	Yang ZY, Ni JD, Long Z, Kuang LT, Tao SB. Unusual presentation of congenital radioulnar synostosis with osteoporosis, fragility fracture and nonunion: A case report and review of literature. World J Clin Cases 2020; 8(8): 1538-1546

Received	2020-01-08 07:17
Peer-Review Started	2020-01-08 07:18
To Make the First Decision
Return for Revision	2020-03-18 18:54
Revised	2020-03-26 09:09
Second Decision	2020-04-09 13:09
Accepted by Journal Editor-in-Chief
Accepted by Company Editor-in-Chief	2020-04-09 18:08
Articles in Press	2020-04-09 18:08
Publication Fee Transferred
Edit the Manuscript by Language Editor	2020-04-12 02:34
Typeset the Manuscript	2020-04-18 04:05

ISSN	2307-8960 (online)
Open Access	This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Copyright	© The Author(s) 2020. Published by Baishideng Publishing Group Inc. All rights reserved.
Permissions	For details, please visit: http://www.wjgnet.com/bpg/gerinfo/207
Publisher	Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA
Website	http://www.wjgnet.com