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The aim of this study is to describe the management and results of the respective fracture types and different injury characteristics.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Materials and methods<\/jats:title>\n                <jats:p>This study performs a retrospective data analysis of 100 consecutive patients with a fracture of the proximal radius treated in a single high-volume pediatric trauma center.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>One hundred patients [mean age 7.5\u00a0years (1\u201315)] were documented with a fracture of the proximal radius between 3\/2011 and 12\/2019. The gender distribution was 62 girls and 38 boys. Twenty-seven patients had concomitant injuries. Conservative treatment was performed in 63 patients (Judet I\u2009=\u200927; II\u2009=\u200930; III\u2009=\u20096; Mason I\u2009=\u20092) using an above-the-elbow cast for 21\u00a0days (6\u201335). Surgical treatment was performed in 37 patients (Judet II\u2009=\u20093; III\u2009=\u200922; IV\u2009=\u20095; V\u2009=\u20097) using elastic stable intramedullary nailing (ESIN). Open reduction was necessary in five cases, and additional immobilization was performed in 32 cases. Six complications occurred: loss of implant stability (<jats:italic>n<\/jats:italic>\u2009=\u20092), healing in malalignment, pseudarthrosis, radioulnar synostosis, and a persisting hypoesthesia at the thumb. As a result, two ESIN osteosynthesis were revised, and one radial head resection was performed. Loss of movement was seen in 11% of cases, overall Mayo elbow performance index (MEPI) was 99.8 (90\u2013100), and none of the patients experienced negative impacts on activities of daily life.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>Proximal radial fractures occur predominately without dislocation. Good results are obtained with conservative treatment throughout. In cases with displacement exceeding growth-related correction, ESIN is the undisputed treatment of choice. Open surgery and long immobilization periods should be avoided whenever possible.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00402-021-03917-w","type":"journal-article","created":{"date-parts":[[2021,5,11]],"date-time":"2021-05-11T12:03:44Z","timestamp":1620734624000},"page":"1903-1910","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":21,"title":["Fractures of the proximal radius in children: management and results of 100 consecutive cases"],"prefix":"10.1007","volume":"142","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9439-0203","authenticated-orcid":false,"given":"Markus","family":"Dietzel","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simon","family":"Scherer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Esser","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hans-Joachim","family":"Kirschner","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J\u00f6rg","family":"Fuchs","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Justus","family":"Lieber","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2021,5,11]]},"reference":[{"issue":"8","key":"3917_CR1","doi-asserted-by":"publisher","first-page":"e253","DOI":"10.1097\/BOT.0000000000000322","volume":"29","author":"S Kang","year":"2015","unstructured":"Kang S, Park SS (2015) Predisposing effect of elbow alignment on the elbow fracture type in children. 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