{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,5]],"date-time":"2026-11-05T16:24:47Z","timestamp":1793895887649,"version":"4.8.0"},"reference-count":44,"publisher":"Elsevier BV","issue":"7","license":[{"start":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T00:00:00Z","timestamp":1751328000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T00:00:00Z","timestamp":1751328000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2025,4,22]],"date-time":"2025-04-22T00:00:00Z","timestamp":1745280000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","jhandsurg.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["The Journal of Hand Surgery"],"published-print":{"date-parts":[[2025,7]]},"DOI":"10.1016\/j.jhsa.2025.04.015","type":"journal-article","created":{"date-parts":[[2025,5,26]],"date-time":"2025-05-26T13:36:14Z","timestamp":1748266574000},"page":"781-789","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":6,"title":["Predicting Surgical Versus Nonsurgical Management of Acute Isolated Distal Radius Fractures in Patients Under Age 60 Using a Convolutional Neural Network"],"prefix":"10.1016","volume":"50","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-6742-5464","authenticated-orcid":false,"given":"Dionne","family":"Hsu","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathan","family":"Persitz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Atefeh","family":"Noori","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Haochi","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pouria","family":"Mashouri","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rishi","family":"Shah","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Chan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amin","family":"Madani","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0460-2901","authenticated-orcid":false,"given":"Ryan","family":"Paul","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"4","key":"10.1016\/j.jhsa.2025.04.015_bib1","doi-asserted-by":"crossref","first-page":"325","DOI":"10.4103\/2249-4863.148101","article-title":"Fractures of distal radius: an overview","volume":"3","author":"Meena","year":"2014","journal-title":"J Family Med Prim Care"},{"issue":"2","key":"10.1016\/j.jhsa.2025.04.015_bib2","doi-asserted-by":"crossref","first-page":"113","DOI":"10.1016\/j.hcl.2012.02.001","article-title":"The epidemiology of distal radius fractures","volume":"28","author":"Nellans","year":"2012","journal-title":"Hand Clin"},{"issue":"4","key":"10.1016\/j.jhsa.2025.04.015_bib3","doi-asserted-by":"crossref","first-page":"E286","DOI":"10.1503\/cjs.010223","article-title":"Time to surgical management of distal radius fractures: effects on health care utilization and functional outcomes","volume":"67","author":"Liu","year":"2024","journal-title":"Can J Surg"},{"issue":"1","key":"10.1016\/j.jhsa.2025.04.015_bib4","doi-asserted-by":"crossref","first-page":"12","DOI":"10.1177\/17531934211028711","article-title":"Distal radius fractures","volume":"47","author":"Del Pi\u00f1al","year":"2022","journal-title":"J Hand Surg Eur Vol"},{"issue":"5","key":"10.1016\/j.jhsa.2025.04.015_bib5","doi-asserted-by":"crossref","first-page":"435","DOI":"10.1016\/j.jhsa.2022.12.018","article-title":"Effect of time-to-surgery on distal radius fracture outcomes: a systematic review","volume":"48","author":"Khan","year":"2023","journal-title":"J Hand Surg Am"},{"key":"10.1016\/j.jhsa.2025.04.015_bib6","doi-asserted-by":"crossref","unstructured":"Grier AJ, Chen KJ, Paul AV, et al. Impact of time to fixation on outcomes of operative treatment of intra-articular distal radius fractures. Hand (N Y). 19(8):1269-1276.https:\/\/doi.org\/10.1177\/15589447231174642.","DOI":"10.1177\/15589447231174642"},{"issue":"11","key":"10.1016\/j.jhsa.2025.04.015_bib7","doi-asserted-by":"crossref","DOI":"10.1016\/j.heliyon.2022.e11772","article-title":"Effect of delayed distal radius fracture fixation on the difficulty of surgical operation","volume":"8","author":"Luangjarmekorn","year":"2022","journal-title":"Heliyon"},{"issue":"6","key":"10.1016\/j.jhsa.2025.04.015_bib8","doi-asserted-by":"crossref","first-page":"1235","DOI":"10.1097\/CORR.0000000000001650","article-title":"CORR Insights\u00ae: what factors are associated with increased financial burden and high financial worry for patients undergoing common hand procedures?","volume":"479","author":"Lee","year":"2021","journal-title":"Clin Orthop Relat Res"},{"issue":"12","key":"10.1016\/j.jhsa.2025.04.015_bib9","doi-asserted-by":"crossref","first-page":"3251","DOI":"10.1007\/s11136-017-1670-x","article-title":"Trajectories in quality of life of patients with a fracture of the distal radius or ankle using latent class analysis","volume":"26","author":"Van Son","year":"2017","journal-title":"Qual Life Res"},{"issue":"5","key":"10.1016\/j.jhsa.2025.04.015_bib10","doi-asserted-by":"crossref","first-page":"1122","DOI":"10.1016\/j.cell.2018.02.010","article-title":"Identifying medical diagnoses and treatable diseases by image-based deep learning","volume":"172","author":"Kermany","year":"2018","journal-title":"Cell"},{"key":"10.1016\/j.jhsa.2025.04.015_bib11","doi-asserted-by":"crossref","first-page":"221","DOI":"10.1146\/annurev-bioeng-071516-044442","article-title":"Deep learning in medical image analysis","volume":"19","author":"Shen","year":"2017","journal-title":"Annu Rev Biomed Eng"},{"issue":"1","key":"10.1016\/j.jhsa.2025.04.015_bib12","doi-asserted-by":"crossref","first-page":"522","DOI":"10.1186\/s13018-024-05003-4","article-title":"The diagnostic value of artificial intelligence-assisted imaging for developmental dysplasia of the hip: a systematic review and meta-analysis","volume":"19","author":"Chen","year":"2024","journal-title":"J Orthop Surg Res"},{"issue":"9","key":"10.1016\/j.jhsa.2025.04.015_bib13","doi-asserted-by":"crossref","first-page":"1342","DOI":"10.1038\/s41591-018-0107-6","article-title":"Clinically applicable deep learning for diagnosis and referral in retinal disease","volume":"24","author":"De Fauw","year":"2018","journal-title":"Nat Med"},{"issue":"11","key":"10.1016\/j.jhsa.2025.04.015_bib14","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pmed.1002683","article-title":"Variable generalization performance of a deep learning model to detect pneumonia in chest radiographs: a cross-sectional study","volume":"15","author":"Zech","year":"2018","journal-title":"PLOS Med"},{"issue":"5","key":"10.1016\/j.jhsa.2025.04.015_bib15","doi-asserted-by":"crossref","first-page":"411","DOI":"10.1016\/j.jhsa.2024.01.020","article-title":"Diagnostic performance of artificial intelligence for detection of scaphoid and distal radius fractures: a systematic review","volume":"49","author":"Oeding","year":"2024","journal-title":"J Hand Surg Am"},{"issue":"12","key":"10.1016\/j.jhsa.2025.04.015_bib16","doi-asserted-by":"crossref","first-page":"6221","DOI":"10.1007\/s00371-022-02723-8","article-title":"Histogram equalization using a selective filter","volume":"39","author":"Dyke","year":"2023","journal-title":"Vis Comput"},{"issue":"4","key":"10.1016\/j.jhsa.2025.04.015_bib17","doi-asserted-by":"crossref","first-page":"269","DOI":"10.1016\/1049-9652(92)90074-8","article-title":"Investigations of image contrast space defined by variations on histogram equalization","volume":"54","author":"Gauch","year":"1992","journal-title":"CVGIP Graph Models Image Process"},{"issue":"8","key":"10.1016\/j.jhsa.2025.04.015_bib18","doi-asserted-by":"crossref","first-page":"691","DOI":"10.1016\/j.injury.2006.04.130","article-title":"Epidemiology of adult fractures: a review","volume":"37","author":"Court-Brown","year":"2006","journal-title":"Injury"},{"issue":"4","key":"10.1016\/j.jhsa.2025.04.015_bib19","doi-asserted-by":"crossref","first-page":"305","DOI":"10.1055\/s-0039-1685205","article-title":"Epidemiological and treatment trends of distal radius fractures across multiple age groups","volume":"8","author":"Azad","year":"2019","journal-title":"J Wrist Surg"},{"key":"10.1016\/j.jhsa.2025.04.015_bib20","doi-asserted-by":"crossref","first-page":"337","DOI":"10.2147\/CIA.S10042","article-title":"Stabilization and treatment of Colles\u2019 fractures in elderly patients","volume":"5","author":"Blakeney","year":"2010","journal-title":"Clin Interv Aging"},{"issue":"4","key":"10.1016\/j.jhsa.2025.04.015_bib21","doi-asserted-by":"crossref","first-page":"e480","DOI":"10.5435\/JAAOS-D-21-00719","article-title":"American Academy of Orthopaedic Surgeons\/American Society for Surgery of the Hand clinical practice guideline summary management of distal radius fractures","volume":"30","author":"Kamal","year":"2022","journal-title":"J Am Acad Orthop Surg"},{"key":"10.1016\/j.jhsa.2025.04.015_bib22","first-page":"287","article-title":"Nonsurgical management of distal radius fractures in the elderly: approaches, risks and limitations","volume":"14","author":"Cooper","year":"2022","journal-title":"Orthop Res Rev"},{"issue":"4","key":"10.1016\/j.jhsa.2025.04.015_bib23","doi-asserted-by":"crossref","DOI":"10.1001\/jamanetworkopen.2020.3497","article-title":"Operative vs nonoperative treatment of distal radius fractures in adults: a systematic review and meta-analysis","volume":"3","author":"Ochen","year":"2020","journal-title":"JAMA Netw Open"},{"issue":"12","key":"10.1016\/j.jhsa.2025.04.015_bib24","doi-asserted-by":"crossref","first-page":"1193","DOI":"10.1016\/j.jhsa.2023.09.001","article-title":"The moderating effect of age on patient-reported benefits from operative management of intra-articular distal radius fractures: a meta-regression analysis","volume":"48","author":"Hustedt","year":"2023","journal-title":"J Hand Surg Am"},{"issue":"1","key":"10.1016\/j.jhsa.2025.04.015_bib25","doi-asserted-by":"crossref","first-page":"32","DOI":"10.1038\/s42256-021-00425-9","article-title":"Generalized radiograph representation learning via cross-supervision between images and free-text radiology reports","volume":"4","author":"Zhou","year":"2022","journal-title":"Nat Mach Intell"},{"key":"10.1016\/j.jhsa.2025.04.015_bib26","series-title":"2023 IEEE\/CVF International Conference on Computer Vision (ICCV)","first-page":"3992","article-title":"Segment anything","author":"Kirillov","year":"2023"},{"key":"10.1016\/j.jhsa.2025.04.015_bib27","doi-asserted-by":"crossref","DOI":"10.1016\/j.compbiomed.2024.108238","article-title":"Segment anything model for medical image segmentation: current applications and future directions","volume":"171","author":"Zhang","year":"2024","journal-title":"Comput Biol Med"},{"issue":"7","key":"10.1016\/j.jhsa.2025.04.015_bib28","doi-asserted-by":"crossref","DOI":"10.1088\/1361-6560\/aab4b1","article-title":"Receiver operating characteristic (ROC) curves: review of methods with applications in diagnostic medicine","volume":"63","author":"Obuchowski","year":"2018","journal-title":"Phys Med Biol"},{"key":"10.1016\/j.jhsa.2025.04.015_bib29","doi-asserted-by":"crossref","first-page":"13","DOI":"10.1186\/s41512-021-00102-w","article-title":"A relationship between the incremental values of area under the ROC curve and of area under the precision-recall curve","volume":"5","author":"Zhou","year":"2021","journal-title":"Diagn Progn Res"},{"key":"10.1016\/j.jhsa.2025.04.015_bib30","series-title":"Computational Science\u2013ICCS 2020: 20th International Conference, Proceedings, Part IV 20","first-page":"74","article-title":"On model evaluation under non-constant class imbalance","author":"Brabec","year":"2020"},{"issue":"1","key":"10.1016\/j.jhsa.2025.04.015_bib31","doi-asserted-by":"crossref","DOI":"10.5041\/RMMJ.10324","article-title":"Factors affecting surgical decision-making-a qualitative study","volume":"9","author":"Gunaratnam","year":"2018","journal-title":"Rambam Maimonides Med J"},{"issue":"2","key":"10.1016\/j.jhsa.2025.04.015_bib32","doi-asserted-by":"crossref","first-page":"148","DOI":"10.1001\/jamasurg.2019.4917","article-title":"Artificial intelligence and surgical decision-making","volume":"155","author":"Loftus","year":"2020","journal-title":"JAMA Surg"},{"issue":"4","key":"10.1016\/j.jhsa.2025.04.015_bib33","doi-asserted-by":"crossref","first-page":"312","DOI":"10.1016\/j.jhsa.2017.11.005","article-title":"The desired role of health care providers in guiding older patients with distal radius fractures: a qualitative analysis","volume":"43","author":"Huetteman","year":"2018","journal-title":"J Hand Surg Am"},{"issue":"10","key":"10.1016\/j.jhsa.2025.04.015_bib34","doi-asserted-by":"crossref","first-page":"1022","DOI":"10.1016\/j.jhsa.2024.04.013","article-title":"Shared decision making in hand surgery","volume":"49","author":"Lalchandani","year":"2024","journal-title":"J Hand Surg Am"},{"issue":"4","key":"10.1016\/j.jhsa.2025.04.015_bib35","doi-asserted-by":"crossref","first-page":"534","DOI":"10.1177\/1558944717751194","article-title":"Treatment trends, complications, and effects of comorbidities on distal radius fractures","volume":"14","author":"Mosenthal","year":"2019","journal-title":"Hand (N Y)"},{"issue":"8","key":"10.1016\/j.jhsa.2025.04.015_bib36","doi-asserted-by":"crossref","first-page":"e1198","DOI":"10.3928\/01477447-20120725-19","article-title":"Therapeutic effects of volar anatomical plates versus locking plates for volar Barton\u2019s fractures","volume":"35","author":"Tang","year":"2012","journal-title":"Orthopedics"},{"key":"10.1016\/j.jhsa.2025.04.015_bib37","series-title":"StatPearls","article-title":"Barton fracture","author":"Szymanski","year":"2024"},{"issue":"2","key":"10.1016\/j.jhsa.2025.04.015_bib38","doi-asserted-by":"crossref","first-page":"584","DOI":"10.18203\/2320-6012.ijrms20230168","article-title":"Outcome of volar Barton fractures of distal radius managed with open reduction and internal fixation with volar locking plate","volume":"11","author":"Lone","year":"2023","journal-title":"Int J Res Med Sci"},{"issue":"2","key":"10.1016\/j.jhsa.2025.04.015_bib39","doi-asserted-by":"crossref","first-page":"679","DOI":"10.1007\/s10278-022-00741-5","article-title":"Detecting distal radius fractures using a segmentation-based deep learning model","volume":"36","author":"Anttila","year":"2023","journal-title":"J Digit Imaging"},{"issue":"3","key":"10.1016\/j.jhsa.2025.04.015_bib40","doi-asserted-by":"crossref","first-page":"1285","DOI":"10.3390\/s22031285","article-title":"Fracture detection in wrist x-ray images using deep learning-based object detection models","volume":"22","author":"Hardala\u00e7","year":"2022","journal-title":"Sensors (Basel)"},{"issue":"1","key":"10.1016\/j.jhsa.2025.04.015_bib41","doi-asserted-by":"crossref","first-page":"694","DOI":"10.1186\/s13018-021-02845-0","article-title":"Artificial intelligence to diagnosis distal radius fracture using biplane plain X-rays","volume":"16","author":"Oka","year":"2021","journal-title":"J Orthop Surg"},{"issue":"5","key":"10.1016\/j.jhsa.2025.04.015_bib42","doi-asserted-by":"crossref","first-page":"2885","DOI":"10.1007\/s00330-023-10380-1","article-title":"Commercially-available AI algorithm improves radiologists\u2019 sensitivity for wrist and hand fracture detection on X-ray, compared to a CT-based ground truth","volume":"34","author":"Jacques","year":"2024","journal-title":"Eur Radiol"},{"key":"10.1016\/j.jhsa.2025.04.015_bib43","doi-asserted-by":"crossref","DOI":"10.1016\/j.cmpb.2023.107464","article-title":"Development of numerical model-based machine learning algorithms for different healing stages of distal radius fracture healing","volume":"233","author":"Liu","year":"2023","journal-title":"Comput Methods Programs Biomed"},{"issue":"9","key":"10.1016\/j.jhsa.2025.04.015_bib44","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0257361","article-title":"Predicting fracture outcomes from clinical registry data using artificial intelligence supplemented models for evidence-informed treatment (PRAISE) study protocol","volume":"16","author":"Dipnall","year":"2021","journal-title":"PLoS ONE"}],"container-title":["The Journal of Hand Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0363502325002126?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0363502325002126?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T17:08:21Z","timestamp":1751389701000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0363502325002126"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,7]]},"references-count":44,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2025,7]]}},"alternative-id":["S0363502325002126"],"URL":"https:\/\/doi.org\/10.1016\/j.jhsa.2025.04.015","relation":{},"ISSN":["0363-5023"],"issn-type":[{"value":"0363-5023","type":"print"}],"subject":[],"published":{"date-parts":[[2025,7]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Predicting Surgical Versus Nonsurgical Management of Acute Isolated Distal Radius Fractures in Patients Under Age 60 Using a Convolutional Neural Network","name":"articletitle","label":"Article Title"},{"value":"The Journal of Hand Surgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jhsa.2025.04.015","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2025 by the American Society for Surgery of the Hand. Published by Elsevier Inc.","name":"copyright","label":"Copyright"}]}}