{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T03:19:53Z","timestamp":1773199193699,"version":"3.50.1"},"reference-count":52,"publisher":"Elsevier BV","issue":"3","license":[{"start":{"date-parts":[[2018,7,1]],"date-time":"2018-07-01T00:00:00Z","timestamp":1530403200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"}],"content-domain":{"domain":["clinicalkey.jp","clinicalkey.com","clinicalkey.es","theclinics.com","clinicalkey.com.au","clinicalkey.fr","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Orthopedic Clinics of North America"],"published-print":{"date-parts":[[2018,7]]},"DOI":"10.1016\/j.ocl.2018.02.007","type":"journal-article","created":{"date-parts":[[2018,6,19]],"date-time":"2018-06-19T04:41:38Z","timestamp":1529383298000},"page":"335-343","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":14,"title":["Obesity in Pediatric Trauma"],"prefix":"10.1016","volume":"49","author":[{"given":"Philip","family":"Ashley","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shawn R.","family":"Gilbert","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"78","reference":[{"issue":"4","key":"10.1016\/j.ocl.2018.02.007_bib1","doi-asserted-by":"crossref","first-page":"628","DOI":"10.1016\/j.jpedsurg.2016.11.037","article-title":"Obesity in pediatric trauma","volume":"52","author":"Witt","year":"2017","journal-title":"J\u00a0Pediatr Surg"},{"issue":"7","key":"10.1016\/j.ocl.2018.02.007_bib2","doi-asserted-by":"crossref","first-page":"1404","DOI":"10.1016\/j.jpedsurg.2012.02.015","article-title":"Does obesity impact the pattern and outcome of trauma in children?","volume":"47","author":"Alselaim","year":"2012","journal-title":"J\u00a0Pediatr Surg"},{"issue":"8","key":"10.1016\/j.ocl.2018.02.007_bib3","doi-asserted-by":"crossref","first-page":"1601","DOI":"10.1016\/j.jpedsurg.2008.11.060","article-title":"Childhood obesity: a risk factor for injuries observed at a level-1 trauma center","volume":"44","author":"Rana","year":"2009","journal-title":"J\u00a0Pediatr Surg"},{"issue":"1","key":"10.1016\/j.ocl.2018.02.007_bib4","doi-asserted-by":"crossref","first-page":"88","DOI":"10.1016\/j.jpedsurg.2005.10.012","article-title":"The impact of obesity on severely injured children and adolescents","volume":"41","author":"Brown","year":"2006","journal-title":"J\u00a0Pediatr Surg"},{"issue":"4","key":"10.1016\/j.ocl.2018.02.007_bib5","doi-asserted-by":"crossref","first-page":"966","DOI":"10.1097\/TA.0b013e31825a78fa","article-title":"Pediatric obesity and traumatic lower-extremity long-bone fracture outcomes","volume":"73","author":"Backstrom","year":"2012","journal-title":"J\u00a0Trauma Acute Care Surg"},{"issue":"2","key":"10.1016\/j.ocl.2018.02.007_bib6","doi-asserted-by":"crossref","first-page":"345","DOI":"10.1016\/j.jpedsurg.2016.09.002","article-title":"The impact of morbid obesity on solid organ injury in children using the ATOMAC protocol at a pediatric level I trauma center","volume":"52","author":"Vaughan","year":"2017","journal-title":"J\u00a0Pediatr Surg"},{"issue":"3","key":"10.1016\/j.ocl.2018.02.007_bib7","doi-asserted-by":"crossref","first-page":"644","DOI":"10.1002\/oby.21018","article-title":"Risk and injury severity of obese child passengers in motor vehicle crashes","volume":"23","author":"Kim","year":"2015","journal-title":"Obesity (Silver Spring)"},{"issue":"1","key":"10.1016\/j.ocl.2018.02.007_bib8","doi-asserted-by":"crossref","first-page":"102","DOI":"10.1177\/0148607112441801","article-title":"Obesity is not associated with increased mortality and morbidity in critically ill children","volume":"37","author":"Goh","year":"2013","journal-title":"JPEN J Parenter Enteral Nutr"},{"issue":"3","key":"10.1016\/j.ocl.2018.02.007_bib9","doi-asserted-by":"crossref","first-page":"469","DOI":"10.1016\/j.jpedsurg.2013.07.012","article-title":"Obesity and outcomes following burns in the pediatric population","volume":"49","author":"Ross","year":"2014","journal-title":"J\u00a0Pediatr Surg"},{"key":"10.1016\/j.ocl.2018.02.007_bib10","doi-asserted-by":"crossref","DOI":"10.1097\/PEC.0000000000001022","article-title":"Comparison of resource utilization and length of hospitalization between overweight and healthy-weight pediatric trauma patients presenting to a pediatric emergency department with moderate to severe injury: a prospective study","author":"Romano","year":"2017","journal-title":"Pediatr Emerg Care"},{"issue":"4","key":"10.1016\/j.ocl.2018.02.007_bib11","doi-asserted-by":"crossref","first-page":"338","DOI":"10.1089\/chi.2012.0134","article-title":"Acute care costs in overweight children: a pediatric urban cohort study","volume":"9","author":"Fleming-Dutra","year":"2013","journal-title":"Child Obes"},{"key":"10.1016\/j.ocl.2018.02.007_bib12","doi-asserted-by":"crossref","first-page":"562","DOI":"10.1016\/j.bone.2011.05.005","article-title":"Increased fat mass is associated with increased bone size but reduced volumetric density in pre pubertal children","volume":"50","author":"Cole","year":"2012","journal-title":"Bone"},{"issue":"7","key":"10.1016\/j.ocl.2018.02.007_bib13","doi-asserted-by":"crossref","first-page":"3019","DOI":"10.1210\/jc.2012-3914","article-title":"Bone size and bone strength are increased in obese male adolescents","volume":"98","author":"Vandewalle","year":"2013","journal-title":"J\u00a0Clin Endocrinol Metab"},{"key":"10.1016\/j.ocl.2018.02.007_bib14","doi-asserted-by":"crossref","first-page":"37","DOI":"10.1186\/1471-2431-13-37","article-title":"The relationship between visceral fat thickness and bone mineral density in sedentary obese children and adolescents","volume":"13","author":"J\u00fanior","year":"2013","journal-title":"BMC Pediatr"},{"issue":"1","key":"10.1016\/j.ocl.2018.02.007_bib15","doi-asserted-by":"crossref","first-page":"106","DOI":"10.1210\/jc.2010-0889","article-title":"Cross-sectional versus longitudinal associations of lean and fat mass with pQCT bone outcomes in children","volume":"96","author":"Wey","year":"2011","journal-title":"J\u00a0Clin Endocrinol Metab"},{"key":"10.1016\/j.ocl.2018.02.007_bib16","doi-asserted-by":"crossref","first-page":"457","DOI":"10.1016\/j.bone.2011.05.011","article-title":"Obesity is a risk factor for fracture in children but is protective against fracture in adults: a paradox","volume":"50","author":"Dimitri","year":"2012","journal-title":"Bone"},{"issue":"4","key":"10.1016\/j.ocl.2018.02.007_bib17","doi-asserted-by":"crossref","first-page":"e1229","DOI":"10.1542\/peds.2014-2173","article-title":"Optimizing bone health in children and adolescents","volume":"134","author":"Golden","year":"2014","journal-title":"Pediatrics"},{"key":"10.1016\/j.ocl.2018.02.007_bib18","doi-asserted-by":"crossref","first-page":"166","DOI":"10.1186\/1471-2431-12-166","article-title":"Prevalence of overweight in children with bone fractures: a case control study","volume":"12","author":"Valerio","year":"2012","journal-title":"BMC Pediatr"},{"issue":"12","key":"10.1016\/j.ocl.2018.02.007_bib19","doi-asserted-by":"crossref","first-page":"835","DOI":"10.1097\/PEC.0000000000000628","article-title":"The association between weight status and pediatric forearm fractures resulting from ground-level falls","volume":"31","author":"Manning Ryan","year":"2015","journal-title":"Pediatr Emerg Care"},{"issue":"3","key":"10.1016\/j.ocl.2018.02.007_bib20","doi-asserted-by":"crossref","first-page":"191","DOI":"10.1136\/injuryprev-2012-040341","article-title":"Associations between childhood obesity and upper and lower extremity injuries","volume":"19","author":"Adams","year":"2013","journal-title":"Inj Prev"},{"issue":"4","key":"10.1016\/j.ocl.2018.02.007_bib21","doi-asserted-by":"crossref","first-page":"1199","DOI":"10.1007\/s11999-012-2621-z","article-title":"Childhood obesity is associated with increased risk of most lower extremity fractures","volume":"471","author":"Kessler","year":"2013","journal-title":"Clin Orthop Relat Res"},{"key":"10.1016\/j.ocl.2018.02.007_bib22","article-title":"Reported sports participation, race, sex, ethnicity, and obesity in US adolescents from NHANES physical activity (PAQ_D)","volume":"2","author":"Turner","year":"2015","journal-title":"Glob Pediatr Health"},{"issue":"5","key":"10.1016\/j.ocl.2018.02.007_bib23","doi-asserted-by":"crossref","first-page":"251","DOI":"10.1093\/pch\/19.5.251","article-title":"Do obese children experience more severe fractures than nonobese children? A cross-sectional study from a paediatric emergency department","volume":"19","author":"Kwan","year":"2014","journal-title":"Paediatr Child Health"},{"issue":"1","key":"10.1016\/j.ocl.2018.02.007_bib24","doi-asserted-by":"crossref","first-page":"e12","DOI":"10.1097\/BOT.0000000000000132","article-title":"Altered lower extremity fracture characteristics in obese pediatric trauma patients","volume":"29","author":"Gilbert","year":"2015","journal-title":"J\u00a0Orthop Trauma"},{"issue":"4","key":"10.1016\/j.ocl.2018.02.007_bib25","doi-asserted-by":"crossref","first-page":"681","DOI":"10.1542\/peds.2009-2367","article-title":"Injury patterns in obese versus nonobese children presenting to a pediatric emergency department","volume":"125","author":"Pomerantz","year":"2010","journal-title":"Pediatrics"},{"issue":"4","key":"10.1016\/j.ocl.2018.02.007_bib26","doi-asserted-by":"crossref","first-page":"649","DOI":"10.1097\/JIM.0000000000000185","article-title":"Is high weight status associated with pediatric forearm fractures requiring anatomic reduction?","volume":"63","author":"Ryan","year":"2015","journal-title":"J\u00a0Investig Med"},{"issue":"8","key":"10.1016\/j.ocl.2018.02.007_bib27","doi-asserted-by":"crossref","first-page":"1060","DOI":"10.1016\/j.ajem.2017.02.036","article-title":"Desaturation in procedural sedation for children with long bone fractures: does weight status matter?","volume":"35","author":"Hirsch","year":"2017","journal-title":"Am J Emerg Med"},{"issue":"8","key":"10.1016\/j.ocl.2018.02.007_bib28","doi-asserted-by":"crossref","first-page":"e86","DOI":"10.1097\/BPO.0000000000000649","article-title":"Childhood obesity increases the risk of failure in the treatment of distal forearm fractures","volume":"36","author":"Auer","year":"2016","journal-title":"J\u00a0Pediatr Orthop"},{"key":"10.1016\/j.ocl.2018.02.007_bib29","doi-asserted-by":"crossref","first-page":"e46","DOI":"10.1097\/BOT.0000000000001010","article-title":"Obesity increases risk of loss of reduction after casting for diaphyseal fractures of the radius and ulna in children: an observational cohort study","volume":"32","author":"DeFrancesco","year":"2018","journal-title":"J\u00a0Orthop Trauma"},{"issue":"9","key":"10.1016\/j.ocl.2018.02.007_bib30","doi-asserted-by":"crossref","first-page":"711","DOI":"10.1016\/j.jhsa.2017.06.006","article-title":"Obesity and failure of nonsurgical management of pediatric both-bone forearm fractures","volume":"42","author":"Okoroafor","year":"2017","journal-title":"J\u00a0Hand Surg Am"},{"issue":"4","key":"10.1016\/j.ocl.2018.02.007_bib31","doi-asserted-by":"crossref","first-page":"1193","DOI":"10.1007\/s11999-012-2566-2","article-title":"Childhood obesity as a risk factor for lateral condyle fractures over supracondylar humerus fractures","volume":"471","author":"Fornari","year":"2013","journal-title":"Clin Orthop Relat Res"},{"issue":"3","key":"10.1016\/j.ocl.2018.02.007_bib32","doi-asserted-by":"crossref","first-page":"e18","DOI":"10.2106\/JBJS.L.01643","article-title":"Obesity and its effects on pediatric supracondylar humeral fractures","volume":"96","author":"Seeley","year":"2014","journal-title":"J\u00a0Bone Joint Surg Am"},{"issue":"Suppl 9","key":"10.1016\/j.ocl.2018.02.007_bib33","first-page":"S23","article-title":"Risk factors for loss of fixation in pediatric supracondylar humeral fractures","volume":"97","author":"Sangkomkamhang","year":"2014","journal-title":"J\u00a0Med Assoc Thai"},{"issue":"11","key":"10.1016\/j.ocl.2018.02.007_bib34","doi-asserted-by":"crossref","first-page":"2181","DOI":"10.1016\/j.injury.2015.09.004","article-title":"Influence of obesity on surgical outcomes in type III paediatric supracondylar humeral fractures","volume":"46","author":"Chang","year":"2015","journal-title":"Injury"},{"issue":"6","key":"10.1016\/j.ocl.2018.02.007_bib35","doi-asserted-by":"crossref","first-page":"366","DOI":"10.1136\/ip.2008.019208","article-title":"Body mass index and injury risk among US children 9-15 years old in motor vehicle crashes","volume":"14","author":"Pollack","year":"2008","journal-title":"Inj Prev"},{"issue":"12","key":"10.1016\/j.ocl.2018.02.007_bib36","first-page":"2609","article-title":"Surgical treatment of femoral fractures in obese children: does excessive body weight increase the rate of complications?","volume":"87","author":"Leet","year":"2005","journal-title":"J\u00a0Bone Joint Surg Am"},{"issue":"8","key":"10.1016\/j.ocl.2018.02.007_bib37","doi-asserted-by":"crossref","first-page":"874","DOI":"10.1097\/BPO.0b013e31818f1136","article-title":"Biomechanical analysis of titanium elastic nail fixation in a pediatric femur fracture model","volume":"28","author":"Li","year":"2008","journal-title":"J\u00a0Pediatr Orthop"},{"issue":"1","key":"10.1016\/j.ocl.2018.02.007_bib38","doi-asserted-by":"crossref","first-page":"53","DOI":"10.1007\/s11832-008-0149-2","article-title":"Complications with flexible nailing of femur fractures more than double with child obesity and weight\u00a0>50 kg","volume":"3","author":"Weiss","year":"2009","journal-title":"J\u00a0Child Orthop"},{"key":"10.1016\/j.ocl.2018.02.007_bib39","doi-asserted-by":"crossref","first-page":"88","DOI":"10.1097\/BPO.0000000000000775","article-title":"Flexible intramedullary nails for femur fractures in pediatric patients heavier than 100 pounds","volume":"38","author":"Shaha","year":"2018","journal-title":"J\u00a0Pediatr Orthop"},{"issue":"2","key":"10.1016\/j.ocl.2018.02.007_bib40","doi-asserted-by":"crossref","first-page":"229","DOI":"10.1097\/01241398-199903000-00018","article-title":"The treatment of pediatric femur fractures with early 90-90 spica casting","volume":"19","author":"Czertak","year":"1999","journal-title":"J\u00a0Pediatr Orthop"},{"issue":"1","key":"10.1016\/j.ocl.2018.02.007_bib41","doi-asserted-by":"crossref","first-page":"16","DOI":"10.1097\/01241398-198401000-00004","article-title":"Early casting of femoral shaft fractures in children","volume":"4","author":"Henderson","year":"1984","journal-title":"J\u00a0Pediatr Orthop"},{"issue":"1","key":"10.1016\/j.ocl.2018.02.007_bib42","doi-asserted-by":"crossref","first-page":"17","DOI":"10.1097\/BPO.0b013e3182032075","article-title":"Incidence of skin complications and associated charges in children treated with hip spica casts for femur fractures","volume":"31","author":"DiFazio","year":"2011","journal-title":"J\u00a0Pediatr Orthop"},{"issue":"5","key":"10.1016\/j.ocl.2018.02.007_bib43","doi-asserted-by":"crossref","first-page":"472","DOI":"10.1097\/BPO.0000000000000483","article-title":"Titanium elastic nailing for pediatric tibia fractures: do older, heavier kids do worse?","volume":"36","author":"Goodbody","year":"2016","journal-title":"J\u00a0Pediatr Orthop"},{"issue":"4","key":"10.1016\/j.ocl.2018.02.007_bib44","doi-asserted-by":"crossref","first-page":"391","DOI":"10.1097\/BPO.0000000000000273","article-title":"Does pediatric body mass index affect surgical outcomes of lower-extremity external fixation?","volume":"35","author":"Fedorak","year":"2015","journal-title":"J\u00a0Pediatr Orthop"},{"issue":"2","key":"10.1016\/j.ocl.2018.02.007_bib45","doi-asserted-by":"crossref","first-page":"147","DOI":"10.1007\/s11832-012-0468-1","article-title":"Weight gain during external fixation","volume":"7","author":"Culotta","year":"2013","journal-title":"J\u00a0Child Orthop"},{"issue":"2","key":"10.1016\/j.ocl.2018.02.007_bib46","doi-asserted-by":"crossref","first-page":"136","DOI":"10.1016\/S0966-6362(02)00161-3","article-title":"Dynamic and static tests of balance and postural sway in boys: effects of previous wrist bone fractures and high adiposity","volume":"17","author":"Goulding","year":"2003","journal-title":"Gait Posture"},{"issue":"168","key":"10.1016\/j.ocl.2018.02.007_bib47","first-page":"80","article-title":"A\u00a0maneuver for improved positioning of a tourniquet in the obese patient","author":"Krackow","year":"1982","journal-title":"Clin Orthop Relat Res"},{"issue":"5","key":"10.1016\/j.ocl.2018.02.007_bib48","doi-asserted-by":"crossref","first-page":"395","DOI":"10.1007\/s11832-016-0763-3","article-title":"It's not just the big kids: both high and low BMI impact bracing success for adolescent idiopathic scoliosis","volume":"10","author":"Goodbody","year":"2016","journal-title":"J\u00a0Child Orthop"},{"issue":"6","key":"10.1016\/j.ocl.2018.02.007_bib49","doi-asserted-by":"crossref","first-page":"1670","DOI":"10.1007\/s00586-017-4985-y","article-title":"Overweight is not predictive of bracing failure in adolescent idiopathic scoliosis: results from a retrospective cohort study","volume":"26","author":"Zaina","year":"2017","journal-title":"Eur Spine J"},{"issue":"10","key":"10.1016\/j.ocl.2018.02.007_bib50","doi-asserted-by":"crossref","first-page":"702","DOI":"10.5435\/JAAOS-D-15-00351","article-title":"Perioperative vision loss in spine surgery and other orthopaedic procedures","volume":"24","author":"Su","year":"2016","journal-title":"J\u00a0Am Acad Orthop Surg"},{"issue":"2","key":"10.1016\/j.ocl.2018.02.007_bib51","doi-asserted-by":"crossref","first-page":"166","DOI":"10.1016\/j.jspd.2014.07.007","article-title":"Increased risk of infection in obese adolescents after pedicle screw instrumentation for idiopathic scoliosis","volume":"3","author":"Katyal","year":"2015","journal-title":"Spine Deform"},{"issue":"4","key":"10.1016\/j.ocl.2018.02.007_bib52","doi-asserted-by":"crossref","first-page":"E5","DOI":"10.3171\/2017.7.FOCUS17342","article-title":"Effect of body mass index on surgical outcomes after posterior spinal fusion for adolescent idiopathic scoliosis","volume":"43","author":"De la Garza Ramos","year":"2017","journal-title":"Neurosurg Focus"}],"container-title":["Orthopedic Clinics of North America"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0030589818300373?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0030589818300373?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2018,6,19]],"date-time":"2018-06-19T06:02:48Z","timestamp":1529388168000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0030589818300373"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,7]]},"references-count":52,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2018,7]]}},"alternative-id":["S0030589818300373"],"URL":"https:\/\/doi.org\/10.1016\/j.ocl.2018.02.007","relation":{},"ISSN":["0030-5898"],"issn-type":[{"value":"0030-5898","type":"print"}],"subject":[],"published":{"date-parts":[[2018,7]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Obesity in Pediatric Trauma","name":"articletitle","label":"Article Title"},{"value":"Orthopedic Clinics of North America","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.ocl.2018.02.007","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2018 Elsevier Inc. All rights reserved.","name":"copyright","label":"Copyright"}]}}