{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,17]],"date-time":"2026-06-17T23:51:15Z","timestamp":1781740275738,"version":"3.54.5"},"reference-count":19,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2026,4,24]],"date-time":"2026-04-24T00:00:00Z","timestamp":1776988800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"},{"start":{"date-parts":[[2026,6,18]],"date-time":"2026-06-18T00:00:00Z","timestamp":1781740800000},"content-version":"vor","delay-in-days":55,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"funder":[{"name":"Faculty research grant from the Yonsei University College of Medicine","award":["6-2023-0126"],"award-info":[{"award-number":["6-2023-0126"]}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Sci Rep"],"DOI":"10.1038\/s41598-026-50172-3","type":"journal-article","created":{"date-parts":[[2026,4,24]],"date-time":"2026-04-24T07:56:53Z","timestamp":1777017413000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Initial lateral stress radiographs predict instability in fragility fractures of the pelvis type I and II: a prospective observational study"],"prefix":"10.1038","volume":"16","author":[{"given":"Kyu-Hyun","family":"Yang","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jun-Young","family":"An","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Young-Chang","family":"Park","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,4,24]]},"reference":[{"issue":"12","key":"50172_CR1","doi-asserted-by":"publisher","first-page":"1733","DOI":"10.1016\/j.injury.2013.06.023","volume":"44","author":"PM Rommens","year":"2013","unstructured":"Rommens, P. M. & Hofmann, A. Comprehensive classification of fragility fractures of the pelvic ring: Recommendations for surgical treatment. Injury 44(12), 1733\u20131744 (2013).","journal-title":"Injury"},{"issue":"1","key":"50172_CR2","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1007\/s00776-014-0653-9","volume":"20","author":"PM Rommens","year":"2015","unstructured":"Rommens, P. M. et al. Clinical pathways for fragility fractures of the pelvic ring: Personal experience and review of the literature. J. Orthop. Sci. 20(1), 1\u201311 (2015).","journal-title":"J. Orthop. Sci."},{"issue":"11","key":"50172_CR3","doi-asserted-by":"publisher","first-page":"e410","DOI":"10.1097\/BOT.0000000000001584","volume":"33","author":"G Osterhoff","year":"2019","unstructured":"Osterhoff, G. et al. Early operative versus nonoperative treatment of fragility fractures of the pelvis: A propensity-matched multicenter study. J. Orthop. Trauma. 33(11), e410\u2013e415 (2019).","journal-title":"J. Orthop. Trauma."},{"issue":"2","key":"50172_CR4","doi-asserted-by":"publisher","first-page":"507","DOI":"10.1007\/s00068-019-01150-0","volume":"47","author":"Y Ueda","year":"2021","unstructured":"Ueda, Y. et al. Prolonged pain in patients with fragility fractures of the pelvis may be due to fracture progression. Eur. J. Trauma Emerg. Surg. 47(2), 507\u2013513 (2021).","journal-title":"Eur. J. Trauma Emerg. Surg."},{"issue":"4","key":"50172_CR5","doi-asserted-by":"publisher","first-page":"3243","DOI":"10.1007\/s00068-022-01887-1","volume":"48","author":"PM Rommens","year":"2022","unstructured":"Rommens, P. M. et al. Prospective assessment of key factors influencing treatment strategy and outcome of fragility fractures of the pelvis (FFP). Eur. J. Trauma Emerg. Surg. 48(4), 3243\u20133256 (2022).","journal-title":"Eur. J. Trauma Emerg. Surg."},{"issue":"5","key":"50172_CR6","doi-asserted-by":"publisher","first-page":"459","DOI":"10.2106\/JBJS.23.01397","volume":"107","author":"L de Jong","year":"2025","unstructured":"de Jong, L., de Haan, E., van Rijckevorsel, V., Kuijper, T. M. & Roukema, G. R. Multidimensional approach for predicting 30-day mortality in patients with a hip fracture: Development and external validation of the rotterdam hip fracture mortality prediction-30 days (RHMP-30). J. Bone Joint Surg. Am. 107(5), 459\u2013468 (2025).","journal-title":"J. Bone Joint Surg. Am."},{"issue":"7","key":"50172_CR7","doi-asserted-by":"publisher","first-page":"741","DOI":"10.1302\/2633-1462.67.BJO-2024-0243.R1","volume":"6","author":"V Mazarello Paes","year":"2025","unstructured":"Mazarello Paes, V. et al. A systematic review of evidence regarding the association between time to mobilization following hip fracture surgery and patient outcomes. Bone Jt. Open. 6(7), 741\u2013747 (2025).","journal-title":"Bone Jt. Open."},{"issue":"11","key":"50172_CR8","doi-asserted-by":"publisher","first-page":"567","DOI":"10.1097\/BOT.0000000000001805","volume":"34","author":"JA Parry","year":"2020","unstructured":"Parry, J. A., Salameh, M., Maher, M. H., Stacey, S. C. & Mauffrey, C. The lateral stress radiograph identifies occult instability of lateral compression pelvic ring injuries without sedation. J. Orthop. Trauma. 34(11), 567\u2013571 (2020).","journal-title":"J. Orthop. Trauma."},{"issue":"10","key":"50172_CR9","doi-asserted-by":"publisher","first-page":"2685","DOI":"10.1016\/j.injury.2020.07.027","volume":"52","author":"JA Parry","year":"2021","unstructured":"Parry, J. A. et al. An international survey of pelvic trauma surgeons on the management of pelvic ring injuries. Injury 52(10), 2685\u20132692 (2021).","journal-title":"Injury"},{"key":"50172_CR10","doi-asserted-by":"publisher","DOI":"10.1097\/bot.0000000000003022","author":"B Aonnicha","year":"2025","unstructured":"Aonnicha, B., Claude, S. H., Heather, A. V. & Paul, T. 3rd. Indications for and potential benefits of pelvis stress radiographs in lateral compression injuries: What is the supporting evidence? State of the art review. J. Orthop. Trauma. https:\/\/doi.org\/10.1097\/bot.0000000000003022 (2025).","journal-title":"J. Orthop. Trauma."},{"key":"50172_CR11","doi-asserted-by":"publisher","first-page":"5","DOI":"10.12671\/jmt.2025.00017","volume":"38","author":"Y-C Park","year":"2025","unstructured":"Park, Y.-C. Easily missed nondisplaced fractures accompanying complete fractures in the lower extremity and pelvis: A narrative review. J. Musculoskelet. Trauma. 38, 5\u201312 (2025).","journal-title":"J. Musculoskelet. Trauma."},{"issue":"3","key":"50172_CR12","doi-asserted-by":"publisher","first-page":"e3","DOI":"10.2106\/JBJS.RVW.16.00057","volume":"5","author":"PM Rommens","year":"2017","unstructured":"Rommens, P. M., Wagner, D. & Hofmann, A. Fragility fractures of the Pelvis. JBJS Rev. 5(3), e3 (2017).","journal-title":"JBJS Rev."},{"issue":"4","key":"50172_CR13","doi-asserted-by":"publisher","first-page":"336","DOI":"10.2106\/JBJS.21.00737","volume":"104","author":"GJ DeKeyser","year":"2022","unstructured":"DeKeyser, G. J. et al. Emergency department stress radiographs of lateral compression type-1 pelvic ring injuries are safe, effective, and reliable. J. Bone Joint Surg. Am. 104(4), 336\u2013344 (2022).","journal-title":"J. Bone Joint Surg. Am."},{"issue":"10","key":"50172_CR14","doi-asserted-by":"publisher","first-page":"494","DOI":"10.1097\/BOT.0000000000002374","volume":"36","author":"JA Parry","year":"2022","unstructured":"Parry, J. A. et al. Lateral stress radiographs of lateral compression type 1 pelvic injuries, with the injured side down or up, reliably measure occult instability. J. Orthop. Trauma. 36(10), 494\u2013497 (2022).","journal-title":"J. Orthop. Trauma."},{"issue":"5","key":"50172_CR15","doi-asserted-by":"publisher","first-page":"1965","DOI":"10.1007\/s00590-022-03373-1","volume":"33","author":"NJ Tucker","year":"2023","unstructured":"Tucker, N. J., Heare, A., Stacey, S. C., Mauffrey, C. & Parry, J. A. The lateral stress radiograph: an effective alternative to examination under anesthesia for identifying occult instability in minimally displaced lateral compression pelvic ring injuries. Eur. J. Orthop. Surg. Traumatol. 33(5), 1965\u20131971 (2023).","journal-title":"Eur. J. Orthop. Surg. Traumatol."},{"issue":"4","key":"50172_CR16","first-page":"407","volume":"77","author":"K Hotta","year":"2023","unstructured":"Hotta, K. & Kobayashi, T. Usefulness of force-controlled pelvic stress radiograph in the evaluation and treatment of fragility fractures of the pelvis in geriatric patients: A pilot study. Acta Med. Okayama. 77(4), 407\u2013414 (2023).","journal-title":"Acta Med. Okayama."},{"issue":"7","key":"50172_CR17","doi-asserted-by":"publisher","first-page":"356","DOI":"10.1097\/BOT.0000000000002576","volume":"37","author":"NJ Tucker","year":"2023","unstructured":"Tucker, N. J., Scott, B., Mauffrey, C. & Parry, J. A. Geriatric patients presenting with isolated pubic rami fractures and inability to mobilize may have occult lateral compression pelvic ring injuries with dynamic instability. J. Orthop. Trauma. 37(7), 356\u2013360 (2023).","journal-title":"J. Orthop. Trauma."},{"issue":"1","key":"50172_CR18","doi-asserted-by":"publisher","first-page":"29","DOI":"10.1148\/radiology.143.1.7063747","volume":"143","author":"JA Hanley","year":"1982","unstructured":"Hanley, J. A. & McNeil, B. J. The meaning and use of the area under a receiver operating characteristic (ROC) curve. Radiology 143(1), 29\u201336 (1982).","journal-title":"Radiology"},{"issue":"5","key":"50172_CR19","doi-asserted-by":"publisher","first-page":"849","DOI":"10.1016\/j.otsr.2020.01.005","volume":"106","author":"EJ Lim","year":"2020","unstructured":"Lim, E. J., Kim, J. J., Kim, J. W. & Kim, K. H. What characteristics indicate concomitant posterior pelvic injury in pubic ramus fractures in the elderly?. Orthop. Traumatol. Surg. Res. 106(5), 849\u2013853 (2020).","journal-title":"Orthop. Traumatol. Surg. Res."}],"container-title":["Scientific Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.nature.com\/articles\/s41598-026-50172-3","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.nature.com\/articles\/s41598-026-50172-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.nature.com\/articles\/s41598-026-50172-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,17]],"date-time":"2026-06-17T22:55:31Z","timestamp":1781736931000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.nature.com\/articles\/s41598-026-50172-3"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,24]]},"references-count":19,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026,12]]}},"alternative-id":["50172"],"URL":"https:\/\/doi.org\/10.1038\/s41598-026-50172-3","relation":{},"ISSN":["2045-2322"],"issn-type":[{"value":"2045-2322","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4,24]]},"assertion":[{"value":"4 February 2026","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"20 April 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"24 April 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors declare no competing interests.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"18906"}}