{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T23:00:40Z","timestamp":1790290840230,"version":"4.1.0"},"reference-count":44,"publisher":"Georg Thieme Verlag KG","issue":"05","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Wrist Surg"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Distal radioulnar joint (DRUJ) dysfunction is a complication observed acutely with forearm fractures. However, there is some evidence associating delayed presentation of dysfunction to previous forearm fractures in childhood.<\/jats:p>\n                  <jats:p>The purpose of this to review the presence of delayed DRUJ dysfunction and factors contributing to dysfunction, following metaphyseal or diaphyseal forearm fractures sustained in childhood.<\/jats:p>\n                  <jats:p>Utilizing the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-analyses) guidelines, we conducted a systematic review using the PubMed database. Papers that reported cases of delayed DRUJ dysfunction in the context of metaphyseal or diaphyseal forearm fractures in children\u2009&lt;\u200918 years of age at time of fracture were included.<\/jats:p>\n                  <jats:p>A total of 85 cases fit the inclusion criteria. Onset of dysfunction ranged from 6 weeks to 32 years. Limited supination was seen in 65 cases and pronation in 65. Overall, 76\/85 (89%) of patients had deficits in range of motion. A total of 58 cases had both bone fractures. A total of 64\/85 (74%) had a concurrent malunion at the time of symptom onset. Symptomatic dysfunction and malunion was treated with corrective osteotomies to one or both bones. Of cases discussing subsequent osteotomies, 50% were treated with computed tomography-guided 3-dimensional customized operative guides for corrective osteotomy. In all cases, there was improvement in dysfunction after osteotomy.<\/jats:p>\n                  <jats:p>Delayed DRUJ dysfunction can be observed following metaphyseal and diaphyseal fractures in childhood. Dedicated wrist radiographs on discharge from follow-up for childhood forearm fractures and advanced imaging if DRUJ dysfunction suspected is recommended. There is a clear lack of research, limiting the ability to assess the relationships between initial intervention, DRUJ dysfunction, and malunion morphologies.<\/jats:p>","DOI":"10.1055\/a-2878-9764","type":"journal-article","created":{"date-parts":[[2026,6,24]],"date-time":"2026-06-24T22:47:52Z","timestamp":1782341272000},"page":"492-500","source":"Crossref","is-referenced-by-count":0,"title":["Delayed Distal Radioulnar Joint Dysfunction\u00a0after Pediatric Forearm Fractures: A Systematic Review"],"prefix":"10.1055","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-1849-463X","authenticated-orcid":false,"given":"Bridget","family":"Moral","sequence":"additional","affiliation":[{"name":"Te Whatu Ora Health, New Zealand","place":["Aotearoa"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3395-1991","authenticated-orcid":false,"given":"Simon B.M.","family":"MacLean","sequence":"additional","affiliation":[{"name":"Te Whatu Ora Health, New Zealand","place":["Aotearoa"]},{"name":"University of Auckland, New Zealand","place":["Auckland"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ian","family":"Galley","sequence":"additional","affiliation":[{"name":"Te Whatu Ora Health, New Zealand","place":["Aotearoa"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5272-7410","authenticated-orcid":false,"given":"Shahbaz S.","family":"Malik","sequence":"additional","affiliation":[{"name":"Worcestershire Acute Hospitals NHS Trust, United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2026,6,24]]},"reference":[{"issue":"04","key":"ref1","first-page":"327","article-title":"Patterns of paediatric forearm fractures at a level I trauma centre in KSA","volume":"13","author":"B S Alrashedan","year":"2018","journal-title":"J Taibah Univ Med Sci"},{"issue":"12","key":"ref2","doi-asserted-by":"crossref","first-page":"1976","DOI":"10.1359\/jbmr.040902","article-title":"Epidemiology of childhood fractures in Britain: a study using the general practice research database","volume":"19","author":"C Cooper","year":"2004","journal-title":"J Bone Miner Res"},{"issue":"02","key":"ref3","doi-asserted-by":"crossref","first-page":"123","DOI":"10.1080\/17453674.2016.1258532","article-title":"The AO pediatric comprehensive classification of long bone fractures (PCCF): part I: location and morphology of 2,292 upper extremity fractures in children and adolescents","volume":"88","author":"A Joeris","year":"2017","journal-title":"Acta Orthop"},{"issue":"01","key":"ref4","doi-asserted-by":"crossref","first-page":"161","DOI":"10.1186\/s12887-022-03199-0","article-title":"Epidemiology and management of 10,486 pediatric fractures in Shenzhen: experience and lessons to be learnt","volume":"22","author":"X Qiu","year":"2022","journal-title":"BMC Pediatr"},{"issue":"02","key":"ref5","doi-asserted-by":"crossref","first-page":"191","DOI":"10.1055\/s-0042-1748815","article-title":"Child fractures: are we getting more surgical? \u00c3 Fraturas na crian\u00e7a: Estamos ficando mais cir\u00fargicos?","volume":"58","author":"L Ant\u00f4nio Munhoz Da Cunha","year":"2023","journal-title":"Rev Bras Ortop"},{"issue":"03","key":"ref6","doi-asserted-by":"crossref","first-page":"225","DOI":"10.1007\/s12306-020-00684-6","article-title":"Management of pediatric forearm fractures: what is the best therapeutic choice? 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