{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T09:46:25Z","timestamp":1785577585342,"version":"3.56.0"},"reference-count":46,"publisher":"BMJ","issue":"9","license":[{"start":{"date-parts":[[2022,9,14]],"date-time":"2022-09-14T00:00:00Z","timestamp":1663113600000},"content-version":"unspecified","delay-in-days":13,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2022,8,21]]},"published-print":{"date-parts":[[2022,9]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Proximal humerus fractures (PHFs) comprise &lt;3% of all fractures in children and adolescents. While it is accepted that minimally displaced PHFs can be treated conservatively, the management of severely displaced PHFs remains controversial, especially in older children. This study will aim to analyse the functional and quality-of-life outcomes of children with PHFs, in order to inform their optimal management.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods and analysis<\/jats:title>\n                    <jats:p>We will conduct a retrospective cohort study to evaluate the outcomes of patients who were diagnosed with a paediatric PHF at the Women\u2019s and Children\u2019s Hospital (WCH) in South Australia. The primary outcome will be each participant\u2019s pain and quality-of-life outcome, determined by use of the Quick Disabilities of the Arm, Shoulder and Hand, Shoulder Pain and Disability Index and Paediatric Outcomes Data Collection Instrument. Secondary outcomes will include rates of non-union, persistent deformity and complications. The information for these variables will be acquired during a brief clinic appointment, and from the medical records and WCH radiology database. Multivariable logistic regression will be performed to determine the clinical variables associated with a worse clinical outcome.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Ethics and dissemination<\/jats:title>\n                    <jats:p>The study has been approved by the Women\u2019s and Children\u2019s Health Network Human Research Ethics Committee (protocol number: 2021\/HRE00250). The study findings will be submitted to peer-reviewed scientific journals for publication and disseminated at conference presentations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial registration number<\/jats:title>\n                    <jats:p>Australian New Zealand Clinical Trials Registry (ACTRN12622000176763).<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2022-062586","type":"journal-article","created":{"date-parts":[[2022,9,14]],"date-time":"2022-09-14T11:56:47Z","timestamp":1663156607000},"page":"e062586","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":5,"title":["Outcomes of proximal humerus fractures in children: a study protocol for a retrospective cohort study"],"prefix":"10.1136","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8829-862X","authenticated-orcid":false,"given":"Samuel Richard","family":"Abbot","sequence":"first","affiliation":[{"name":"Orthopaedics and Trauma, Women's and Children's Hospital Adelaide, North Adelaide, South Australia, Australia"},{"name":"Centre for Orthopaedic and Trauma Research, The University of Adelaide, Adelaide, South Australia, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susanna","family":"Proudman","sequence":"additional","affiliation":[{"name":"Rheumatology Department, Royal Adelaide Hospital, Adelaide, South Australia, Australia"},{"name":"Department of Medicine, The University of Adelaide, Adelaide, South Australia, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kelly","family":"Hall","sequence":"additional","affiliation":[{"name":"Department of Medicine, The University of Adelaide, Adelaide, South Australia, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicole","family":"Williams","sequence":"additional","affiliation":[{"name":"Centre for Orthopaedic and Trauma Research, The University of Adelaide, Adelaide, South Australia, Australia"},{"name":"Department of Orthopaedic Surgery, Women's and Children's Hospital Adelaide, North Adelaide, South Australia, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2022,9,14]]},"reference":[{"key":"2025121300250772000_12.9.e062586.1","doi-asserted-by":"crossref","DOI":"10.1186\/s12891-019-2948-7","article-title":"The incidence and treatment trends of pediatric proximal humerus fractures","volume":"20","author":"Hannonen","year":"2019","journal-title":"BMC Musculoskelet Disord"},{"key":"2025121300250772000_12.9.e062586.2","doi-asserted-by":"publisher","DOI":"10.1007\/s11832-011-0328-4"},{"key":"2025121300250772000_12.9.e062586.3","doi-asserted-by":"publisher","DOI":"10.5435\/JAAOS-D-14-00033"},{"key":"2025121300250772000_12.9.e062586.4","unstructured":"Cruz AI , Kleiner JE , Gil JA . 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