{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,27]],"date-time":"2026-09-27T14:57:10Z","timestamp":1790521030552,"version":"4.1.0"},"reference-count":75,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T00:00:00Z","timestamp":1790208000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T00:00:00Z","timestamp":1790208000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Scand J Surg"],"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Working-age adults occupy a clinically distinct position between adolescents and the elderly, and treatment decisions in this group must balance overtreatment: unnecessary surgery, prolonged immobilisation and redundant radiographic surveillance against undertreatment leading to functional impairment. We aim to identify areas where the evidence base is shifting or remains insufficient.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>This narrative review synthesises current evidence on the working-age population with distal radius fracture, focusing on diagnostic evaluation, treatment, immobilisation and follow-up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>After volar locking plate fixation, early mobilisation appears safe and may improve early range of motion and grip strength without compromising alignment; routine surveillance can reasonably be reduced to clinical assessment, with imaging reserved for symptomatic patients. In nonoperative treatment, the 10- to 14-day radiograph captures most secondary displacement events, while subsequent imaging, including the traditional 5- to 6-week radiograph, adds little decision-changing value in fractures acceptable at 10\u2009days. Counselling patients to self-refer if recovery stalls is likely more efficient than routine review of every patient.<\/jats:p>\n                    <jats:p>Key uncertainties remain: the optimal immobilisation duration for displaced and reduced fractures; the validation of displacement thresholds against patient-reported outcomes and predict-and-operate strategies that triage fractures for surgery on presentation radiographs, which risk expanding the surgical indication.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Current evidence supports a risk-stratified approach to immobilisation and follow-up, early mobilisation after stable fixation and the systematic incorporation of return-to-work outcomes. Many protocols still derive from tradition; high-quality trials in working-age patients are needed to address radiological thresholds, operative versus nonoperative comparisons, immobilisation duration, follow-up intensity and return-to-work determinants.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/14574969261486971","type":"journal-article","created":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T11:18:39Z","timestamp":1790248719000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Distal radius fractures in working-aged adults \u2013 Do we actually know what to do with them? A narrative review"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3417-3420","authenticated-orcid":false,"given":"Laura","family":"K\u00e4rn\u00e4","sequence":"first","affiliation":[{"name":"Tampere University Hospital, Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0809-5361","authenticated-orcid":false,"given":"Toni","family":"Luokkala","sequence":"additional","affiliation":[{"name":"Central Finland Hospital Nova, Jyv\u00e4skyl\u00e4, Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sondre","family":"Hassellund","sequence":"additional","affiliation":[{"name":"Oslo University Hospital, Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3125-0171","authenticated-orcid":false,"given":"Antti P.","family":"Launonen","sequence":"additional","affiliation":[{"name":"Tampere University Hospital, Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,9,24]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12891-020-3097-8"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2023.05.033"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12891-017-1596-z"},{"issue":"4","key":"e_1_3_2_5_2","article-title":"Epidemiology and treatment of distal radius fractures at four public hospitals in Malawi","volume":"8","author":"Dworkin M","year":"2024","unstructured":"Dworkin M, Harrison WJ, Chidothi P, et al. Epidemiology and treatment of distal radius fractures at four public hospitals in Malawi. J Am Acad Orthop Surg Glob Res Rev 2024; 8(4): e23.00282.","journal-title":"J Am Acad Orthop Surg Glob Res Rev"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1111\/os.12045"},{"key":"e_1_3_2_7_2","unstructured":"Distal radius fractures current care guidelines working group set up by the Finnish Medical Society Duodecim Helsinki The Finnish Medical Society Duodecim 2023 www.kaypahoito.fi"},{"key":"e_1_3_2_8_2","unstructured":"Nationellt system f\u00f6r kunskapsstyrning. Nationellt v\u00e5rdprogram f\u00f6r behandling av distala radiusfrakturer. 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