{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T00:04:34Z","timestamp":1777853074793,"version":"3.51.4"},"reference-count":29,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2025,12,2]],"date-time":"2025-12-02T00:00:00Z","timestamp":1764633600000},"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":["J Hand Surg Eur Vol"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>The optimal management of children with a suspected scaphoid fracture and normal radiographs is unclear. Traditionally, children have been treated with empiric cast immobilization or with early CT or MRI to avoid missing an occult fracture. An early range of motion (ROM) protocol for these children may be an alternative strategy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>We conducted a prospective study to test the feasibility and potential benefits of an early ROM protocol for children with a clinically suspected scaphoid fracture but normal radiographs. Participants were evaluated at 6\u2009weeks and, for those with a confirmed fracture on CT, at 26\u2009weeks after injury.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Of the 39 children (median age 12.2\u2009years; interquartile range 10.6 to 13.8\u2009years), 15 had a scaphoid fracture confirmed on CT. Participant retention rate was 36 of 39 (92%; 95% CI: 80 to 97%) at 6\u2009weeks, and 12 of 15 (80%; 95% CI: 55 to 93%) at 26\u2009weeks. Participants tolerated the protocol without concerns. There were no instances of non-union, avascular necrosis, or other adverse events.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>An early ROM protocol for children with suspected scaphoid fractures but normal radiographs may reduce overtreatment and dependence on advanced imaging. Further study is feasible and required.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of evidence:<\/jats:title>\n                    <jats:p>III<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/17531934251395424","type":"journal-article","created":{"date-parts":[[2025,12,3]],"date-time":"2025-12-03T06:21:11Z","timestamp":1764742871000},"page":"443-449","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Early mobilization for suspected scaphoid injuries in children: a feasibility study"],"prefix":"10.1177","volume":"51","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2481-5952","authenticated-orcid":false,"given":"Kevin","family":"Cheung","sequence":"first","affiliation":[{"name":"Division of Plastic and Reconstructive Surgery, Children\u2019s Hospital of Eastern Ontario, Ottawa, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Allison K.","family":"Baergen","sequence":"additional","affiliation":[{"name":"Division of Plastic and Reconstructive Surgery, Children\u2019s Hospital of Eastern Ontario, Ottawa, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anne","family":"Tsampalieros","sequence":"additional","affiliation":[{"name":"Clinical Research Unit, Children\u2019s Hospital of Eastern Ontario Research Institute. Ottawa, Ontario, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0153-5926","authenticated-orcid":false,"given":"Lamia","family":"Hayawi","sequence":"additional","affiliation":[{"name":"Clinical Research Unit, Children\u2019s Hospital of Eastern Ontario Research Institute. Ottawa, Ontario, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Holly","family":"Livock","sequence":"additional","affiliation":[{"name":"Division of Orthopedic Surgery, Children\u2019s Hospital of Eastern Ontario, Ottawa, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Patrick","family":"Sachsalber","sequence":"additional","affiliation":[{"name":"Division of Orthopedic Surgery, Children\u2019s Hospital of Eastern Ontario, Ottawa, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8180-9770","authenticated-orcid":false,"given":"Sasha","family":"Carsen","sequence":"additional","affiliation":[{"name":"Division of Orthopedic Surgery, Children\u2019s Hospital of Eastern Ontario, Ottawa, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kevin","family":"Smit","sequence":"additional","affiliation":[{"name":"Division of Orthopedic Surgery, Children\u2019s Hospital of Eastern Ontario, Ottawa, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew","family":"Tice","sequence":"additional","affiliation":[{"name":"Division of Orthopedic Surgery, Children\u2019s Hospital of Eastern Ontario, Ottawa, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Braden","family":"Gammon","sequence":"additional","affiliation":[{"name":"Division of Orthopedic Surgery, The Ottawa Hospital, Ottawa, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,12,2]]},"reference":[{"key":"e_1_3_2_2_1","article-title":"A virtual fracture clinic pathway for managing suspected paediatric scaphoid fractures","volume":"14","author":"Aboelmagd K","year":"2022","unstructured":"Aboelmagd K, Aboelmagd T, Lane JC, et al. 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