{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,28]],"date-time":"2026-10-28T00:29:34Z","timestamp":1793147374488,"version":"4.5.0"},"reference-count":30,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2026,3,25]],"date-time":"2026-03-25T00:00:00Z","timestamp":1774396800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,3,25]],"date-time":"2026-03-25T00:00:00Z","timestamp":1774396800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Vappu Uusp\u00e4\u00e4 Foundation"},{"name":"Research Foundation for Orthopedics and Traumatology"},{"name":"State Research Funding","award":["TYH2024201"],"award-info":[{"award-number":["TYH2024201"]}]},{"name":"Pediatric Research Foundation","award":["HUCH Research Institute ref#70236"],"award-info":[{"award-number":["HUCH Research Institute ref#70236"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Children's Orthopaedics"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>Pediatric proximal radius fractures frequently lead to complications and unsatisfactory results, yet the medium- to long-term outcomes of these injuries remain insufficiently studied.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>We treated 140 proximal radius fractures in 138 children (median age 10, range 1\u201316\u2009years) between 2014 and 2019. Fracture characteristics, treatment, complications, patient-reported, and functional outcomes were assessed at a median follow-up of 6.8\u2009years (range 5\u201310\u2009years) through clinical assessment or telephone interview in 110 patients (80%).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Less severe fractures (Judet types I\u2013II) were most common (84\/140), while 40% were Judet types III\u2013IV. Most fractures (66%) were treated nonoperatively. Complications occurred in 25% of cases and were mainly associated with displacement \u22653\u2009mm (Odds ratio (OR) 6.7, 95% confidence interval (CI) 2.7\u201319.1), physeal involvement (OR 5.1, 95% CI 2.0\u201315.7), and higher Judet classification (OR 4.2, 95% CI 1.9\u20139.7). Unfavorable functional outcomes occurred in 16% (11\/67) and were more frequent after surgical treatment (OR 5.0, 95% CI 1.3\u201319.6) and in patients with complications (OR 9.2, 95% CI 1.8\u201347.0).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>In pediatric proximal radius fractures, primary displacement \u22653\u2009mm, higher Judet\u2019s class, and physeal involvement increased the risk of complications and unfavorable long-term outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of evidence:<\/jats:title>\n                    <jats:p>Prognostic study, Level III<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/18632521261434093","type":"journal-article","created":{"date-parts":[[2026,3,25]],"date-time":"2026-03-25T11:57:10Z","timestamp":1774439830000},"page":"266-276","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Primary displacement predicts complications and poorer outcomes after pediatric proximal radius fractures: A retrospective study of 140 fractures"],"prefix":"10.1177","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4534-1891","authenticated-orcid":false,"given":"Kaj","family":"Zilliacus","sequence":"first","affiliation":[{"name":"Department of Pediatric Orthopedics and Traumatology, New Children\u2019s Hospital, Helsinki University Hospital, University of Helsinki, Helsinki, Finland"},{"name":"Department of Orthopedics and Traumatology, Bridge Hospital, Helsinki University Hospital, University of Helsinki, Helsinki, Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yrj\u00e4n\u00e4","family":"Nietosvaara","sequence":"additional","affiliation":[{"name":"Department of Pediatric Orthopedics and Traumatology, New Children\u2019s Hospital, Helsinki University Hospital, University of Helsinki, Helsinki, Finland"},{"name":"Department of Pediatric Surgery, Kuopio University Hospital, University of Eastern Finland, Kuopio, Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ilkka","family":"Helenius","sequence":"additional","affiliation":[{"name":"Department of Pediatric Orthopedics and Traumatology, New Children\u2019s Hospital, Helsinki University Hospital, University of Helsinki, Helsinki, Finland"},{"name":"Department of Orthopedics and Traumatology, Bridge Hospital, Helsinki University Hospital, University of Helsinki, Helsinki, Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Reetta","family":"Kivisaari","sequence":"additional","affiliation":[{"name":"Department of Pediatric Orthopedics and Traumatology, New Children\u2019s Hospital, Helsinki University Hospital, University of Helsinki, Helsinki, Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-9257-7326","authenticated-orcid":false,"given":"Niko","family":"K\u00e4mpp\u00e4","sequence":"additional","affiliation":[{"name":"Department of Pediatric Orthopedics and Traumatology, New Children\u2019s Hospital, Helsinki University Hospital, University of Helsinki, Helsinki, Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3018-8270","authenticated-orcid":false,"given":"Petra","family":"Grahn","sequence":"additional","affiliation":[{"name":"Department of Pediatric Orthopedics and Traumatology, New Children\u2019s Hospital, Helsinki University Hospital, University of Helsinki, Helsinki, Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,3,25]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1097\/BPB.0000000000000057"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1097\/BPO.0000000000000617"},{"key":"e_1_3_2_4_2","first-page":"1","article-title":"Fracture patterns in children: analysis of 8,682 fractures with special reference to incidence, etiology and secular changes in a Swedish urban population 1950\u20131979","volume":"202","author":"Landin LA.","year":"1983","unstructured":"Landin LA. Fracture patterns in children: analysis of 8,682 fractures with special reference to incidence, etiology and secular changes in a Swedish urban population 1950\u20131979. 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