{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T15:11:11Z","timestamp":1790781071237,"version":"4.1.0"},"reference-count":29,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2017,6,1]],"date-time":"2017-06-01T00:00:00Z","timestamp":1496275200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Children's Orthopaedics"],"published-print":{"date-parts":[[2017,6]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>The purpose of this study was to review pelvic fractures and concomitant orthopaedic injuries in children who have a patent triradiate cartilage (TRO) compared with children whose triradiate cartilage has closed (TRC). We hypothesise that these injuries will differ, leading to correlated alterations in management.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients and Methods<\/jats:title>\n                    <jats:p>Using a database, we retrospectively reviewed patients aged below 18 years with pelvic fractures presenting to our Level 1 trauma center. Radiographs and CT scans were reviewed to identify orthopaedic injuries and categorise pelvic injuries using the modified Torode classification between the two groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 178 patients met inclusion criteria (60 TRO and 118 TRC). Mean age \u00b1 SD for TRO and TRC groups were 8 \u00b1 4 years and 16 \u00b1 2 years, respectively. TRO patients were more likely to present as a pedestrian struck by a vehicle (odds ratio (OR) 6.0; p &lt; 0.001) and less likely to present after a motor vehicle collision (OR 0.2; p &lt; 0.001). TRO patients were more likely to sustain rami fractures (OR 2.1; p = 0.020) and Torode IIIA injuries (OR 3.6; p &lt; 0.001). They were less likely to sustain acetabular fractures (OR 0.5; p = 0.042), sacral fractures (OR 0.4; p = 0.009), hip dislocations (p = 0.002) and Torode IV injuries (OR 0.4; p = 0.004). TRO patients were less likely to be treated operatively for their pelvic (OR 0.3; p = 0.013) and orthopaedic injuries (OR 0.4; p = 0.006).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>We suggest that patients with open triradiate cartilage are unique. Their pelvic injuries may be treated more conservatively as they have a greater potential for periosteal healing and bone remodelling. Patients with closed triradiate cartilage should be treated similarly to adults, as they share a similar mechanism of injury and need for operative fixation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1302\/1863-2548.11.160266","type":"journal-article","created":{"date-parts":[[2017,6,1]],"date-time":"2017-06-01T06:56:56Z","timestamp":1496300216000},"page":"195-200","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":22,"title":["Analysis of pelvic fracture pattern and overall orthopaedic injury burden in children sustaining pelvic fractures based on skeletal maturity"],"prefix":"10.1177","volume":"11","author":[{"given":"M. K.","family":"Shaath","sequence":"first","affiliation":[{"name":"Rutgers - New Jersey Medical School, Doctor's Office Center (DOC), 90 Bergen Street Room 1200, Newark, NJ 07101, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K. L.","family":"Koury","sequence":"additional","affiliation":[{"name":"Rutgers - New Jersey Medical School, Doctor's Office Center (DOC), 90 Bergen Street Room 1200, Newark, NJ 07101, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P. D.","family":"Gibson","sequence":"additional","affiliation":[{"name":"Rutgers - New Jersey Medical School, Doctor's Office Center (DOC), 90 Bergen Street Room 1200, Newark, NJ 07101, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"V. M.","family":"Lelkes","sequence":"additional","affiliation":[{"name":"Rutgers - New Jersey Medical School, Doctor's Office Center (DOC), 90 Bergen Street Room 1200, Newark, NJ 07101, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J. S.","family":"Hwang","sequence":"additional","affiliation":[{"name":"Rutgers - New Jersey Medical School, Doctor's Office Center (DOC), 90 Bergen Street Room 1200, Newark, NJ 07101, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J. A.","family":"Ippolito","sequence":"additional","affiliation":[{"name":"Rutgers - New Jersey Medical School, Doctor's Office Center (DOC), 90 Bergen Street Room 1200, Newark, NJ 07101, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M. R.","family":"Adams","sequence":"additional","affiliation":[{"name":"Rutgers - New Jersey Medical School, Doctor's Office Center (DOC), 90 Bergen Street Room 1200, Newark, NJ 07101, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M. S.","family":"Sirkin","sequence":"additional","affiliation":[{"name":"Rutgers - New Jersey Medical School, Doctor's Office Center (DOC), 90 Bergen Street Room 1200, Newark, NJ 07101, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M. C.","family":"Reilly","sequence":"additional","affiliation":[{"name":"Rutgers - New Jersey Medical School, Doctor's Office Center (DOC), 90 Bergen Street Room 1200, Newark, NJ 07101, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2017,6,1]]},"reference":[{"key":"bibr1-1863-2548.11.160266","doi-asserted-by":"publisher","DOI":"10.1016\/j.ocl.2014.06.009"},{"key":"bibr2-1863-2548.11.160266","doi-asserted-by":"publisher","DOI":"10.5435\/00124635-200703000-00007"},{"key":"bibr3-1863-2548.11.160266","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-199309000-00015"},{"key":"bibr4-1863-2548.11.160266","doi-asserted-by":"publisher","DOI":"10.1016\/j.jemermed.2014.04.036"},{"key":"bibr5-1863-2548.11.160266","doi-asserted-by":"crossref","first-page":"493","DOI":"10.55095\/achot2012\/071","volume":"79","author":"G\u00e4nsslen A","year":"2012","journal-title":"Acta Chir Orthop Traumatol Cech"},{"key":"bibr6-1863-2548.11.160266","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0b013e31815982b1"},{"key":"bibr7-1863-2548.11.160266","doi-asserted-by":"publisher","DOI":"10.1097\/01241398-199009000-00001"},{"key":"bibr8-1863-2548.11.160266","first-page":"2423","volume":"87","author":"Smith W","year":"2005","journal-title":"J Bone Joint Surg [Am]"},{"key":"bibr9-1863-2548.11.160266","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-199131080-00019"},{"key":"bibr10-1863-2548.11.160266","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3468(96)90324-3"},{"key":"bibr11-1863-2548.11.160266","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2004.12.014"},{"key":"bibr12-1863-2548.11.160266","doi-asserted-by":"publisher","DOI":"10.1097\/01241398-200201000-00006"},{"key":"bibr13-1863-2548.11.160266","doi-asserted-by":"publisher","DOI":"10.1097\/01.TA.0000044352.00377.8F"},{"key":"bibr14-1863-2548.11.160266","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2010.08.005"},{"key":"bibr15-1863-2548.11.160266","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000002325"},{"key":"bibr16-1863-2548.11.160266","doi-asserted-by":"publisher","DOI":"10.1097\/01241398-198501000-00014"},{"key":"bibr17-1863-2548.11.160266","doi-asserted-by":"publisher","DOI":"10.1097\/BPO.0b013e3182408be6"},{"key":"bibr18-1863-2548.11.160266","doi-asserted-by":"publisher","DOI":"10.1016\/j.jemermed.2016.05.031"},{"key":"bibr19-1863-2548.11.160266","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-197911000-00001"},{"key":"bibr20-1863-2548.11.160266","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.97B5.35162"},{"key":"bibr21-1863-2548.11.160266","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-642-71038-4"},{"key":"bibr22-1863-2548.11.160266","doi-asserted-by":"publisher","DOI":"10.1097\/01241398-200107000-00006"},{"key":"bibr23-1863-2548.11.160266","doi-asserted-by":"publisher","DOI":"10.1097\/01.TA.0000084518.09928.CA"},{"key":"bibr24-1863-2548.11.160266","doi-asserted-by":"publisher","DOI":"10.1016\/0020-1383(95)90056-X"},{"key":"bibr25-1863-2548.11.160266","doi-asserted-by":"publisher","DOI":"10.1016\/0022-3468(66)90338-1"},{"key":"bibr26-1863-2548.11.160266","doi-asserted-by":"crossref","first-page":"160","DOI":"10.1007\/s001130050049","volume":"99","author":"Pohlemann T","year":"1996","journal-title":"Unfallchirurg"},{"key":"bibr27-1863-2548.11.160266","doi-asserted-by":"publisher","DOI":"10.1097\/01241398-200401000-00023"},{"key":"bibr28-1863-2548.11.160266","doi-asserted-by":"publisher","DOI":"10.1016\/S0020-1383(98)00074-6"},{"key":"bibr29-1863-2548.11.160266","doi-asserted-by":"publisher","DOI":"10.1007\/s00590-010-0706-5"}],"container-title":["Journal of Children's Orthopaedics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1302\/1863-2548.11.160266","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1302\/1863-2548.11.160266","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1302\/1863-2548.11.160266","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T15:05:32Z","timestamp":1777388732000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1302\/1863-2548.11.160266"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,6]]},"references-count":29,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2017,6]]}},"alternative-id":["10.1302\/1863-2548.11.160266"],"URL":"https:\/\/doi.org\/10.1302\/1863-2548.11.160266","relation":{},"ISSN":["1863-2521","1863-2548"],"issn-type":[{"value":"1863-2521","type":"print"},{"value":"1863-2548","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,6]]}}}