{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,25]],"date-time":"2026-07-25T17:16:34Z","timestamp":1784999794765,"version":"3.55.0"},"reference-count":36,"publisher":"American Academy of Pediatrics (AAP)","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2016,1,1]]},"abstract":"<jats:sec>\n                  <jats:title>OBJECTIVES:<\/jats:title>\n                  <jats:p>Our main objective was to determine the proportion of children referred to a primary care provider (PCP) for follow-up of a distal radius buckle fracture who subsequently did not deviate from this reassessment strategy.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>METHODS:<\/jats:title>\n                  <jats:p>This prospective cohort study was conducted at a tertiary care pediatric emergency department (ED). Eligible children were aged 2 to 17 years with a distal radius buckle fracture treated with a removable splint and referred to the PCP for reassessment. We telephoned families 28 days after their ED visit. The primary outcome was the proportion who received PCP follow-up exclusively. We also measured the proportion who received PCP anticipatory guidance and those children who reported returning to usual activities \u201calways\u201d by 4 weeks.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>RESULTS:<\/jats:title>\n                  <jats:p>We enrolled 200 children, and 180 (90.0%) received telephone follow-up. Of these, 157 (87.2% [95% confidence interval: 82.3 to 92.1]) received PCP follow-up exclusively. Specifically, 11 (6.1%) families opted out of physician follow-up, 5 (2.8%) self-referred to an ED, and the PCP requested specialty consultation in 7 (3.9%) cases. Of the 164 with a PCP visit, 77 (47.0%) parents received anticipatory guidance on return to activities for their child, and 162 (98.8%) reported return to usual activities within 4 weeks.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>CONCLUSIONS:<\/jats:title>\n                  <jats:p>The vast majority of children with distal radius buckle fractures presented to the PCP for follow-up and did not receive additional orthopedic surgeon or ED consultations. Despite a suboptimal rate of PCP advice on return to activities, almost all parents reported full return to usual activities within 4 weeks.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1542\/peds.2015-2262","type":"journal-article","created":{"date-parts":[[2016,1,4]],"date-time":"2016-01-04T20:48:14Z","timestamp":1451940494000},"source":"Crossref","is-referenced-by-count":24,"title":["Primary Care Physician Follow-up of Distal Radius Buckle Fractures"],"prefix":"10.1542","volume":"137","author":[{"given":"Eric","family":"Koelink","sequence":"first","affiliation":[{"name":"Division of Emergency Medicine, Department of Pediatrics, McMaster University Medical Centre and McMaster University, Hamilton, Ontario, Canada;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Suzanne","family":"Schuh","sequence":"additional","affiliation":[{"name":"Division of Emergency Medicine, Department of Pediatrics,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew","family":"Howard","sequence":"additional","affiliation":[{"name":"Division of Orthopedics, Department of Surgery, and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer","family":"Stimec","sequence":"additional","affiliation":[{"name":"Division of Orthopedics, Department of Surgery, and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lorena","family":"Barra","sequence":"additional","affiliation":[{"name":"Department of Diagnostic Imaging, The Hospital for Sick Children and University of Toronto, Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kathy","family":"Boutis","sequence":"additional","affiliation":[{"name":"Division of Emergency Medicine, Department of Pediatrics,"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"417","published-online":{"date-parts":[[2016,1,1]]},"reference":[{"issue":"2","key":"2021120907230893100_B1","doi-asserted-by":"crossref","first-page":"79","DOI":"10.1097\/01202412-199704000-00002","article-title":"Epidemiology of children\u2019s fractures.","volume":"6","author":"Landin","year":"1997","journal-title":"J Pediatr Orthop B"},{"issue":"3","key":"2021120907230893100_B2","doi-asserted-by":"crossref","first-page":"691","DOI":"10.1542\/peds.2005-0801","article-title":"A randomized, controlled trial of removable splinting versus casting for wrist buckle fractures in children.","volume":"117","author":"Plint","year":"2006","journal-title":"Pediatrics"},{"key":"2021120907230893100_B3","doi-asserted-by":"crossref","unstructured":"Abraham\u2008A, Handoll\u2008HH, Khan\u2008T. 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