{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,20]],"date-time":"2026-04-20T16:12:14Z","timestamp":1776701534608,"version":"3.51.2"},"reference-count":34,"publisher":"MJS Publishing, Medical Journals Sweden AB","license":[{"start":{"date-parts":[[2026,1,19]],"date-time":"2026-01-19T00:00:00Z","timestamp":1768780800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["ActaO"],"abstract":"<jats:p>Background and purpose:\u00a0Management of pediatric distal forearm fractures ranges from no or simple immobilization to surgical fixation. Treatment decisions depend on age and fracture severity, but practices vary widely across countries. As surgical intervention has increased internationally, we aimed to investigate national trends in incidence and treatment of pediatric distal forearm fractures in Denmark from 1999\u20132018Methods:\u00a0We conducted a population-based register study of children aged 0\u201315 with distal forearm fractures (S525 + S526) registered in the Danish National Patient Registry from 1999\u20132018. Treatments within 1 week of injury were grouped into: non-surgical (no immobilization, soft bandage or cast immobilization), closed reduction and immobilization, and surgical fixation. Procedure codes included closed reduction, open reduction, K-wires, or other fixations such as external fixation, nail, plate, or screws.Results:\u00a0There were 175,083 fractures over the 20 years, yielding a mean incidence of 829\/100,000\/year in children aged 0\u201315 years. The highest incidences were 1,494\/100,000 among 11-year-old girls and 1,720\/100,000 among 13-year-old boys. The primary treatment in all age groups was non-surgical treatment, though decreasing from 92% in 1999 to 89% in 2018. The proportion of closed reduction declined from 7% to 2%, while K-wire fixation increased from 1% to 8%. When stratified by age groups, the same trend was seen in all but the 0\u20133-year-olds.Conclusion:\u00a0The overall incidence remained stable during the study period. Non-surgical treatment remained predominant, whereas closed reductions decreased in favor of more K-wire fixations.<\/jats:p>","DOI":"10.2340\/17453674.2025.45057","type":"journal-article","created":{"date-parts":[[2026,1,19]],"date-time":"2026-01-19T18:20:35Z","timestamp":1768846835000},"source":"Crossref","is-referenced-by-count":1,"title":["Changing trends in the management of pediatric distal forearm fractures: a descriptive Danish 20-year nationwide registry study of 175,083 cases"],"prefix":"10.2340","volume":"97","author":[{"given":"Katrine R\u00f8nn","family":"Abildgaard","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3688-6865","authenticated-orcid":false,"given":"Per Hviid","family":"Gundtoft","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5337-758X","authenticated-orcid":false,"given":"Stig","family":"Brorson","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5169-4282","authenticated-orcid":false,"given":"Bjarke","family":"Viberg","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1183","published-online":{"date-parts":[[2026,1,19]]},"reference":[{"key":"139064","doi-asserted-by":"crossref","unstructured":"Hedstr\u00f6m E M, Svensson O, Bergstr\u00f6m U, Michno P. 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Lancet (London, England) 2022; 400(10345): 39-47. doi:10.1016\/S0140-6736(22)01015-7","DOI":"10.1016\/S0140-6736(22)01015-7"},{"key":"139067","doi-asserted-by":"crossref","unstructured":"Labianca L, Calderaro C, Maffulli N. Pediatric wrist fractures: variations in management across countries. An evidence-based summary of evidence. Br Med Bull.Oxford Academic 2024; 152(1): 28-34. doi:10.1093\/bmb\/ldae014","DOI":"10.1093\/bmb\/ldae014"},{"key":"139068","doi-asserted-by":"crossref","unstructured":"Korup L R, Larsen P, Nanthan K R, Arildsen M, Warming N, S\u00f8rensen S, et al. Children\u2019s distal forearm fractures: a population-based epidemiology study of 4,316 fractures. Bone Jt Open 2022; 3(6): 448-54. doi:10.1302\/2633-1462.36.BJO-2022-0040.R1","DOI":"10.1302\/2633-1462.36.BJO-2022-0040.R1"},{"key":"139069","doi-asserted-by":"crossref","unstructured":"Mamoowala N, Johnson NA, Dias J J. Trends in paediatric distal radius fractures: an eight-year review from a large UK trauma unit. 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