ArticleBMC musculoskeletal disorders2023
Distal radius fractures in children aged 5-12 years: a Swedish nationwide register-based study of 25 777 patients.
Article in BMC musculoskeletal disorders, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed, 17 citations in OpenAlex.
- Conservative Treatment of Pediatric Fractures-Narrative Review of Acceptable Deformity and Remodeling Potential.Medical sciences (Basel, Switzerland) · 2026Review
- K-wire shows striking advantages to plateosteosynthesis for distal metaphyseal radius fracture in children: a retrospective, two-center study.Journal of orthopaedic surgery and research · 2026Article
- Intramedullary versus crossed pinning for paediatric distal radius fractures: clinical decision patterns and biomechanical validation integrating real-world practice with growth plate stress finite element analysis.Journal of orthopaedic surgery and research · 2026Observational
- Digital Eye: Deep Learning for Detecting Physeal Fractures of the Pediatric Distal Radius.Journal of the Pediatric Orthopaedic Society of North America · 2026Article
- Changing trends in the management of pediatric distal forearm fractures: a descriptive Danish 20-year nationwide registry study of 175,083 cases.Acta orthopaedica · 2026Article
- Recommended Treatment for Pediatric Upper Extremity Fractures Varies Among Orthopaedic Surgeons and Trainees.Journal of the Pediatric Orthopaedic Society of North America · 2025Article
- The Distribution of Paediatric Forearm Fractures: A Five-Year Retrospective Cohort Study of 4546 Forearm Fractures in Children.Children (Basel, Switzerland) · 2025Article
- Are Routine Post-Cast Removal Radiographs and a Second Follow-up Appointment Necessary in the Management of Nondisplaced or Minimally Displaced Distal Radius Fractures?Journal of the Pediatric Orthopaedic Society of North America · 2025Article
- Evaluation of the First Metacarpal Bone Head and Distal Radius Bone Architecture Using Fractal Analysis of Adolescent Hand-Wrist Radiographs.Journal of imaging · 2025Article
- Intramedullary Kirschner wire fixation of displaced distal forearm fractures in children.BMC musculoskeletal disorders · 2023Article
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDistal radius fracture (DRF) is the most common type of fracture in children. There is no clear consensus on primary treatment for complete DRFs. Kirschner wire (K-wire) fixation has been recommended, to avoid the risk of redislocation. However, recent studies have indicated that casting can be sufficient, at least for children with two or more years left to grow. There is no recent study regarding pediatric DRFs and the extent of K-wire fixations in the Swedish population. The purpose of this study was to investigate epidemiology and treatment of pediatric DRFs registered in the Swedish Fracture Register (SFR).
methodsIn this retrospective study, based on data from SFR for children aged 5-12 years with DRF between January 2015 and October 2022, we investigated epidemiology and choice of treatment. Sex, age, type of DRF, treatment, cause and mechanism of injury, were analyzed.
resultsIn total, 25,777 patients were included, 7,173 (27%) with complete fractures. Number and peak age of girls vs. boys with fractures were 11,742 (46%), 10 years, and 14,035 (54%), 12 years, respectively. Odds ratio (OR) for a K-wire fixation in girls vs. boys was 0.81 (95% confidence interval (CI) 0.74-0.89, p < .001). With age 5 -7 years as reference, OR for age group 8-10 years was 0.88 (95% CI 0.80-0.98 p = .019) and OR for age group 11-12 years was 0.81 (95% CI 0.73-0.91 p = < .001.
conclusionCasting only was the preferred treatment for all fractures (76%). Boys acquired DRFs more often than girls, with a peak age of 12 years. Younger children and boys with a complete fracture were more likely than older children and girls to receive a K-wire. Further research regarding indications for K-wiring of DRFs in the pediatric population is needed.
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