ArticleSkeletal radiology2026
Diagnostic values of radiographic indices for predicting periosteal entrapment in pediatric proximal phalangeal base physeal fractures of toes.
Article in Skeletal radiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveIdentifying periosteal entrapment in pediatric physeal fractures is crucial for making treatment decisions. The purpose of this study is to evaluate the diagnostic value of radiographic indices in predicting periosteal entrapment in pediatric proximal phalangeal base physeal fractures of the toes. MATERIALS AND
methodsThis retrospective study included 35 pediatric patients with proximal phalangeal base physeal fractures, 15 of whom exhibited periosteal entrapment confirmed via MRI. Physeal fracture distance, diaphyseal axis-metatarsal head deviation angle, and the presence of a rim fragment sign were assessed on anteroposterior radiographs. Diagnostic performance was evaluated using ROC analysis, and optimal cut-off values were determined using Youden's index. Logistic regression models were developed to examine the added value of combining multiple radiographic indices for predicting periosteal entrapment.
resultsPhyseal fracture distance and diaphyseal axis-metatarsal head deviation angle measured on radiographs showed excellent diagnostic performance, with AUC values of 0.94 and 0.93, respectively. Optimal cut-off values were 1.97 mm for physeal fracture distance (sensitivity 93%, specificity 85%) and 9.5° for diaphyseal axis-metatarsal head deviation angle (sensitivity 80%, specificity 95%). Combined models incorporating the rim fragment sign with either physeal fracture distance or diaphyseal axis-metatarsal head deviation angle yielded higher AUCs of 0.97 and sensitivities of 100%.
conclusionsPhyseal fracture distance and diaphyseal axis-metatarsal head deviation angle are valuable radiologic markers for predicting periosteal entrapment in pediatric proximal phalangeal base fractures of toes. When used in conjunction with these radiologic measurements, the rim fragment sign may further improve diagnostic accuracy.
Indexed as
Identifiers
40764829What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.