ArticleSkeletal radiology2026
Pediatric scaphoid fractures: predictors of surgery and fracture complications.
Article in Skeletal radiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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
4 citing papers in PubMed.
- The Association Between Socioeconomic Factors and the Clinical Course of Nonoperatively Treated Pediatric Scaphoid Fractures.Journal of the Pediatric Orthopaedic Society of North America · 2026Article
- Union outcomes and associated factors in adolescent scaphoid fractures.Archives of orthopaedic and trauma surgery · 2026Article
- Inferior Pole Scaphoid Nonunion in a 12-Year-Old Boy: Lessons on Compliance, Follow-Up, and Surgical Salvage-A Case Report.Reports (MDPI) · 2026Article
- Editorial: Pediatric scaphoid fractures-a problem we need to take more seriously?Skeletal radiology · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo identify clinical and radiographic findings of pediatric scaphoid fractures that predict the need for surgical treatment.
methodsA retrospective review of pediatric patients (≤ 18 years) with scaphoid fractures, who underwent radiographic examination and treatment at our tertiary care pediatric hospital, between 2018 and 2024, identified all surgically treated patients. From the remaining conservatively treated patients, age matched comparisons were randomly selected. After randomization and blinded to outcome, skeletal age, fracture characteristics (location, displacement, comminution, articular involvement, perifracture radiodensity, lobulated perifracture resorption, fracture gap), and presence or absence of osteonecrosis were recorded. Findings were compared between surgically treated and conservatively treatd groups to identify predictors of surgery.
resultsNinety-six children (81 males, 15 females, mean age: 15.0 ± 1.8 years, range: 11.0-17.8) included 48 in the surgery and 48 in the non-surgery groups. Proximal pole fractures (8.3%, 8/96), perifracture radiodensity (26.0%, 25/96), and presence of osteonecrosis (12.5%, 12/96) were uncommon, but were only found among patients in the surgery group. Presence of displacement (81.3% vs. 12.2%, p < 0.01) and more severe displacement (2.2 vs. 0.7 mm, p < 0.01), articular involvement (37.5% vs. 8.3%, p < 0.01), and lobulated perifracture resorption (64.6% vs. 10.4%, p < 0.01) were more common among patients in the surgery than patients in the non-surgery groups. Logistic regression analyses found proximal pole fractures (OR = 6.67, 95% CI: 1.48-16.78, p = 0.04), fracture displacement (OR = 6.30, 95% CI: 1.32-33.87, p < 0.01), and longer delay to initial radiographs (OR = 1.08, 95% CI: 1.04-1.18, p = 0.01) were independent predictors of surgery.
conclusionChildren with scaphoid fractures are more likely to require surgery if radiographic evaluation is delayed, fracture is displaced, or involves the proximal pole.
Indexed as
Identifiers
What 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.