Interventions for treating wrist fractures in children

The Cochrane Database of Systematic Reviews
A AbrahamTahir Khan

Abstract

Approximately a third of all fractures in children occur at the wrist, usually from falling onto an outstretched hand. We aimed to evaluate removable splintage versus plaster casts (requiring removal by a specialist) for undisplaced compression (buckle) fractures; cast length and position; and the role of surgical fixation for displaced wrist fractures in children. We searched the Cochrane Bone, Joint and Muscle Trauma Group Specialised Register (October 2007), the Cochrane Central Register of Controlled Trials (The Cochrane Library 2007, Issue 4), MEDLINE (from 1966), EMBASE (from 1988), CINAHL (from 1982) and reference lists of articles. Date of last search October 2007. Any randomised or quasi-randomised controlled trials comparing types and position of casts and the use of surgical fixation for distal radius fractures in children. Two authors performed trial selection. All three authors independently assessed methodological quality and extracted data. The 10 included trials, involving 827 children, were of variable quality.Four trials compared removable splintage versus the traditional below-elbow cast in children with buckle fractures. There was no short-term deformity recorded in all four trials and, in one trial, no refr...Continue Reading

Citations

Sep 9, 2010·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne·Kathy BoutisAndrew Howard
Sep 4, 2015·Journal of Orthopaedic Surgery and Research·M Elhosseini TageldinHenry Dushan Atkinson
Nov 11, 2011·The Cochrane Database of Systematic Reviews·Alwyn AbrahamTalal Ibrahim
May 2, 2013·The Cochrane Database of Systematic Reviews·Vrisha MadhuriPrathap Tharyan
Dec 24, 2010·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Shehma KhanJay Pershad
Mar 31, 2011·International Journal of Technology Assessment in Health Care·Camilla von KeyserlingkRon Goeree
Mar 28, 2013·Journal of Paediatrics and Child Health·Richard G McGeeAngela C Webster
Nov 11, 2014·Paediatrics & Child Health·Eric Koelink, Kathy Boutis
Dec 20, 2018·The Cochrane Database of Systematic Reviews·Helen Hg HandollAlexia Karantana
Dec 30, 2020·Scandinavian Journal of Surgery : SJS : Official Organ for the Finnish Surgical Society and the Scandinavian Surgical Society·J-J Sinikumpu, Y Nietosvaara
Mar 5, 2016·The Journal of Bone and Joint Surgery. American Volume·Ian P MayneM Lucas Murnaghan
Jan 21, 2011·Deutsches Ärzteblatt International·Ralf Kraus, Lucas Wessel
Jan 6, 2016·Pediatrics·Eric KoelinkKathy Boutis

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