Treatment of impacted greenstick forearm fractures in children using bandage or cast therapy: a prospective randomized trial

The Journal of Trauma
Rogier H J KropmanEric R Hammacher

Abstract

To evaluate the relative risks and advantages of using soft bandage therapy (BT) for impacted greenstick fractures of the distal forearm compared with cast therapy (CT). At a single center from September 2005 to October 2006 all patients with an impacted greenstick fracture were randomized to BT or CT. A total of 92 patients were randomized and assigned. No fracture displacement was seen. Three patients from the BT group were converted to standard treatment. A significant difference in pain was seen between both groups after 1 week in favor of the CT group. Discomfort was significantly less in the BT group compared with the CT group. After 4 weeks, the wrist function was significantly better in the BT group. After 6 weeks, the wrist functions of both the groups were comparable. BT for impacted greenstick fractures of the distal forearm is a safe technique, patients treated with bandage suffer greater pain at the start of the treatment, are able to return to normal activities sooner, and have less discomfort when compared with the standard CT.

References

May 31, 2001·The Journal of Bone and Joint Surgery. British Volume·S SymonsJ J Dias
Jan 5, 2002·The Journal of Bone and Joint Surgery. British Volume·J S DavidsonC E Bruce
Jun 17, 2005·Journal of Pediatric Orthopedics·Harold J P van BosseDebra A Sala

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Citations

Apr 12, 2012·The Journal of Trauma and Acute Care Surgery·Claudia M VernooijEric R Hammacher
Jul 23, 2016·Pain Research & Management : the Journal of the Canadian Pain Society = Journal De La Société Canadienne Pour Le Traitement De La Douleur·Sylvie Le MayNaveen Poonai
Mar 17, 2015·The Orthopedic Clinics of North America·Gurpal S Pannu, Marty Herman
May 2, 2013·The Cochrane Database of Systematic Reviews·Vrisha MadhuriPrathap Tharyan
Nov 22, 2016·Current Opinion in Pediatrics·Robert S Runyon, Shevaun M Doyle
Dec 20, 2018·The Cochrane Database of Systematic Reviews·Helen Hg HandollAlexia Karantana
Jan 21, 2011·Deutsches Ärzteblatt International·Ralf Kraus, Lucas Wessel
Oct 30, 2010·Current Opinion in Endocrinology, Diabetes, and Obesity

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