Conservative interventions for treating diaphyseal fractures of the forearm bones in children

Madhuri, Vrisha; Dutt, Vivek; Gahukamble, Abhay; Tharyan, Prathap

doi:10.1002/14651858.cd008775.pub2

Cited by 15 publications

(21 citation statements)

References 29 publications

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“…Elbow in extension can yield a good outcome, but it is impractical [30]. The cast should be a wide enough splint to cover both volar and dorsal sides of the forearm and applying appropriate corrective pressure against malalignment [20,32]. The cast should be a wide enough splint to cover both volar and dorsal sides of the forearm and applying appropriate corrective pressure against malalignment [20,32].…”

Section: Aims Of Treatmentmentioning

confidence: 99%

“…The cast should also take control of separation of the radius and ulna to maintain tension on the interosseus membrane and to protect the interosseus space from collapse [16]. Usually, all the fractures in the proximal third can be immobilized in the supination position, those in the middle third in the neutral position and fractures in the distal third in pronation [16,32,35]. Usually, all the fractures in the proximal third can be immobilized in the supination position, those in the middle third in the neutral position and fractures in the distal third in pronation [16,32,35].…”

Section: Aims Of Treatmentmentioning

confidence: 99%

“…The recommendations of treatment and postoperative follow-up were presented here on the basis of the fact that the current studies typically lack randomization, comparators, prospective designs or independent evaluations; thus, strong evidence-based clinical conclusions cannot be arrived at [32,80]. Until the results of highly warranted prospective trials are available in the future, the current concepts are based on both existing studies with their limitations and expert opinion of the authorized authors.…”

Section: Controversies and Conclusionmentioning

confidence: 99%

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The shaft fractures of the radius and ulna in children

Sinikumpu

Serlo

2015

Journal of Pediatric Orthopaedics B

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The incidence of forearm shaft fractures in children has increased in recent years. They are challenging to treat and they can result in several long-lasting complications. The treatment of children's fractures needs to be individualized to their needs. Nonoperative care will be satisfactory for young, preschool children and it is primarily treatment in stable fractures of children at every age. Injury mechanism must be understood to perform appropriate closed reduction. Immobilization using a long-arm cast needs to be focused against the deforming muscle forces - in particular those that rotate - in the forearm, keeping the bones in alignment until bone healing. Operative stabilization by elastic stable intramedullary nailing is the primarily method of treatment in cases of unstable fractures, in particular, in children between preschool age and adolescence. For older children near to skeletal maturity, a rigid plate and screw fixation will be justified. The most common complication after closed treatment is worsening of the alignment and need for repetitive interventions. elastic stable intramedullary nailing results usually in good outcome, and range of forearm rotation is the main feature determining the clinical result. In this article, we report the current concept of paediatric shaft fractures in the radius and ulna.

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Section: Aims Of Treatmentmentioning

confidence: 99%

Section: Aims Of Treatmentmentioning

confidence: 99%

Section: Controversies and Conclusionmentioning

confidence: 99%

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The shaft fractures of the radius and ulna in children

Sinikumpu

Serlo

2015

Journal of Pediatric Orthopaedics B

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“…There are six Cochrane reviews that have evaluated the literature supporting the management of childhood fractures 3–8. The reviews have identified 45 trials with sufficient quality to inform practice, with most trials relating to the management of wrist fractures.…”

Section: Introductionmentioning

confidence: 99%

CORE-Kids: a protocol for the development of a core outcome set for childhood fractures

Marson¹,

Manning²,

James³

et al. 2020

BMJ Open

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IntroductionLimb fractures in children are common yet there are few trials that compare treatments for these injuries. There is significant heterogeneity in the outcomes reported in the paediatric orthopaedic literature, which limits the ability to compare study results and draw firm conclusions. The aim of the CORE-Kids Study is to develop a core outcome set for use in research studies of childhood limb fractures. A core outcome set will provide a minimum set of outcomes to be measured in all trials to minimise the heterogeneity of outcomes reported and minimise reporting bias. A core outcome set ensures that outcomes are reported that are relevant to families as well as clinicians. The core outcome set will include additional upper and lower limb modules.MethodsThe development of the core outcome set will require four phases to evaluate:What are the outcomes that are relevant to professionals?What are the outcomes that are relevant to families?What are the most important of these outcomes?Which outcomes should be included in the core outcome set?This will be completed through a systematic review of trials to identify the outcomes domains that are relevant to trialists. A series of semi-structured interviews will be completed with families to identify the outcome domains that are relevant to families. These outcome domains will be used in a three-round Delphi Study to analyse the importance of these outcome domains to a range of stakeholders including parents, clinicians and researchers. Following this, the core outcome set will be decided at a consensus meeting.Ethics and disseminationEthical approval has been awarded HRA/REC IRAS number 262503. Date of approval 06/08/2019. Dissemination will be through scientific literature and international societies.Trial registrationCore Outcome Measures in Effectiveness Trials Initiative, registration number: 1274. Date of registration 13/12/2018.PROSPERO registration numberCRD42018106605.

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“…Looking across the age spectrum, there are new reviews for in vitro fertilization and the use of lung lavage for meconium aspiration syndrome in newborn babies . For older children, treatments that have been examined include swimming for asthma , physical therapy to help with their recovery from cancer , and ways to manage breaks of the forearm . Bridging children and adults, Oono et al examine the evidence on parent‐mediated early intervention for young children with autism spectrum disorders .…”

mentioning

confidence: 99%

The Cochrane Database of Systematic Reviews – Issue 4 2013

2013

J Evidence Based Medicine

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Conservative interventions for treating diaphyseal fractures of the forearm bones in children

Cited by 15 publications

References 29 publications

The shaft fractures of the radius and ulna in children

The shaft fractures of the radius and ulna in children

CORE-Kids: a protocol for the development of a core outcome set for childhood fractures

The Cochrane Database of Systematic Reviews – Issue 4 2013

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