Paediatric distal radius fractures: an instructional review for the FRCS examination

Khan, Humera; Monsell, Fergal; Duffy, S.; Trompeter, Alex; Bridgens, A.; Gelfer, Yael

doi:10.1007/s00590-022-03409-6

Cited by 1 publication

(1 citation statement)

References 29 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Many paediatric fractures are known to have excellent remodelling potential, particularly when the injury is at or near a physis. 3 It is therefore possible that many displaced distal radial fractures in younger children could simply be immobilized with approximate alignment and allowed to remodel with the passage of time. 2 If clinical outcomes were unaffected, this approach would be quicker, more pleasant for children, and reduce the use of resources such as the time in the emergency department, operating theatre, and hospital beds.…”

Section: The Controversymentioning

confidence: 99%

Surgically reducing displaced distal radial fractures in children

Metcalfe,

Perry

2024

Bone Joint J

View full text Add to dashboard Cite

Displaced fractures of the distal radius in children are usually reduced under sedation or general anaesthesia to restore anatomical alignment before the limb is immobilized. However, there is growing evidence of the ability of the distal radius to remodel rapidly, raising doubts over the benefit to these children of restoring alignment. There is now clinical equipoise concerning whether or not young children with displaced distal radial fractures benefit from reduction, as they have the greatest ability to remodel. The Children’s Radius Acute Fracture Fixation Trial (CRAFFT), funded by the National Institute for Health and Care Research, aims to definitively answer this question and determine how best to manage severely displaced distal radial fractures in children aged up to ten years.Cite this article: Bone Joint J 2024;106-B(1):16–18.

show abstract

Section: The Controversymentioning

confidence: 99%