Interventions for treating wrist fractures in children

Systematic reviews of surgical procedures in children: Quantity, coverage and quality

“…The remaining 143 full‐text articles were retrieved, of which 128 were ineligible. We therefore included 15 systematic reviews in our review, which represented 0.01% (15/110 885, 95% CI 0.01% to 0.02%) of all citations retrieved from MEDLINE and Embase. Thirteen of the 15 reviews we retrieved were Cochrane reviews, while one was published in Pediatric Surgery International , and one in Archives of Disease in Childhood …”

Cast versus splint in children with minimally angulated fractures of the distal radius: a randomized controlled trial

“…Thus, evidence from this research combined with the advantages of the splint support the use of this device in the treatment of these fractures. The use of splinting instead of casting has been previously established for buckle fractures of the distal radius in children [13][14][15][16] and Colles fractures in adults. 11,12 Our results contribute to the growing body of evidence that splinting is a suitable alternative to casting for specific fractures of the distal radius.…”

“…8−10 Finally, there is the need for specialized resources for application and removal of the cast. Preliminary evidence from studies involving adults 11,12 and studies of stable buckle fractures of the distal radius [13][14][15][16] suggest that splinting offers a safe alternative. However, this approach needs to be compared with the traditional use of casting in children who have minimally angulated and potentially unstable fractures of the distal radius before it can be recommended for clinical practice.…”

Management of Pediatric Displaced Distal Metaphyseal Forearm Fracture: Comparison between Cast Immobilization and Percutaneous Kirschner Wire Fixation

“…[1][2][3][4][5] The reported incidence of displacement of metaphyseal fracture of distal radius in cast varies from 7% to 25% with various studies. 3,6 Poor casting technique, presence of associated fracture or plastic deformity of ulna, initially grossly displaced and angulated fracture of radius and increased residual angulations and displacement after reduction are considered to be the factors responsible for displacement after closed reduction and cast application.…”