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    Radiological criteria for acceptable alignment in paediatric mid-shaft forearm fractures: a systematic review

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    Author
    Chong, Han Hong
    Keyword
    forearm
    fracture
    outcome
    paediatric
    radiological
    Date
    2023-11
    
    Metadata
    Show full item record
    DOI
    10.5704/MOJ.2311.005
    Publisher's URL
    https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10722999/
    Abstract
    Introduction: Forearm fractures are common in children. The remodelling capacity of growing long bones in children makes these potentially forgiving injuries, recovering with good outcomes despite minimal intervention. Clinicians rely on radiological characteristics that vary with age to guide treatment decisions and minimise adverse sequelae. The purpose of this review was to consolidate the evidence base of radiological indications for intervention in paediatric mid-shaft forearm fractures. Materials and methods: The preferred reporting items for systematic reviews and meta-analyses (PRISMA) guidelines were followed for this review. Citable research output reporting radiological criteria for mid-shaft forearm fractures in paediatric patients (age ≤16 years) was screened and analysed to ascertain acceptable radiological criteria for non-operative management. Results: A total of 2,059 papers were initially identified; 14 were selected following screening. Sagittal angulation >15°, coronal angulation >10°, and/or >50% (or >1cm) translation were the most common radiological indications for intervention in children aged 0 to 10 years. For children over 10 years of age, the most common radiological indication for intervention was sagittal angulation >10°, coronal angulation >10°, and/or >50% (or >1cm) translation. Conclusion: This study revealed a scarcity of high-quality evidence to guide management and significant variation in outcome reporting throughout the published literature. Since Noonan and Price's 1998 recommendations, there has been no significant evolution in the evidence-base guided threshold for intervention in paediatric mid-shaft forearm fractures. There remains a pressing need for a robust multicentre observational study using the patient-reported outcome measurement information system (PROMIS) to address this complex and controversial area of uncertainty in paediatric trauma management.
    Citation
    Scotcher, M., Chong, H. H., Asif, A., & Kulkarni, K. (2023). Radiological Criteria for Acceptable Alignment in Paediatric Mid-Shaft Forearm Fractures: A Systematic Review. Malaysian orthopaedic journal, 17(3), 26–32. https://doi.org/10.5704/MOJ.2311.005
    Type
    Article
    URI
    http://hdl.handle.net/20.500.12904/18024
    Collections
    Orthopaedics
    Trauma

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