Pediatric wrist fractures: variations in management across countries. An evidence-based summary of evidence.

management pediatrics variability wrist fractures

Journal

British medical bulletin
ISSN: 1471-8391
Titre abrégé: Br Med Bull
Pays: England
ID NLM: 0376542

Informations de publication

Date de publication:
04 Oct 2024
Historique:
received: 18 06 2024
accepted: 18 09 2024
medline: 5 10 2024
pubmed: 5 10 2024
entrez: 4 10 2024
Statut: aheadofprint

Résumé

Fractures of the distal radius are common in pediatric population, with considerable variation in the management of pediatric wrist fractures across different countries. It is crucial to consider the different approaches to conservative management and surgical intervention. The decision on the appropriate treatment method often depends on the type and severity of the fracture, as well as the available healthcare resources and expertise in each country. This article tries to identify these variations, so the various healthcare systems can work toward implementing best practices in the management of pediatric wrist fractures on a global scale. Published peer-reviewed articles identified in electronic databases, including PubMed Scopus and Google Scholar. The management of pediatric wrist fractures can differ significantly among countries given the high variability in healthcare resources and cultural practices. The management of pediatric wrist fractures can be challenging in certain countries, especially in developing regions with limited resources. Challenges such as long therapeutic delays, lack of appropriate anesthesia, and the absence of fluoroscopy can complicate the treatment process. Randomized controlled clinical trials (RCTs) are vital in providing high-quality evidence to guide clinical decision-making, especially in the field of pediatric wrist fractures. Efforts to support and prioritize the conduct and dissemination of RCTs in pediatric wrist fracture management can ultimately lead to more consistent, effective, and evidence-based care for children with wrist fractures worldwide.

Identifiants

pubmed: 39366674
pii: 7811255
doi: 10.1093/bmb/ldae014
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

© The Author(s) 2024. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

Auteurs

Luca Labianca (L)

Department of Orthopaedic and Traumatology, S. Andrea Hospital, Faculty of Medicine and Psychology "Sapienza" University of Rome, Via di Grottarossa, 1035 00189 Rome, Italy.

Cosma Calderaro (C)

Department of Orthopaedic and Traumatology, S. Andrea Hospital, Faculty of Medicine and Psychology "Sapienza" University of Rome, Via di Grottarossa, 1035 00189 Rome, Italy.

Nicola Maffulli (N)

Department of Orthopaedic and Traumatology, S. Andrea Hospital, Faculty of Medicine and Psychology "Sapienza" University of Rome, Via di Grottarossa, 1035 00189 Rome, Italy.
Centre for Sports and Exercise Medicine, Barts and the London School of Medicine and Dentistry, Mile End Hospital, Queen Mary University of London, Bancroft Rd, London E1 4DG, United Kingdom.
School of Pharmacy and Bioengineering, Keele University School of Medicine, Staffordshire, Stoke-on-Trent ST4 7QB, United Kingdom.

Classifications MeSH