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Related Concept Videos

Fractures: Bone Repair01:27

Fractures: Bone Repair

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Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
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Bones of the Upper Limb: Radius01:09

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The radius is longer of the two bones that make up the human antebrachium or forearm. At the proximal end, the radius articulates with the capitulum of the humerus and the radial notch of the ulna to form the elbow joint. At the distal end, the radius articulates with the ulna via the ulnar notch, forming the distal radioulnar joint. Distally, the radius also attaches to the carpal wrist bones (scaphoid and lunate) to form the radiocarpal joint.
The radius has a nail-shaped head, and a...
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Related Experiment Video

Updated: Jul 8, 2025

Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device
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Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device

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Radiological Criteria for Acceptable Alignment in Paediatric Mid-Shaft Forearm Fractures: A Systematic Review.

M Scotcher1, H H Chong2, A Asif3

  • 1Department of Plastic Surgery, Addenbrooke's Hospital Cambridge University, Cambridge, United Kingdom.

Malaysian Orthopaedic Journal
|December 18, 2023
PubMed
Summary
This summary is machine-generated.

Paediatric forearm fracture guidelines need updating. Current radiological criteria for intervention in mid-shaft fractures vary by age, with limited high-quality evidence supporting these thresholds.

Keywords:
forearmfractureoutcomepaediatricradiological

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Area of Science:

  • Orthopedic Surgery
  • Pediatric Trauma
  • Radiology

Background:

  • Paediatric forearm fractures are common injuries.
  • Growing bones have significant remodeling capacity, often leading to good outcomes with minimal intervention.
  • Radiological characteristics guide treatment decisions, but criteria vary with age.

Purpose of the Study:

  • To consolidate the evidence base for radiological indications for intervention in paediatric mid-shaft forearm fractures.
  • To review current radiological criteria for non-operative management of these fractures.

Main Methods:

  • Systematic review following Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines.
  • Screening and analysis of research on radiological criteria for mid-shaft forearm fractures in patients aged 16 years or younger.

Main Results:

  • 14 studies were selected from 2,059 initial papers.
  • For children 0-10 years: intervention indicated for >15° sagittal angulation, >10° coronal angulation, and/or >50% translation.
  • For children >10 years: intervention indicated for >10° sagittal angulation, >10° coronal angulation, and/or >50% translation.

Conclusions:

  • A scarcity of high-quality evidence exists, with significant variation in outcome reporting.
  • Evidence-based thresholds for intervention have not significantly evolved since 1998.
  • A need exists for multicentre studies using patient-reported outcomes to clarify management guidelines.