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Fractures Cochrane Pediatric Emergency Medicine Reviews

Children break bones more easily than adults - so pediatric fractures are very common. There are several unique features of the pediatric musculoskeletal system that need to be considered in management decisions of all of these injuries - growth plates, plasticity, callus formation, remodeling potential, and partial breaks are some of the key ones. Recognition and appropriate management of pediatric fractures by ED providers is critical. While some common minor wrist and ankle fractures can be treated with a less conservative approach encouraging an early return to activities, other fractures if not treated properly can result in long term functional problems for the child and/or be a sign of child maltreatment.

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Cochrane Systematic Review: Antibiotics for preventing infection in open limb fractures

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Gosselin RA, Roberts I, Gillespie WJ

OBJECTIVES: To quantify the evidence for the effectiveness of antibiotics in the initial treatment of open fractures of the limbs.

Cochrane Systematic Review: Interventions for treating mallet finger injuries

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Handoll HH, Vaghela MV

OBJECTIVES: To examine the evidence for the relative effectiveness of different methods of treating mallet finger injuries.

Cochrane Systematic Review: Interventions for treating wrist fractures in children

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Abraham A, Handoll HH, Khan T

OBJECTIVES: We aimed to evaluate removable splintage versus plaster casts (requiring removal by a specialist) for undisplaced compression (buckle) fractures; cast length and position; and the role of surgical fixation for displaced wrist fractures in children.

Cochrane Systematic Review: Conservative interventions for treating middle third clavicle fractures in adolescents and adults

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Lenza M, Belloti JC, Andriolo RB, Faloppa F

OBJECTIVES: To evaluate the effects of different methods for conservative (non-operative) treatment for acute (treated soon after injury) middle third clavicle fractures in adolescents and adults.

Cochrane Systematic Review: Surgical interventions for treating acute fractures or non-union of the middle third of the clavicle

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Lenza M, Belloti JC, Gomes Dos Santos JB, Matsumoto MH, Faloppa F

OBJECTIVES: To evaluate the effectiveness of different methods of surgical treatment for acute fracture or non-union of the middle third of the clavicle.

Cochrane Systematic Review: Surgical interventions for diaphyseal fractures of the radius and ulna in children

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Abraham A, Kumar S, Chaudhry S, Ibrahim T

OBJECTIVES: To assess the effects (benefits and harms) of a) surgical versus non-surgical interventions, and b) different surgical interventions for the fixation of diaphyseal fractures of the forearm bones in children.

Cochrane Systematic Review: Surgical versus conservative interventions for treating fractures of the middle third of the clavicle

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Lenza M, Buchbinder R, Johnston RV, Belloti JC, Faloppa F

OBJECTIVES: To assess the effects (benefits and harms) of surgical versus conservative interventions for treating middle third clavicle fractures.