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Emergency Medicine Journal 2008;25:222-223; doi:10.1136/emj.2008.058172
© 2008 BMJ Publishing Group Ltd and the College of Emergency Medicine.

BEST EVIDENCE TOPIC REPORTS

BET2. SPLINTING OF BUCKLE FRACTURES OF THE DISTAL RADIUS IN CHILDREN

Marten C Howes, Consultant, Peter Cutting, Consultant, Martin Thomas, Consultant

Emergency Department, Royal Adelaide Hospital, Adelaide, South Australia, Australia

The first 150 words of the full text of this article appear below.

Report by Marten C Howes, Consultant

Search checked by Peter Cutting, Consultant and Martin Thomas, Consultant

Institution: Emergency Department, Royal Adelaide Hospital, Adelaide, South Australia, Australia

A shortcut review was carried out to establish whether removable splints are better than plaster casts in reducing pain and promoting functional recovery in children with buckle fractures of the distal radius. A total of 1448 papers were found using the reported searches, of which two presented the best evidence to answer the clinical question. The author, date and country of publication, patient group studied, study type, relevant outcomes, results and study weaknesses of these best papers are tabulated. It is concluded that removable splints are preferable to plaster casts in these children.

Three-part question

In [a child with a buckle fracture of the distal radius] does [immobilisation in a plaster cast or symptomatic bracing] offer better [pain relief and functional recovery]?

Clinical scenario

A . . . [Full text of this article]


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