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

Labianca, Luca; Calderaro, Cosma; Maffulli, Nicola

Abstract

Introduction
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.

Source of data
Published peer-reviewed articles identified in electronic databases, including PubMed Scopus and Google Scholar.

Areas of agreement
The management of pediatric wrist fractures can differ significantly among countries given the high variability in healthcare resources and cultural practices.

Areas of controversy
The management of pediatric wrist fractures can be challenging in certain countries, especially in developing regions with limited resources.

Growing points
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.

Areas timely for developing research
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.

Citation

Labianca, L., Calderaro, C., & Maffulli, N. (in press). Pediatric wrist fractures: variations in management across countries. An evidence-based summary of evidence. British Medical Bulletin, https://doi.org/10.1093/bmb/ldae014

• Journal Article Type: Article
• Acceptance Date: Sep 18, 2024
• Online Publication Date: Oct 4, 2024
• Deposit Date: Oct 18, 2024
• Journal: British Medical Bulletin
• Print ISSN: 0007-1420
• Electronic ISSN: 1471-8391
• Publisher: Oxford University Press
• Peer Reviewed: Peer Reviewed
• DOI: https://doi.org/10.1093/bmb/ldae014
• Keywords: pediatrics, wrist fractures, management, variability Topic: fractures; pediatrics; carpal bone fractures; evidence-based practice
• Public URL: https://keele-repository.worktribe.com/output/952094
• Publisher URL: https://academic.oup.com/bmb/advance-article/doi/10.1093/bmb/ldae014/7811255?login=true