Articles: ulna-fractures-therapy.
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Comparative Study
A comparison of pediatric forearm fracture reduction between conscious sedation and general anesthesia.
The purpose of this study was to compare the outcomes of children whose fractures were manipulated with nitrous oxide with those fractures manipulated under a general anesthetic. ⋯ Therapeutic Level III. See Instructions for Authors for a complete description of levels of evidence.
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Cochrane Db Syst Rev · Jun 2012
ReviewInterventions for treating isolated diaphyseal fractures of the ulna in adults.
Isolated fractures of the shaft of the ulna, which are often sustained when the forearm is raised to shield against a blow, are generally treated on an outpatient basis. This is an update of a Cochrane review first published in 1998 and last updated in 2009. ⋯ There is insufficient evidence from randomised trials to determine which method of treatment is the most appropriate for isolated fractures of the ulnar shaft in adults. Well designed and reported randomised trials of current forms of conservative treatment are recommended.
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J Trauma Acute Care Surg · Apr 2012
Clinical TrialTreatment of torus fractures in the forearm in children using bandage therapy.
In a torus fracture, there is an intact cortex at the side of the fracture which gives more intrinsic stability than in greenstick fractures, where one side of the cortex is disrupted. Two previously done studies compared soft bandage therapy (BT) with cast therapy in the treatment of torus forearm fractures in children and showed this is safe and does not cause any complications. The aim of our study was to validate these studies by treating all patients presenting to emergency department with a torus fracture with BT and investigate whether any complications occur. ⋯ Soft BT is safe in all children without risk of further angulation and with a pain score equal to cast therapy. Important is that misdiagnosis of the torus fracture at initial presentation should be minimized.
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Bowing fractures of the long bones result from a deforming force that bends the bone similar to an archer's bow. In some of the earlier descriptions of bowing fractures, the recommended treatment for these was closed reduction under general anesthesia in the operating room. ⋯ Two cases of bowing fractures of the forearm reduced in the ED under propofol sedation were described. Some bowing fractures of the forearm can be reduced in the ED under propofol sedation.
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Comparative Study
Manipulation of simple paediatric forearm fractures: a time-based comparison of emergency department sedation with theatre-based anaesthesia.
Procedural sedation has become widespread in emergency departments (ED) worldwide due to the ability to perform short turnaround noxious procedures beyond the confines of the operating theatre. We report one institution's experience with paediatric forearm fracture reduction and compare key time-based metrics for ED manipulation under procedural sedation (MUS), with traditional theatre-based manipulation under anaesthesia (MUA). ⋯ Manipulation of simple closed paediatric forearm fractures under procedural sedation was associated with lesser delay to reduction, and shorter hospital length of stay, compared with traditional manipulation under anaesthesia in the operating theatre.