{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,31]],"date-time":"2025-12-31T12:16:49Z","timestamp":1767183409241,"version":"3.41.0"},"reference-count":5,"publisher":"Springer Science and Business Media LLC","issue":"3-4","license":[{"start":{"date-parts":[[2025,4,14]],"date-time":"2025-04-14T00:00:00Z","timestamp":1744588800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/deed.de"},{"start":{"date-parts":[[2025,4,14]],"date-time":"2025-04-14T00:00:00Z","timestamp":1744588800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/deed.de"}],"funder":[{"name":"University of Bern"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Oper Orthop Traumatol"],"published-print":{"date-parts":[[2025,6]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title>\n          <jats:sec>\n            <jats:title>Behandlungsziel<\/jats:title>\n            <jats:p>Konservative Behandlung von stabilen Frakturen der oberen Extremit\u00e4t bei Kindern.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Indikationen<\/jats:title>\n            <jats:p>Undislozierte und altersentsprechend tolerabel dislozierte\/angulierte Frakturen der Hand, des Vorderarmes und des Ellbogens, bei denen nach Reposition nicht die Gefahr einer sekund\u00e4ren Instabilit\u00e4t besteht.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Kontraindikationen<\/jats:title>\n            <jats:p>Offene Frakturen.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Behandlungsm\u00f6glichkeiten<\/jats:title>\n            <jats:p>\n              <jats:bold>\n                <jats:italic>Unterarmschiene\/Unterarmgips<\/jats:italic>\n              <\/jats:bold> bei stabilen Verletzungen des distalen Radius oder der distalen Ulna.<\/jats:p>\n            <jats:p>\n              <jats:bold>\n                <jats:italic>Oberarmschiene\/Oberarmgips<\/jats:italic>\n              <\/jats:bold> bei Verletzungen von Radius und Ulnaschaft und nach reponierten Unterarmschaftfrakturen sowie bei stabilen, undislozierten Verletzungen des Ellbogens.<\/jats:p>\n            <jats:p>\n              <jats:bold>\n                <jats:italic>Intrinsic<\/jats:italic>\n              <\/jats:bold>\u202f<jats:bold>\n                <jats:italic>+<\/jats:italic>\n              <\/jats:bold>\u2009<jats:italic>Schiene<\/jats:italic> bei Verletzungen der Langfinger und Mittelhand.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Weiterbehandlung<\/jats:title>\n            <jats:p>Bei stabilen Verletzungen Ruhigstellung zur Analgesie f\u00fcr 3 bis 4\u00a0Wochen. Klinische Kontrolle mit Freigabe der Beweglichkeit.<\/jats:p>\n            <jats:p>Bei reponierten Frakturen oder im Rahmen der Spontankorrekturgrenzen dislozierten Frakturen klinisch-radiologische Kontrolle (ggf. mit Gipskeilung) nach 1\u00a0Woche. Ruhigstellung f\u00fcr 4\u00a0Wochen (pr\u00e4pubert\u00e4re Kinder)\u00a0\u2013 5\u00a0Wochen (pubert\u00e4re Kinder).<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Ergebnisse<\/jats:title>\n            <jats:p>Die konservative Behandlung von Frakturen der oberen Extremit\u00e4t geh\u00f6rt auch heute noch zum Goldstandard. Insbesondere bei p\u00e4diatrischen, aber auch bei erwachsenen Patienten kann durch eine korrekte Gipsruhigstellung unter \u00fcberschaubarem Aufwand und mit gutem Kosten-Nutzen-Verh\u00e4ltnis eine korrekte Ausheilung der Fraktur bei guter Analgesie erreicht werden. Ein messbarer Parameter zur Kontrolle eines guten Gipses ist der Cast-Index.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1007\/s00064-025-00896-8","type":"journal-article","created":{"date-parts":[[2025,4,14]],"date-time":"2025-04-14T15:10:22Z","timestamp":1744643422000},"page":"195-212","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Ruhigstellungstechniken der oberen Extremit\u00e4t bei Kindern","Upper extremity immobilization techniques in children"],"prefix":"10.1007","volume":"37","author":[{"given":"Nadine","family":"Kaiser","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Teddy","family":"Slongo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2025,4,14]]},"reference":[{"issue":"3","key":"896_CR1","doi-asserted-by":"publisher","first-page":"225","DOI":"10.1007\/s12306-020-00684-6","volume":"105","author":"G Caruso","year":"2021","unstructured":"Caruso\u00a0G, Caldari\u00a0E, Sturla\u00a0FD, Caldaria\u00a0A, Re\u00a0DL, Pagetti\u00a0P, Palummieri\u00a0F, Massari\u00a0L (2021) Management of pediatric forearm fractures: what is the best therapeutic choice? A\u00a0narrative review of the literature. Musculoskelet Surg 105(3):225\u2013234. https:\/\/doi.org\/10.1007\/s12306-020-00684-6","journal-title":"Musculoskelet Surg"},{"issue":"4","key":"896_CR2","doi-asserted-by":"publisher","first-page":"789","DOI":"10.1007\/s00068-019-01227-w","volume":"46","author":"A Sengab","year":"2020","unstructured":"Sengab\u00a0A, Krijnen\u00a0P, Schipper\u00a0IB (2020) Risk factors for fracture redisplacement after reduction and cast immobilization of displaced distal radius fractures in children: a\u00a0meta-analysis. Eur J Trauma Emerg Surg 46(4):789\u2013800. https:\/\/doi.org\/10.1007\/s00068-019-01227-w","journal-title":"Eur J Trauma Emerg Surg"},{"issue":"7","key":"896_CR3","doi-asserted-by":"publisher","first-page":"687","DOI":"10.1097\/BPO.0b013e31824b7525","volume":"32","author":"AG McQuinn","year":"2012","unstructured":"McQuinn\u00a0AG, Jaarsma\u00a0RL (2012) Risk factors for redisplacement of pediatric distal forearm and distal radius fractures. J\u00a0Pediatr Orthop 32(7):687\u2013692. https:\/\/doi.org\/10.1097\/BPO.0b013e31824b7525","journal-title":"J Pediatr Orthop"},{"issue":"8","key":"896_CR4","doi-asserted-by":"publisher","first-page":"787","DOI":"10.1097\/BPO.0b013e318272474d","volume":"32","author":"AS Kamat","year":"2012","unstructured":"Kamat\u00a0AS, Pierse\u00a0N, Devane\u00a0P, Mutimer\u00a0J, Horne\u00a0G (2012) Redefining the cast index: the optimum technique to reduce redisplacement in pediatric distal forearm fractures. J\u00a0Pediatr Orthop 32(8):787\u2013791. https:\/\/doi.org\/10.1097\/BPO.0b013e318272474d","journal-title":"J Pediatr Orthop"},{"issue":"2","key":"896_CR5","doi-asserted-by":"publisher","first-page":"197","DOI":"10.1016\/j.injury.2009.08.021","volume":"41","author":"KB Alemdaro\u011flu","year":"2010","unstructured":"Alemdaro\u011flu\u00a0KB, Iltar\u00a0S, Aydo\u011fan\u00a0NH, Say\u00a0F, Kilin\u00e7\u00a0CY, Tiftik\u00e7i\u00a0U (2010) Three-point index in predicting redisplacement of extra-articular distal radial fractures in adults. Injury 41(2):197\u2013203. https:\/\/doi.org\/10.1016\/j.injury.2009.08.021","journal-title":"Injury"}],"container-title":["Operative Orthop\u00e4die und Traumatologie"],"original-title":[],"language":"de","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00064-025-00896-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00064-025-00896-8\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00064-025-00896-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,6,4]],"date-time":"2025-06-04T06:08:06Z","timestamp":1749017286000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00064-025-00896-8"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,4,14]]},"references-count":5,"journal-issue":{"issue":"3-4","published-print":{"date-parts":[[2025,6]]}},"alternative-id":["896"],"URL":"https:\/\/doi.org\/10.1007\/s00064-025-00896-8","relation":{},"ISSN":["0934-6694","1439-0981"],"issn-type":[{"type":"print","value":"0934-6694"},{"type":"electronic","value":"1439-0981"}],"subject":[],"published":{"date-parts":[[2025,4,14]]},"assertion":[{"value":"4 October 2024","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"1 February 2025","order":2,"name":"revised","label":"Revised","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"7 February 2025","order":3,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"14 April 2025","order":4,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Einhaltung ethischer Richtlinien"}},{"value":"N.\u00a0Kaiser und T.\u00a0Slongo geben an, dass kein Interessenkonflikt besteht.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Interessenkonflikt"}},{"value":"F\u00fcr diesen Beitrag wurden von den Autor\/-innen keine Studien an Menschen oder Tieren durchgef\u00fchrt. F\u00fcr die aufgef\u00fchrten Studien gelten die jeweils dort angegebenen ethischen Richtlinien.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Interessenkonflikt"}}]}}