{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,8]],"date-time":"2026-05-08T09:36:17Z","timestamp":1778232977440,"version":"3.51.4"},"reference-count":23,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"11","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pediatr Emer Care"],"published-print":{"date-parts":[[2016,11]]},"abstract":"<jats:sec>\n            <jats:title>Objectives<\/jats:title>\n            <jats:p>Pediatric forearm torus fracture, a frequent reason for emergency department visits, can be immobilized by both rigid cast and nonrigid methods. However, controversy still exists regarding the optimal treatment of the disease. The aim of this study was to compare, in a systematic review, clinical efficacy of rigid cast with nonrigid methods for immobilization of the pediatric forearm torus fractures.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods<\/jats:title>\n            <jats:p>Literature search was performed of PubMed and Cochrane Library by 2 independent reviewers to identify randomized controlled trials comparing rigid cast with nonrigid methods for pediatric forearm torus fractures from inception to December 31, 2013, without limitation of publication language. Trial quality was assessed using the modified Jadad scale.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results<\/jats:title>\n            <jats:p>Eight randomized controlled trials with a total of 781 participants met all inclusion criteria. The nonrigid methods for immobilization included soft cast, splint, bandage, and slab. Results showed that nonrigid immobilizations had better clinical efficacy than rigid cast regarding functional recovery, treatment cost, and complication rate (relative risk, 3.02; 95% confidence interval, 1.70-5.37; <jats:italic toggle=\"yes\">P<\/jats:italic> = 0.0002). Compared with rigid cast, more patients would like to choose the nonrigid methods of immobilization for future use. However, discrepant results sill surrounds the pain levels of the patients.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusions<\/jats:title>\n            <jats:p>The current study suggests that the nonrigid immobilization methods have more advantages than rigid cast for immobilization of pediatric forearm torus fracture. The former strategies are also safe enough for clinical therapy.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1097\/pec.0000000000000579","type":"journal-article","created":{"date-parts":[[2015,11,10]],"date-time":"2015-11-10T13:04:30Z","timestamp":1447160670000},"page":"773-778","source":"Crossref","is-referenced-by-count":21,"title":["Management of Pediatric Forearm Torus Fractures"],"prefix":"10.1097","volume":"32","author":[{"given":"Nan","family":"Jiang","sequence":"first","affiliation":[{"name":"From the *Department of Orthopaedics and Traumatology, \u2020Guangdong Provincial Key Laboratory of Bone and Cartilage Regenerative Medicine, Nanfang Hospital, Southern Medical University, Guangzhou; \u2021Department of Minimally Invasive Spine Surgery, Second Affiliated Hospital to Inner Mongolia Medical University, Hohhot; and \u00a7Department of Spine Surgery, Nanfang Hospital, Southern Medical University, Guangzhou, P.R. China."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zhen-hua","family":"Cao","sequence":"additional","affiliation":[{"name":"From the *Department of Orthopaedics and Traumatology, \u2020Guangdong Provincial Key Laboratory of Bone and Cartilage Regenerative Medicine, Nanfang Hospital, Southern Medical University, Guangzhou; \u2021Department of Minimally Invasive Spine Surgery, Second Affiliated Hospital to Inner Mongolia Medical University, Hohhot; and \u00a7Department of Spine Surgery, Nanfang Hospital, Southern Medical University, Guangzhou, P.R. China."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yun-fei","family":"Ma","sequence":"additional","affiliation":[{"name":"From the *Department of Orthopaedics and Traumatology, \u2020Guangdong Provincial Key Laboratory of Bone and Cartilage Regenerative Medicine, Nanfang Hospital, Southern Medical University, Guangzhou; \u2021Department of Minimally Invasive Spine Surgery, Second Affiliated Hospital to Inner Mongolia Medical University, Hohhot; and \u00a7Department of Spine Surgery, Nanfang Hospital, Southern Medical University, Guangzhou, P.R. China."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zhen","family":"Lin","sequence":"additional","affiliation":[{"name":"From the *Department of Orthopaedics and Traumatology, \u2020Guangdong Provincial Key Laboratory of Bone and Cartilage Regenerative Medicine, Nanfang Hospital, Southern Medical University, Guangzhou; \u2021Department of Minimally Invasive Spine Surgery, Second Affiliated Hospital to Inner Mongolia Medical University, Hohhot; and \u00a7Department of Spine Surgery, Nanfang Hospital, Southern Medical University, Guangzhou, P.R. China."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bin","family":"Yu","sequence":"additional","affiliation":[{"name":"From the *Department of Orthopaedics and Traumatology, \u2020Guangdong Provincial Key Laboratory of Bone and Cartilage Regenerative Medicine, Nanfang Hospital, Southern Medical University, Guangzhou; \u2021Department of Minimally Invasive Spine Surgery, Second Affiliated Hospital to Inner Mongolia Medical University, Hohhot; and \u00a7Department of Spine Surgery, Nanfang Hospital, Southern Medical University, Guangzhou, P.R. China."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"bib1-20231023","first-page":"251","article-title":"Broken bones: common pediatric fractures\u2014part I","volume":"25","year":"2006","journal-title":"Orthop Nurs"},{"key":"bib2-20231023","doi-asserted-by":"crossref","first-page":"95","DOI":"10.1017\/S1481803500008228","article-title":"Wrist buckle fractures: a survey of current practice patterns and attitudes toward immobilization","volume":"5","year":"2003","journal-title":"CJEM"},{"key":"bib3-20231023","first-page":"192","year":"1995","journal-title":"Fractures and Dislocations\u2014Closed Management"},{"key":"bib4-20231023","first-page":"103","article-title":"The anatomy of metaphyseal torus fractures","volume":"188","year":"1984","journal-title":"Clin Orthop Relat Res"},{"key":"bib5-20231023","doi-asserted-by":"crossref","first-page":"322","DOI":"10.1097\/01.bpo.0000152909.16045.38","article-title":"Buckle fractures of the distal radius are safely treated in a soft bandage: a randomized prospective trial of bandage versus plaster cast","volume":"25","year":"2005","journal-title":"J Pediatr Orthop"},{"key":"bib6-20231023","doi-asserted-by":"crossref","first-page":"556","DOI":"10.1302\/0301-620X.83B4.0830556","article-title":"Hospital versus home management of children with buckle fractures of the distal radius. 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