Evidence map›Paper›PMID 32236117›Full record

ArticlePloS one2020

Recovery of strength after reduced pediatric fractures of the forearm, wrist or hand; A prospective study.

Ann M Hepping, Britt Barvelink, Joris J W Ploegmakers, Job van der Palen, Jan H B Geertzen, Sjoerd K Bulstra, Jorrit S Harbers, Martin Stevens

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Ann M HeppingDepartment of Rehabilitation Medicine, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands.ORCID 0000-0002-7095-514X
Britt BarvelinkDepartment of Orthopedics, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands.
Joris J W PloegmakersDepartment of Orthopedics, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands.
Job van der PalenDepartment of Research Methodology, Measurement and Data Analysis, University of Twente, Enschede, The Netherlands.
Jan H B GeertzenDepartment of Rehabilitation Medicine, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands.
Sjoerd K BulstraDepartment of Orthopedics, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands.
Jorrit S HarbersDepartment of Surgery, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
Martin StevensDepartment of Orthopedics, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands.ORCID 0000-0001-8183-6894

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe way strength recovers after reduction of pediatric fractures of the upper extremity has not previously been the specific scope of research. This is remarkable, since strength measurements are often used as an outcome measure in studies on trauma of the upper extremity. The aim of this study was to evaluate how strength recovers after sustainment of fractures of the forearm, wrist or hand treated by closed or open reduction in children and adolescents in the first 6 months after trauma. How much strength is lost at 6 weeks, 3 months and 6 months after trauma, and is this loss significant? Are there differences in the pattern of recovery between children who underwent a different treatment? And finally, which of the following factors are associated with an increase in the ratio between affected grip strength and expected strength: type of fracture, cast immobilization, occurrence of complications, and degree of pain?

designProspective observational study.

participantsChildren and adolescents aged 4-18 years with a reduced fracture of the forearm, wrist or hand.

methodsGrip strength, key grip and three-jaw chuck grip were measured twice in each hand 6 weeks, 3 months and 6 months after trauma. Details on fracture type and location, treatment received, cast immobilization and complications were obtained. Hand-dominance and pain were verbally confirmed.

resultsLoss of strength was more prominent and prolonged the more invasive the treatment, hence most extensive in the group receiving open reduction with internal fixation (ORIF), intermediate in the group receiving closed reduction with percutaneous pinning (CRIF), and least extensive in the group undergoing closed reduction without internal fixation (CR). Besides time passed, gender and age were of significant influence on strength, although there was no difference in pattern of recovery over time between children who received a different treatment. In the period of 6 weeks to 3 months after trauma, female gender, type of fracture sustained and occurrence of an unwanted event were associated with an increased ratio between affected and expected grip strength. For the later phase of recovery, between 3 and 6 months, this was only true for the occurrence of an unwanted event.

Indexed as

Hand StrengthAdolescentChildChild, PreschoolClosed Fracture ReductionFemaleForearmForearm InjuriesFracture Fixation, InternalHandHumansMaleOpen Fracture ReductionProspective StudiesRadius FracturesRecovery of Function

Identifiers

PMID32236117
PMCPMC7112181

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.