Evidence map›Paper›PMID 34040654›Full record

ArticleJournal of children's orthopaedics2021

Current concepts in diagnosis and management of common upper limb nerve injuries in children.

Nunzio Catena, Giovanni Luigi Di Gennaro, Andrea Jester, Sergio Martínez-Alvarez, Eva Pontén, Francisco Soldado, Christina Steiger, Jiahui Choong, Paola Zarantonello, Sebastian Farr and 1 more

Open access · goldAbstract read
In one paragraph

Article in Journal of children's orthopaedics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.7field-weighted citation impact, top 17% of its field
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

6 citing papers in PubMed, 13 citations in OpenAlex.

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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

11 authors at 8 institutions in 6 countries.

Nunzio CatenaHand Surgery and Microsurgery Unit - Pediatric Orthopedic and Traumatology Unit - Azienda Ospedaliera SS Antonio e Biagio e Cesare Arrigo, Alessandria, Italy.
Giovanni Luigi Di GennaroPediatric Orthopedic and Traumatology Unit - IRCCS Rizzoli, Bologna, Italy.
Andrea JesterHand and Upper Limb Service, Department of Plastic Surgery - Birmingham Womes's and Children's Hospital, Birmingham, UK.
Sergio Martínez-AlvarezPediatric Hand Unit - Hospital Infantil Universitario Nino Jesus, Madrid, Spain.
Eva PonténDepartment of Pediatric Orthopedic Surgery - Karolinska University Hospital, Stockholm, Sweden.
Francisco SoldadoInternational Pediatric Hand Surgery and Microsurgery Institute - Barcelona Childrens Hospital HM Nens - HM Hospitales, Barcelona, Spain.
Christina SteigerPediatric Orthopedic Division - Geneva Children's Hospital, Geneve, Switzerland.
Jiahui ChoongHand and Upper Limb Service, Department of Plastic Surgery - Birmingham Womes's and Children's Hospital, Birmingham, UK.
Paola ZarantonelloPediatric Orthopedic and Traumatology Unit - IRCCS Rizzoli, Bologna, Italy.
Sebastian FarrOrthopedic Hospital Speising, Department of Pediatric Orthopedics and Foot and Ankle Surgery, Vienna, Austria.
EPOS Upper Limb Study Group
Birmingham Children's Hospital · GBIstituto Ortopedico Rizzoli · ITAzienda Ospedaliera Nazionale SS. Antonio e Biagio e Cesare Arrigo · ITHM Hospitales · ESHospital Infantil Universitario Niño Jesús · ESKarolinska University Hospital · SEOrthopaedic Hospital Speising · ATUniversity Hospital of Geneva · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Peripheral nerve injuries (PNI) of the upper limb are a common event in the paediatric population, following both fractures and soft tissues injuries. Open injuries should in theory be easier to identify and the repair of injured structures performed as soon as possible in order to obtain a satisfying outcome. Conversely, due to the reduced compliance of younger children during clinical assessment, the diagnosis of a closed nerve injury may sometimes be delayed. As the compliance of patients is influenced by pain, anxiety and stress, the execution of the clinical manoeuvres intended to identify a loss of motor function or sensibility, can be impaired. Although the majority of PNI are neuroapraxias resulting in spontaneous recovery, there are open questions regarding certain aspects of closed PNI, e.g. when to ask for electrophysiological exams, when and how long to wait for a spontaneous recovery and when a surgical approach becomes mandatory. The aim of the article is therefore to analyse the main aspects of the different closed PNI of the upper limb in order to provide recommendations for timely and correct management, and to determine differences in the PNI treatment between children and adults.

Indexed as

median nervenerve injuryradial nervetraumaulnar nerve

Identifiers

PMID34040654
PMCPMC8138792
OpenAlexW3135214279

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.