ReviewCureus2025
Immobilisation for Gartland I Supracondylar Humerus Fractures in Children: A Systematic Review.
Review in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Gartland I supracondylar humerus fractures are non-displaced, stable injuries of the paediatric elbow. Optimal immobilisation aims to control pain and protect alignment while minimising disruption to children and families. This systematic review aims to review the currently available literature on immobilisation and casting options for Gartland I supracondylar fractures, summarising safety (displacement/complications), pain and functional recovery, satisfaction, and practical considerations. Across randomised and observational studies, type I supracondylar fractures rarely displace irrespective of immobilisation. Compared with collar-and-cuff alone, above-elbow posterior splints or backslabs reduce pain, analgesia use, and sleep disturbance, and accelerate return to activity. Removable (soft) casts and long-arm splints are non-inferior to rigid long-arm casts for radiographic and functional outcomes, while often improving convenience and parent and patient experience. Newer materials (waterproof or hybrid-mesh liners, biobased polyester, and 3D printed orthoses) further enhance comfort without compromising stability. In conclusion, for Gartland I supracondylar fractures, a well-applied above-elbow posterior splint or removable long-arm cast for around three weeks is typically sufficient. Collar-and-cuff alone is generally inferior for early symptom control. Innovative techniques and casting materials can be offered where available but may require further research to assess their outcomes. Application technique and education remain critical.
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Registered trials
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.