ArticleAnnals of medicine and surgery (2012)2026
Skin-related complications of casting in children: a systematic review.
Article in Annals of medicine and surgery (2012), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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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.
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7 authors.
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Abstract
Casting is the most common treatment for pediatric fractures and neuromuscular-skeletal disorders such as cerebral palsy, developmental or neuromuscular dysplasia of the hip, Perthes disease, and scoliosis. Few studies determine the most common causes of skin complications from casting. This study aims to provide a quantitative breakdown of specific skin complications across cast types and offer practical solutions. A literature review, last searched on 17 October 2024, following PRISMA guidelines, identified all cases of pediatric skin-related casting complications and categorized them by cause. These were analyzed to determine the significant causes of complications. Chi-square tests determined whether a given complication accounted for a significant proportion of all complications. AMSTAR 2 was used for an overall appraisal of the review process, and ROBINS-I and RoB 2 were used at the individual study level. Nineteen articles with a total of 11 464 patients were reviewed. There were 599 skin-related complications, comprising 77.99% of all casting complications. The most common skin complications were pressure ulcers (23.7%), unspecified skin irritations (20.4%), wet cast (18.9%), and cast rubbing/fitting issues (18.5%) (
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