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Evidence found and GRADE certainty

367 questions · 382 findings · 30 reviews · Bone, Joint and Muscle Trauma

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No studies found 73 · 19.1%GRADE not reported 19 · 5%Very low 171 · 44.8%Low 90 · 23.6%Moderate 22 · 5.8%High 7 · 1.8%

Summary of findings. Below‐elbow vs above‐elbow cast

Minor complications (less serious).j Here represented by referral for physical therapy for range of motion limitation (post‐immobilisation after 4 weeks) · children with either displaced distal radius fracture with intact or displaced ulna fracture (both‐bone fracture), or minimally displaced…

It is very uncertain whether summary of findings. Below‐elbow changes minor complications.,j,k Here represented by Referral for physical… compared with above‐elbow cast (very low certainty).

1 finding from 1 review

Summary of findings. Surgery (percutaneous wire fixation) vs not surgery (cast only)

Physical function · children with displaced distal radius fracture with intact or involved or displaced ulna fracture (both‐bone fracture)

The review found no eligible studies for this question.

2 findings from 1 review

Summary of findings. Surgery (percutaneous wire fixation) vs not surgery (cast only)

'Treatment failure': various secondary procedures such as remanipulation for early loss of position; early or more complex wire removal ( · children with displaced distal radius fracture with intact or involved or displaced ulna fracture (both‐bone fracture)

It is very uncertain whether summary of findings. Surgery (percutaneous wire fixation) changes 'Treatment failure': various secondary procedures such as… compared with not surgery (cast only) (very low certainty).

1 finding from 1 review

Summary of findings. Surgery (percutaneous wire fixation) vs not surgery (cast only)

Serious adverse events (typically more serious complications) ( · children with displaced distal radius fracture with intact or involved or displaced ulna fracture (both‐bone fracture)

It is very uncertain whether summary of findings. Surgery (percutaneous wire fixation) changes serious adverse events (typically more serious complications) ( compared with not surgery (cast only) (very low certainty).

1 finding from 1 review

Summary of findings. Surgery (percutaneous wire fixation) vs not surgery (cast only)

Minor complications (less serious).j Here represented by referral for physical therapy for range of motion limitation (post‐immobilisation after 4 weeks) · children with displaced distal radius fracture with intact or involved or displaced ulna fracture (both‐bone fracture)

It is very uncertain whether summary of findings. Surgery (percutaneous wire fixation) changes minor complications (less serious).j Here represented by referral… compared with not surgery (cast only) (very low certainty).

1 finding from 1 review

Summary of findings. Home vs hospital‐clinic removal of casts

Treatment failure (change in treatment) (6 weeks · children with stable wrist fracture, predominantly buckle (torus) fracturesa

It is very uncertain whether summary of findings. Home changes treatment failure (change in treatment) (6 weeks compared with hospital‐clinic removal of casts (very low certainty).

1 finding from 1 review

Summary of findings. Home vs hospital‐clinic removal of casts

Participant satisfaction: Parents would not choose the same treatment again (6 weeks · children with stable wrist fracture, predominantly buckle (torus) fracturesa

Summary of findings. Home may leads to lower participant satisfaction: Parents would not choose the same… compared with hospital‐clinic removal of casts (low certainty).

1 finding from 1 review