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SPORTS: MEDICINE :
MEDICAL: CONDITIONS: BONE FRACTURES :
MEDICAL: CARE AND TREATMENT :
SPORTS: INJURIES:
Splints Placed Improperly in 93 Percent of Suspected Pediatric Fractures
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Splints Placed Improperly in 93 Percent of Suspected Pediatric Fractures
Pediatrics
October 10, 2014
Medical Xpress
http://medicalxpress.com/news/
2014-10-splints-improperly-percent-pediatric-fractures.html#nRlv
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A shorter URL for the above link:
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http://tinyurl.com/p8e2mro
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More than 90 percent of potential pediatric fractures are splinted
improperly in emergency rooms and urgent care centers, which can lead to
swelling and skin injuries, according to a study by researchers at the
University of Maryland School of Medicine. The findings are being
presented at the American Academy of Pediatrics (AAP) National Conference
and Exhibition in San Diego.
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The study looked at 275 cases involving children and teenagers up to the
age of 18 who were initially treated in community hospital emergency rooms
and urgent care facilities in Maryland, then later evaluated by University
of Maryland pediatric orthopaedic specialists.
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"Splints are effective for immobilization of fractured extremities in
children and adolescents when placed appropriately," says the presenting
and senior author, Joshua M. Abzug, M.D., assistant professor of
orthopaedics at the University of Maryland School of Medicine.
"Unfortunately, many practitioners in emergency departments and urgent
care settings incorrectly applied splints, potentially causing injury."
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Dr. Abzug, who is also director of pediatric orthopaedics at the
University of Maryland Medical Center, says improper splinting can result
in excessive swelling, blisters and other skin complications, and poor
immobilization of the fracture.
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"As a result of our findings, we believe that healthcare professionals may
need more extensive education and training on proper splinting
techniques," says Dr. Abzug. He plans a follow-up study working with
healthcare providers in emergency departments and urgent care centers on
the correct way to apply splints.
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Dr. Abzug co-authored the study with Brandon Schwartz, M.P.H., and Aaron
Johnson, M.D., M.S., from the University of Maryland School of Medicine.
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snip
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The researchers found that the most common reason for improper placement
of a splint was putting an elastic bandage directly on the skin, which
occurred in 77 percent of the cases. In 59 percent of the cases, the
joints were not immobilized correctly, and in 52 percent, the splint was
not the appropriate length. Skin and soft-tissue complications were
observed in 40 percent of the patients.
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snip
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https://aap.confex.com/aap/2014/webprogrampreliminary/Paper27212.html
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Related
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Research on 3-D printed wrist splints boost for arthritis sufferers
July 07, 2014
Phys.org
http://phys.org/news/2014-07-d-wrist-splints-boost-arthritis.html#inlRlv
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A Loughborough University lecturer has developed a computer software
concept that will enable clinicians with no experience in Computer Aided
Design (CAD) to design and make custom-made 3D printed wrist splints for
rheumatoid arthritis sufferers.
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Dr Abby Paterson, from the Design School, said: "I wanted to give
clinicians the ability to make splints they have not been able to make
before.
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"They can improve the aesthetics, the fit, and integrate extra bits of
functionality they couldn't do before as a result of our Additive
Manufacturing facilities here at Loughborough University.
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"Thanks to our Objet Connex machine, we can integrate multiple materials
in a single splint such as rubber-like integral hinges or cushioning
features but, more importantly, the specialised software prototype we've
developed will enable clinicians to design these splints for their
patients."
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The 3D printed splints are not only more comfortable and attractive but
potentially cheaper than the current ones that are 'ugly, bulky, and can
make a patients arm sweat'. As a result patients do not use them as often
as they should.
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The splints, which provide joint protection, rest, and promote pain
relief,could be a major boost for sufferers of rheumatoid arthritis, the
second most common type of arthritis in the UK which affects more than
400,000 people.
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The splints are made by scanning a patient's arm in the 'appropriate
position'. A 3D model splint is then designed based on the scan to
generate a computer model.
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The complete article may be read at the URL above.
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