Priority 14 from the Broken Bones of the Upper Limb in People over 50
|UNCERTAINTY: Does when, how and who manipulates an upper limb fracture (returns the fractured bone to its normal position) influence outcome in people over 50? (JLA PSP Priority 14)
|JLA question ID
National Institute for Health and Care Excellence. Fractures (non-complex): assessment and management (NG38). London: NICE, 2016.
Handoll HHG, Madhok R; Closed reduction methods for treating distal radial fractures in adults. Cochrane Database of Systematic Reviews 2003, Issue 1
|Health Research Classification System category
|Injuries and Accidents
|Extra information provided by this PSP
|Original uncertainty examples
|Who should reduce the fracture? ~ Is there any benefit to paramedics trying to reduce an obviously deformed wrist? ~ Should the ambulance crew reduce the deformity for analgesia? ~ Is splinting and/or reduction deemed adequate by upper limb specialists? ~ Is there a golden time frame in which it is recommended to reduce a dislocation, and by whom? ~ What is the best way to reduce a distal radius fracture in ED? ~ Is there a relationship between the time of fracture reduction and long term pain relief and hand functions?
|32 x Healthcare Professionals, 12 x Patients, 3 x Carers / Relatives
|PSP unique ID
|Broken Bones of the Upper Limb in People over 50 PSP
|Total number of uncertainties identified by this PSP.
|50 (To see a full list of all uncertainties identified, please see the detailed spreadsheet held on the JLA website)
|Date of priority setting workshop
|3 December 2018