Buddy Taping as a Treatment Option for Salter-Harris II and Juxta-Physeal Fractures of the Proximal and Middle Phalanx: A Systematic Review
Bibliographic record
Abstract
Salter-Harris II (SH2) proximal/middle phalanx fractures are common injuries in children and heal well with immobilization. We conducted a systematic review of nonsurgical treatments for SH2 proximal/middle phalanx fractures. The constructed search strategy used descriptors that included synonyms for "phalanx fracture," "proximal/middle phalanx," and "fracture treatment." All steps of the process were performed by 2 independent reviewers. Articles of any study design that included children treated for SH2 proximal/middle phalanx fractures were included. Results were analyzed for summary statistics and interobserver agreement. Findings were reported in keeping with Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. The initial search yielded 3511 studies. Five studies met the final criteria: 1 randomized controlled trial (RCT), 3 prospective studies, and 1 retrospective study. Three studies employed a combination of taping and splinting strategies. All fractures healed with no reported complications. At the final follow-up, all studies reported full or nearly full range of motion and high rates of patient comfort and satisfaction. The RCT found lower rates of secondary displacement in the taping (6%) versus splinting (23%) group. Due to small sample sizes and heterogeneous study designs, conclusive recommendations cannot be drawn. More research is needed to determine the feasibility, compliance, safety, and effectiveness of taping these injuries.
Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.
How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.005 | 0.019 |
| Meta-epidemiology (narrow) | 0.001 | 0.001 |
| Meta-epidemiology (broad) | 0.008 | 0.008 |
| Bibliometrics | 0.007 | 0.006 |
| Science and technology studies | 0.001 | 0.001 |
| Scholarly communication | 0.002 | 0.002 |
| Open science | 0.002 | 0.001 |
| Research integrity | 0.002 | 0.001 |
| Insufficient payload (model declined to judge) | 0.003 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".