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Related Experiment Videos

Both-bone forearm fractures in children.

P J Carey1, P D Alburger, R R Betz

  • 1Shriners Hospital for Crippled Children, Philadelphia, PA 19152.

Orthopedics
|September 1, 1992
PubMed
Summary

Closed reduction with long-arm casting effectively treats pediatric both-bone forearm fractures. Most children achieve full function and range of motion (ROM) despite minor residual angulation or rotation loss.

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Area of Science:

  • Pediatric Orthopedics
  • Pediatric Trauma Surgery

Background:

  • Both-bone forearm fractures in children present treatment challenges.
  • Conservative management options require careful evaluation for efficacy.

Purpose of the Study:

  • To assess the outcomes of closed reduction and long-arm casting in pediatric patients with both-bone forearm fractures.
  • To analyze the relationship between patient age and fracture healing outcomes, including residual angulation and range of motion (ROM).

Main Methods:

  • A retrospective review of 33 children treated with closed reduction and long-arm cast using traction.
  • Patients were stratified by age (≤10 years and 11-15 years) and analyzed for radiographic and functional outcomes.

Main Results:

  • All patients achieved full activity without functional restriction at follow-up.
  • Younger children (≤10 years) typically had minimal residual angulation and full ROM.
  • Older children (11-15 years) were more likely to have residual angulation and some loss of rotation, though functional outcomes remained excellent.

Conclusions:

  • Closed reduction and long-arm casting is an effective treatment for pediatric both-bone forearm fractures.
  • While some radiographic changes may persist, functional recovery is generally complete in this pediatric population.

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