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Both-bone midshaft forearm fractures in children
Journal of Pediatric Orthopedics
|May 1, 1986
Summary
Closed treatment of pediatric forearm fractures yields excellent results for children under 10. However, older children (10-16) experience a high failure rate, indicating closed treatment is often unsuitable for this age group.
Area of Science:
- Orthopedic surgery
- Pediatric orthopedics
- Traumatology
Background:
- Both-bone midshaft forearm fractures are common in children.
- The efficacy of non-operative management in pediatric populations requires ongoing evaluation.
Purpose of the Study:
- To assess the clinical outcomes of closed treatment for pediatric both-bone midshaft forearm fractures.
- To determine the age threshold for successful non-operative management of these fractures.
Main Methods:
- Retrospective chart review of pediatric patients treated between 1970 and 1982.
- Inclusion criteria: patients under 16 years with both-bone midshaft forearm fractures treated non-operatively.
Main Results:
- Excellent outcomes were observed in all patients under 10 years of age.
- Closed treatment failure occurred in 9 out of 14 patients (64%) aged 10 to 16 years.
Conclusions:
- Closed treatment is highly effective for younger children (<10 years) with these fractures.
- Non-operative management has a high failure rate in older pediatric patients (10-16 years) and may be underestimated.
- Surgical intervention should be strongly considered for children over 10 with both-bone midshaft forearm fractures.