The choice of treatment is determined by the functional effect of residual deformity on forearm pronation and supination.
Restriction of function is more important than the degree of deformity.
If the function is nearly normal, immobilization with a cast or splint is sufficient to manage pain.
If the initial function is significantly limited, it is important to differentiate between the relative contribution of pain and deformity.
In this situation it is recommended to re-evaluate 3-4 days after immobilization and change treatment if necessary.
Note: Bowing may recur by elastic recoil even after complete initial correction.