Executive Editor: James Hunter

General Editor: Fergal Monsell

Authors: Andrew Howard, Peter Schmittenbecher, Theddy Slongo

Pediatric forearm shaft 22u-D/4.1

General considerations

The choice of treatment depends on the stability of the fracture.

Many true single bone fractures are minimally displaced, stable fractures and may be treated conservatively.

A completely displaced fracture is unstable. Conservative treatment is more difficult and primary operative fixation may be required.

For further details on stability see the corresponding additional material.

Note: In contrast to bowing, a greenstick fracture has a risk of increasing angulation due to periosteal rupture.

Note: Isolated ulnar fractures may be associated with proximal radio-ulnar joint subluxation/dislocation (Monteggia lesion).

Initial x-rays must be carefully evaluated to identify fractures of the radial head or neck.

Stability of the joint must be confirmed in every case, using an image intensifier if necessary.

Appendix

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Decision support

Authors' added material

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v1.0 2018-11-28