Pediatric distal forearm 23r-E/1.1

Closed reduction; cast immobilization (long)

Closed reduction; Short or long arm cast

Main indication: Total displacement of the epiphysis

Skill: Some specialized surgical experience
Equipment: Basic equipment only

Contraindications

  • Patients seen later than 2-3 days after the injury in infants

Advantages

  • Restores normal alignment of the epiphysis, using the three-point molding principle

Disadvantages

  • Secondary displacement may occur
  • Requires a skilled practitioner

Additional considerations

  • May require ultrasonography to monitor position of cartilaginous epiphysis

Legend

*Skill
Basic surgical experience, no specialized skills Basic surgical experience, no specialized skills
Some specialized surgical experience Some specialized surgical experience
Highly experienced and skilled surgeon Highly experienced and skilled surgeon
*Equipment
Basic equipment only Basic equipment only
Simple surgical and imaging resources Simple surgical and imaging resources
Full specialized surgical and imaging resources Full specialized surgical and imaging resources

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v1.0 2016-12-01