General Editor: Chris Colton

Authors: Fergal Monsell, Dalia Sepulveda

Pediatric distal forearm 23r-E/1.1

Short or long arm cast

1. Introduction

If the fracture is anatomical, or minimally displaced, It can be treated with a simple splint but a short arm cast tends to be more comfortable.

2. Short arm cast

General considerations

The purpose of the cast is to provide symptomatic relief during the period of fracture healing.

A short arm cast is sufficient for these fractures and is applied according to standard procedure:

Note: In young, small, or noncompliant patients, it is safer to apply a long arm cast.

Splitting of cast

If a complete cast is applied in the acute phase after injury, it is safer to split the cast down to skin over its full length.

3. Long arm cast

General considerations

In the event that a long arm cast is necessary (see above) it is applied and split according to standard procedure:

Appendix

Shortcuts

Decision support

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v1.0 2016-12-01