General Editor: Chris Colton

Authors: Fergal Monsell, Dalia Sepulveda

Pediatric distal forearm 23-M/3.1

Long arm cast

1. Introduction

If these fractures are undisplaced, or minimally displaced, and stable, simple casting is adequate. These fractures should not be treated with a removable splint.

Most undisplaced fractures of this type are stable and do not require surgical fixation.

2. Long arm cast

General considerations

A long arm cast should always be used where it is necessary to control forearm rotation in order to prevent fracture displacement. In very young and in noncompliant children, a long arm cast is preferable even if a short cast would otherwise be appropriate

The long arm cast is applied according to standard procedure:

Splitting the 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.

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v1.0 2016-12-01