General Editor: Chris Colton

Authors: Fergal Monsell, Dalia Sepulveda

Pediatric distal forearm 23r-E/2.1

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Glossary

1 Introduction top

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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 top

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General considerations

The majority of these fractures can be managed with a short arm cast. The operator should determine the stability of the fracture. If it is unstable with a tendency to displace a long arm cast is preferred. The purpose of the cast is to provide symptomatic relief during the period of fracture healing.

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


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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 top

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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:


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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.

v1.0 2016-12-01