General Editor: Chris Colton

Authors: Fergal Monsell, Dalia Sepulveda

Pediatric distal forearm 23r-E/2.2

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1 Introduction top


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 Long arm cast top


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 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