General Editor: Chris Colton

Authors: Fergal Monsell, Dalia Sepulveda

Pediatric distal forearm 23r-E/3.1

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1 Introduction top


As this is an intraarticular fracture, there should be a low threshold for articular reconstruction with either K-wire or screw osteosynthesis.

In the presence of anatomical alignment, and no evidence articular incongruity, treatment with a simple splint may be inadequate and a short arm cast is more comfortable.

2 Short arm cast top


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.


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.

3 Long arm cast top


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

v1.0 2016-12-01