General Editor: Chris Colton

Authors: Fergal Monsell, Dalia Sepulveda

Pediatric distal forearm 23u-E/7

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Glossary

1 Introduction top

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Note: Be aware of nonaccidental injury in infants.

Careful scrutiny of the x-rays is important to identify the presence, or absence, of a metaphyseal component, as this may be the only radiologically visible sign of a corner/bucket handle fracture.

2 Short arm cast top

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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.


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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

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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