Executive Editor: James Hunter General Editor: Fergal Monsell

Authors: Andrew Howard, Peter Schmittenbecher, Theddy Slongo

Pediatric proximal forearm 21r-E/3 + 21r-E/4

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1 General considerations top

Proximal forearm fractures require control of forearm rotation to increase fracture stability.

Advantages are:

  • Lower risk of stiffness
  • Easy to remove and reapply
  • Earlier functional use of arm
  • Inexpensive

2 Immobilization with a sling top

Sling immobilization enlarge

The injured arm is supported with an arm sling.


Pitfall: The sling should go around the shoulder and not the neck to avoid neck pain.

Sling immobilization enlarge

Alternative types of sling

Alternatively a broad arm sling may be used.

Sling immobilization enlarge

Some surgeons prefer greater stabilization of the arm to the body. This can be achieved by wrapping the arm as illustrated or using commercially available devices.

v1.0 2019-08-28