BACKGROUND: Forearm fractures are common in the paediatric age group. Closed reduction and casting are the primary means of treatment in over 90% of these fractures. Resultant deformities are usually a product of indirect trauma involving angular loading combined with rotational deformity and fragment displacement. MATERIALS AND METHODS: Retrospectively, 48 patients aged between 4 to 12 years with forearm fractures, were treated conservatively with closed reduction and a cast during a 2-year period. Functional outcomes were measured in terms of pronation and supination. RESULTS: All fractures united before the final visit. Most forearm bone fractures were complete fractures at the mid shaft. Eighty-six percent of the patients had excellent functional outcomes and none had poor outcomes. There were significantly reduced angles of deformities before and after treatment (p < 0.05). Radiographically, in the frontal plane, 57.1% of radius and 73.9% of ulnar fractures achieved perfect reduction (i.e. a degree of deformity of less than 5 degrees). However, in the lateral plane, there were fewer perfect reductions for the radius and ulna, at 14.6% and 54.3%, respectively. All except for one patient were satisfied with the outcomes. The level of fracture did not influence the outcomes. CONCLUSION: Conservative treatment is still an acceptable form of treatment especially for stable forearm fractures in children achieving excellent outcomes (Tab. 1, Fig. 7, Ref. 20).
BACKGROUND: Forearm fractures are common in the paediatric age group. Closed reduction and casting are the primary means of treatment in over 90% of these fractures. Resultant deformities are usually a product of indirect trauma involving angular loading combined with rotational deformity and fragment displacement. MATERIALS AND METHODS: Retrospectively, 48 patients aged between 4 to 12 years with forearm fractures, were treated conservatively with closed reduction and a cast during a 2-year period. Functional outcomes were measured in terms of pronation and supination. RESULTS: All fractures united before the final visit. Most forearm bone fractures were complete fractures at the mid shaft. Eighty-six percent of the patients had excellent functional outcomes and none had poor outcomes. There were significantly reduced angles of deformities before and after treatment (p < 0.05). Radiographically, in the frontal plane, 57.1% of radius and 73.9% of ulnar fractures achieved perfect reduction (i.e. a degree of deformity of less than 5 degrees). However, in the lateral plane, there were fewer perfect reductions for the radius and ulna, at 14.6% and 54.3%, respectively. All except for one patient were satisfied with the outcomes. The level of fracture did not influence the outcomes. CONCLUSION: Conservative treatment is still an acceptable form of treatment especially for stable forearm fractures in children achieving excellent outcomes (Tab. 1, Fig. 7, Ref. 20).
Authors: Bander S Alrashedan; Ayman H Jawadi; Samir O Alsayegh; Ibrahim F Alshugair; Mohammed Alblaihi; Tariq A Jawadi; Anas A Hassan; Abdulrahman M Alnasser; Nawaf B Aldosari; Mishary A Aldakhail Journal: J Taibah Univ Med Sci Date: 2018-06-02
Authors: Matthew L Vopat; Patrick M Kane; Melissa A Christino; Jeremy Truntzer; Philip McClure; Julia Katarincic; Bryan G Vopat Journal: Orthop Rev (Pavia) Date: 2014-06-24
Authors: Bander S Alrashedan; Ayman H Jawadi; Samir Omar Alsayegh; Ibrahim F Alshugair; Mohammed Alblaihi; Tariq A Jawadi; Anas Ahmed Hassan; Abdulrahman Mohammed Alnasser; Nawaf Bakhit Aldosari; Mishary Abdulaziz Aldakhail Journal: Int J Health Sci (Qassim) Date: 2018 Sep-Oct