Factors that predict instability in pediatric diaphyseal both-bone forearm fractures. Issue 4 (July 2018)

• Record Type: Journal Article
• Authors: Kutsikovich, Jeffrey I.; Hopkins, Christopher M.; Gannon, Edwin W.; Beaty, James H.; Warner, William C.; Sawyer, Jeffrey R.; Spence, David D.; Kelly, Derek M.
• Is Part Of: Journal of pediatric orthopedics. Volume 27:Issue 4(2018)
• Publication Date: 2018-07
• Subjects: both-bone fracture -- children -- instability -- outcomes -- predictive factors; Pediatric orthopedics -- Periodicals; 618.927005
• DOI: 10.1097/BPB.0000000000000480
• Languages: English
• ISSNs: 1060-152X

Abstract

Abstract : The aim of this study was to determine the factors that may predict failure of closed reduction and casting of diaphyseal forearm fractures in children. Demographic and radiographic data of children with closed reduction and casting of these fractures in the emergency department were evaluated. Of 174 patients with adequate follow-up to union, 19 (11%) required a repeat procedure. Risk factors for repeat reduction included translation of 50% or more in any plane, age more than 9 years, complete fracture of the radius, and follow-up angulation of the radius more than 15° on lateral radiographs or of the ulna more than 10° on anteroposterior radiographs.