Title

Acceptable Alignment of Forearm Fractures in Children: Open Reduction Indications

Authors

Authors

C. T. Price

Comments

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Abbreviated Journal Title

J. Pediatr. Orthop.

Keywords

fracture; child; forearm; radius; both-bone; malunion; pediatric; MALUNITED FRACTURES; SHAFT FRACTURES; INTRAMEDULLARY FIXATION; WIRE; FIXATION; OSTEOTOMY; MOTION; ELBOW; Orthopedics; Pediatrics

Abstract

Acceptable alignment of forearm fractures in children is controversial. An initial attempt at closed reduction in the emergency department is appropriate for the majority of these injuries. Complex or unstable fractures and those that cannot be maintained in acceptable alignment are candidates for surgical intervention. As a general guideline, fractures with complete displacement will remodel satisfactorily. However, angulation may be more critical for preservation of forearm rotation. Up to 15 degrees angulation is recommended as maximum angulation for mid-shaft and distal-shaft fractures in children younger than 8 years old. But 10 degrees is recommended as the maximum acceptable angulation for older children and proximal shaft fractures. When malunion is greater than this, remodeling is unreliable but may occur for fractures with less than 20-30 degrees of angulation.

Journal Title

Journal of Pediatric Orthopaedics

Volume

30

Publication Date

1-1-2010

Document Type

Article

Language

English

First Page

S82

Last Page

S84

WOS Identifier

WOS:000288461200019

ISSN

0271-6798

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