Skip Navigation LinksHome > March/April 2002 - Volume 22 - Issue 2 > Position of Immobilization for Pediatric Forearm Fractures
Journal of Pediatric Orthopaedics:

Position of Immobilization for Pediatric Forearm Fractures

Boyer, Bryan A. M.D.*; Overton, Brent M.D.†; Schrader, William M.D.‡; Riley, Patrick M.D.‡; Fleissner, Paul M.D.‡

Collapse Box


The purpose of this study was to evaluate the effect of forearm position on residual fracture angulation for pediatric distal-third forearm fractures at the time of union. One hundred nine pediatric distal-third forearm fractures undergoing closed reduction and casting were prospectively randomized to be immobilized in pronated, supinated, or neutral position. Initial angulation and displacements were radiographically compared with healed fracture angulation at a minimum of 6 weeks. With 99 complete patient files, 38 fractures were casted in neutral, 26 in pronated, and 35 in supinated positions. Average initial angulation was 20°; postreduction angulation measured 3°. Final angulation at union averaged 7° for all fractures. Forearm position failed to show a significant effect on fracture angulation at union. Residual fracture angulation at the time of union for pediatric distal-third forearm fractures was not significantly affected by forearm position (pronation, supination, neutral) during cast immobilization.

© 2002 Lippincott Williams & Wilkins, Inc.

The Pediatric Orthopaedic Society of North America (POSNA)
is a group of healthcare professionals, primarily pediatric orthopaedic surgeons, dedicated to advancing musculoskeletal care of children and adolescents. JPO is our official member journal. 
Like us on facebook and become a member today!


Article Tools


Article Level Metrics

Search for Similar Articles
You may search for similar articles that contain these same keywords or you may modify the keyword list to augment your search.