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‘Wristlock restraint’ and physeal injuries of the distal radius

Ali, Farhan; Murali, Raj; Livingstone, Brian N.

Journal of Pediatric Orthopaedics B: September 2005 - Volume 14 - Issue 5 - p 385-387
VARIA

Wristlock is a commonly used physical restraining manoeuvre to control aggressive and violent persons in penal and medical institutions. We report three cases of similar physeal injuries to the distal radius sustained consequent to a wristlock restraint. There may be a higher morbidity involved when wristlock restraint is used on those with an immature skeleton. We recommend that caution must be exercised whenever a wristlock restraint is used on individuals under 16 years of age.

Orthopaedic and Trauma Services, Royal Albert Edward Infirmary, Wigan Lane, Wigan, UK

Correspondence and requests for reprints to Farhan Ali, 121 Cavendish Road, Didsbury Point, Manchester, M20 1LS, UK

Tel: +44 161 4382610; fax: +44 161 6221682;

e-mail: farhan.ali@doctors.org.uk

© 2005 Lippincott Williams & Wilkins, Inc.