UPPER EXTREMITYThe shaft fractures of the radius and ulna in children current conceptsSinikumpu, Juha-Jaakko; Serlo, WillyAuthor Information Department of Paediatric Surgery and Orthopaedics, Oulu University Hospital, Oulu, Finland Correspondence to Juha-Jaakko Sinikumpu, MD, PhD, Department of Paediatric Surgery and Orthopaedics, Oulu University Hospital, FIN-90029 OYS Oulu, Finland Tel: +358 8 3155835; fax: +358 8 315 4499; e-mail: [email protected] Journal of Pediatric Orthopaedics B: May 2015 - Volume 24 - Issue 3 - p 200-206 doi: 10.1097/BPB.0000000000000162 Buy Metrics Abstract The incidence of forearm shaft fractures in children has increased in recent years. They are challenging to treat and they can result in several long-lasting complications. The treatment of children’s fractures needs to be individualized to their needs. Nonoperative care will be satisfactory for young, preschool children and it is primarily treatment in stable fractures of children at every age. Injury mechanism must be understood to perform appropriate closed reduction. Immobilization using a long-arm cast needs to be focused against the deforming muscle forces – in particular those that rotate – in the forearm, keeping the bones in alignment until bone healing. Operative stabilization by elastic stable intramedullary nailing is the primarily method of treatment in cases of unstable fractures, in particular, in children between preschool age and adolescence. For older children near to skeletal maturity, a rigid plate and screw fixation will be justified. The most common complication after closed treatment is worsening of the alignment and need for repetitive interventions. elastic stable intramedullary nailing results usually in good outcome, and range of forearm rotation is the main feature determining the clinical result. In this article, we report the current concept of paediatric shaft fractures in the radius and ulna. Copyright © 2015 Wolters Kluwer Health, Inc. All rights reserved.