UPPER LIMBFactors that predict instability in pediatric diaphyseal both-bone forearm fracturesKutsikovich, Jeffrey I.; Hopkins, Christopher M.; Gannon, Edwin W. III; Beaty, James H.; Warner, William C. Jr; Sawyer, Jeffrey R.; Spence, David D.; Kelly, Derek M.Author Information Department of Orthopaedic Surgery, University of Tennessee-Campbell Clinic and Biomedical Engineering, Le Bonheur Children’s Hospital, Memphis, Tennessee, USA Correspondence to Derek M. Kelly, MD, 1211 Union Avenue, Suite 510, Memphis 38104, Tennessee, USA Tel: +1 901 759 3270; fax: +1 901 759 3278; e-mail: firstname.lastname@example.org Journal of Pediatric Orthopaedics B: July 2018 - Volume 27 - Issue 4 - p 304-308 doi: 10.1097/BPB.0000000000000480 Buy Metrics 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. Copyright © 2018 Wolters Kluwer Health, Inc. All rights reserved.