UPPER LIMBThe incidence of neurologic injury in paediatric forearm fractures requiring manipulationBell, Christopher James; Viswanathan, Sameer; Dass, Shailendra; Donald, GeoffAuthor Information Department of Orthopaedics, Royal Children's Hospital, Brisbane, Queensland, Australia Correspondence to Dr Geoff Donald, FRACS, Consultant, Royal Children's Hospital, Herston Road, Herston, Brisbane, Queensland 4029, Australia Tel: +61 7 3636 7447; fax: +61 7 3636 1977; e-mail: email@example.com Journal of Pediatric Orthopaedics B: July 2010 - Volume 19 - Issue 4 - p 294-297 doi: 10.1097/BPB.0b013e32832c2f55 Buy Metrics Abstract This study sought to evaluate the incidence of neurologic injury in children referred for manipulation in our hospital. A retrospective chart analysis of the first 100 children to be referred with a fracture of any segment of the radius and/or ulna was performed. The incidence of neurologic injury was found to be 15.6%. Neurological injury occurs most frequently with distal physeal fractures with an incidence of 37%. Clinicians require a high index of suspicion when evaluating forearm fractures. If neurologic injury is missed at initial assessment, the child may not receive a prompt reduction, thus increasing the likelihood of long-term sequelae. © 2010 Lippincott Williams & Wilkins, Inc.