Closed reduction and casting of distal forearm fractures in children
- Paula Schweich, MD
Paula Schweich, MD
- Clinical Professor of Pediatrics
- University of Washington School of Medicine
- Section Editor
- Anne M Stack, MD
Anne M Stack, MD
- Section Editor — Pediatric Procedures
- Associate Professor, Department of Pediatrics
- Harvard Medical School
- Deputy Editor
- James F Wiley, II, MD, MPH
James F Wiley, II, MD, MPH
- Senior Deputy Editor — UpToDate
- Deputy Editor — Adult and Pediatric Emergency Medicine
- Deputy Editor — Primary Care Sports Medicine (Adolescents and Adults)
- Clinical Professor of Pediatrics and Emergency Medicine/Traumatology
- University of Connecticut School of Medicine
Childhood forearm fractures are very common and typically occur after a fall on an outstretched hand. Closed reduction and casting provides definitive treatment for displaced Salter-Harris I or II, greenstick, and complete distal forearm fractures in children and is often accomplished under sedation in the emergency department. These reductions can be performed by appropriately trained personnel or orthopedic surgeons.
Fracture reduction and casting of distal forearm fractures in children will be reviewed here. The diagnosis, assessment, and management of distal forearm fractures in children, the care of pediatric proximal or midshaft forearm fractures, and the basic principles of casting are discussed separately:
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- Informed consent
- Sedation and analgesia
- Parental presence
- Complete fracture reduction
- Greenstick fracture reduction
- Salter I or II fracture reduction
- DISCHARGE AND FOLLOW-UP
- INFORMATION FOR PATIENTS
- SUMMARY AND RECOMMENDATIONS