Redisplacement after closed reduction of forearm fractures in children

J Pediatr Orthop. Jan-Feb 1990;10(1):79-84.

Abstract

Reangulation and displacement after closed reduction of pediatric forearm fractures were reviewed in 90 patients treated with 1978-1984. All fractures were remanipulated and followed to union. No complications occurred and all had a functionally satisfactory result. Both intrinsic and extrinsic factors were identified as contributing to the complication of reangulation/displacement. Nonepiphyseal fractures were safely remanipulated up to 24 days postfracture, with the majority at 1-2 weeks. We conclude that 7% of pediatric forearm fractures treated by closed reduction are subject to reangulation and/or displacement following routine acceptable primary treatment, and that remanipulation provides a safe, effective means to obtain and maintain reduction.

MeSH terms

  • Adolescent
  • Biomechanical Phenomena
  • Child
  • Child, Preschool
  • Female
  • Fracture Fixation
  • Fractures, Ununited / diagnostic imaging*
  • Fractures, Ununited / etiology
  • Fractures, Ununited / therapy
  • Humans
  • Infant
  • Male
  • Manipulation, Orthopedic*
  • Radiography
  • Radius Fractures / complications
  • Radius Fractures / diagnostic imaging
  • Radius Fractures / therapy*
  • Retrospective Studies
  • Ulna Fractures / complications
  • Ulna Fractures / diagnostic imaging
  • Ulna Fractures / therapy*