• Can J Emerg Med · Jan 2007

    Minimally angulated pediatric wrist fractures: is immobilization without manipulation enough?

    • Khalid Al-Ansari, Andrew Howard, Brian Seeto, Solina Yoo, Salma Zaki, and Kathy Boutis.
    • Division of Emergency Medicine, Hospital for Sick Children, University of Toronto, Toronto, Ontario, Canada.
    • Can J Emerg Med. 2007 Jan 1;9(1):9-15.

    BackgroundEmergency department (ED) manipulation of complete minimally angulated distal radius fractures in children may not be necessary, due to the excellent remodeling potential of these fractures.ObjectivesThe primary objective of this study was to determine the proportion of minimally angulated distal radius fractures managed in the ED with plaster immobilization that subsequently required manipulation. Our secondary objective was to document, at follow-up, changes in angulation for each wrist fracture.MethodsThis retrospective cohort study reviewed consecutive records of all children with bi-cortical minimally angulated (ResultsOf 124 patients included in the analysis, none required manipulation after their ED visit. All but 14 (11.3%) fractures were angulated ConclusionsMinimally angulated fractures of the distal metaphyseal radius managed in plaster immobilization without reduction in the ED are unlikely to require future surgical intervention.

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