Pediatric Distal Forearm Fractures
Conditions
Keywords
Optimal index for Pediatric distal forearm fractures
Brief summary
This is a prospective radiographic study of displaced distal forearm fractures requiring manipulation for children 3-12 years of age and will be treated with casting.The patients' full radiographic series (including the pre-manipulation, immediate post-manipulation, after 1 week and after 4 weeks radiographs) will be evaluated.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
1. Males or females 3 to 12 years old. 2. Any presentation of displaced distal forearm fractures requiring manipulation and will be treated with casting.
Exclusion criteria
1. Children with compound fractures (those with unacceptable initial reduction, fracture dislocations, and fractures with physeal separation) will be excluded from the study, as those will be treated with Kirschner wires. 2. Children whose casts is split will be excluded.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The cast index | 4 weeks observation after reduction and applying cast. | formula that use measurements obtained from anteroposterior and lateral plain radiographs to estimate the quality of cast placement. |
| The gap index | 4 weeks observation after reduction and applying cast. | formula that use measurements obtained from anteroposterior and lateral plain radiographs to estimate the quality of cast placement. |
| The padding index | 4 weeks observation after reduction and applying cast. | formula that use measurements obtained from anteroposterior and lateral plain radiographs to estimate the quality of cast placement. |
| The Canterbury index | 4 weeks observation after reduction and applying cast. | formula that use measurements obtained from anteroposterior and lateral plain radiographs to estimate the quality of cast placement. |
| The three-point index | 4 weeks observation after reduction and applying cast. | — |