Approximately 75 percent of all fractures sustained by children occur in the upper extremities and frequently occur during a fall onto an outstretched hand. The majority of these injuries involve the wrist and forearm, but the elbow alone accounts for approximately 10 percent of all fractures in children. Elbow fractures in children are challenging because of the abundance of unossified cartila...

One-bone forearm functions best when the proximal ulna and distal radius are present and joined (the ulnius). Six open forearm fractures accompanied by segmental radial defect were treated by the ulnius formation in a one-stage procedure. All patients had a stable and pain-free forearm, and were satisfied with the function and cosmetic appearance of the forearm.

A 50-year-old man, right-handed farmer, was admitted to the emergency department after undergoing an agriculture accident. Physical examination on admission revealed a left wrist disarticulation with a deformity of the ipsilateral elbow and forearm (A and B). Plain radiography showed a fracture of the ulna shaft as well as dislocation of the radial head. This radiological finding, also called M...

BACKGROUND Painful forearm injuries after a fall occur frequently in children. X-ray study is currently the gold standard investigation. Ultrasound (US) is a potential alternative that avoids exposure to ionizing radiation and may be less painful than x-ray study; and familiarity and skill with US is increasing among emergency physicians. OBJECTIVES The primary aim of this study was to determ...

Redisplacement of unstable forearm fractures in plaster is common and may be the result of a number of factors. Little attention has been paid to the influence of immobilisation with the elbow extended versus flexed. We prospectively treated 111 consecutive children from two centres with closed forearm fractures by closed reduction and casting with the elbow either extended (60) in China or fle...

Segmental fractures of the radius and ulna are relatively common in adults, often occurring after high energy trauma. Segmental forearm fractures in children have not previously been reported, and their optimal management is unclear. We report a child of eight years of age who underwent fixation of these injuries with a good outcome.

I read with interest the article by Tezeren et al.1 They concluded that one-stage combined surgery without preoperative traction is effective in the treatment of developmental dislocation of the hip in older children, by virtue of a lower complication rate. However, the method of traction was not described. Divarication traction has been reported to increase the risk of avascular necrosis becau...

The resident curriculum of the American Board of Orthopaedic Surgery emphasizes radiation safety. Gendelberg showed that, immediately after a program on fluoroscopic safety, residents used less radiation when using the mini C-arm to reduce pediatric fractures. The current study evaluated whether this effect lasted. Residents underwent a new annual 3-hour session on mini C-arm use and radiation....

BACKGROUND It is unclear whether it is safe to convert above-elbow cast (AEC) to below-elbow cast (BEC) in a child who has sustained a displaced diaphyseal both-bone forearm fracture that is stable after reduction. In this multicenter study, we wanted to answer the question: does early conversion to BEC cause similar forearm rotation to that after treatment with AEC alone? CHILDREN AND METHOD...

STUDY OBJECTIVE This analysis aimed to determine the frequency of falls in men and women aged 50 years and over and to explore whether age variation in fall frequency may explain variation in the incidence of distal forearm fracture in women. DESIGN This was a cross sectional survey. SETTING Primary care based registers in four UK areas. PARTICIPANTS Altogether 501 men and 702 women age 5...