Long Arm Vs Short Arm Fiberglass Cast for Treatment of Displaced Distal Radius Fractures
Distal Forearm Fractures
About this trial
This is an interventional treatment trial for Distal Forearm Fractures focused on measuring Displaced distal third forearm, Pediatric Patients, Closed reduction, Cast, Patient centered outcome data, RCT
Eligibility Criteria
Inclusion Criteria:
Patients 4-12 years of age
- Displaced distal third forearm fracture (physeal, metaphyseal, meta-diaphyseal) requiring closed reduction
- Displacement must be: For children 4-9: angulation >30 degrees and/or 100% translation on either AP (anteroposterior) or lateral view. For children 10-12: angulation > 15 degrees and/or >50% translation on either AP or lateral view
Exclusion Criteria:
- Patients undergoing additional orthopedic procedures at the time closed reduction of distal arm fracture
- Patient with a presenting open fracture
- A known pathologic fracture
- Patient with a refracture through pre-existing fracture lines
- Patients with compartment syndrome or neuropathy
Sites / Locations
- Hospital for Special SurgeryRecruiting
Arms of the Study
Arm 1
Arm 2
Active Comparator
Experimental
Long Arm Fiberglass Cast
Short Arm Fiberglass Cast
Conscious sedation will be provided to patient while the reduction is performed by a cast trained orthopedic resident using standard techniques under fluoroscopic guidance. The arm will be held by an assistant or finger traps in the absence thereof. The arm will not be suspended until after the manipulation is performed. A stockingette and webril will first be applied, after which the short arm fiberglass portion of the cast will be applied. After short arm casting has been appropriately placed, randomization group will be revealed. Casting will be extended to the shoulder joint if the patient is assigned to the long arm cast group. The mold will then be applied and cast construct will be bivalved and taped.
Conscious sedation will be provided to patient while the reduction is performed by a cast trained orthopedic resident using standard techniques under fluoroscopic guidance. The arm will be held by an assistant or finger traps in the absence thereof. The arm will not be suspended until after the manipulation is performed. A stockingette and webril will first be applied, after which the short arm fiberglass portion of the cast will be applied. After short arm casting has been appropriately placed, randomization group will be revealed. Casting will be complete at this point if the patient is assigned to the short arm cast group. The mold will then be applied and cast construct will be bivalved and taped.