Is Univalving or Bivalving of Long Arm Casts for Forearm Fractures Necessary?
Fracture of Shaft of Radius and/or Ulna, Metaphyseal Fracture of Bone of Upper Limb, Fracture of Upper Limb, Level Unspecified
About this trial
This is an interventional treatment trial for Fracture of Shaft of Radius and/or Ulna focused on measuring Fracture of the upper limb
Eligibility Criteria
Inclusion Criteria:
- A closed isolated radial and/or ulna fracture of the forearm inclusive of metaphyseal and/or shaft level fractures.
- Forearm fractures that require closed reduction (with or without conscious sedation)
- Patients between the ages of 3 and 12 years old
Exclusion Criteria:
Specific exclusions
- Age less than 3 or greater than 12
- Patients presenting with an associated neurological or vascular injury caused by the fracture
- Patients presenting with an open fracture
- Patients requiring operative treatment following the initial fracture evaluation
- Ipsilateral upper extremity fracture
- Patients intubated or with a pre-existing condition that prevents them from verbalizing symptoms of discomfort
- Generic exclusion: "Subjects not meeting all inclusion criteria."
Sites / Locations
- Connecticut Children's Medical Center
Arms of the Study
Arm 1
Arm 2
Arm 3
Active Comparator
Active Comparator
Active Comparator
No split Cast of forearm fractures
Univalve Split Cast of forearm fractures
Bivalve Split Cast of forearm fractures
Patient will have a "No split cast" long arm cast applied after a closed reduction of forearm fractures. The cast will not be split. 20 patients will be randomized to this arm.
Patients will have a "Univalve Split Cast" long arm cast applied after undergoing closed reduction of of forearm fractures. This is a cast that is split on only one side of the cast. 20 patients will be randomized to this arm
Patients will have a "Bivalve Split Cast" long arm cast applied after they have undergone a closed reduction of of forearm fractures. This is a cast that will be split on both sides of the cast. 20 patients will be randomized to the bivalve split arm cast.