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Below the elbow casts were as effective as above the elbow casts for maintaining reduction of forearm fractures in children

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 Q In children with a closed fracture of the distal third of the forearm, are below the elbow casts as effective as above the elbow casts?

Clinical impact ratings GP/FP/Primary care ★★★★☆☆☆ Orthopaedics ★★★★★★☆ Emergency medicine ★★★★☆☆☆ Paediatrics ★★★☆☆☆☆

METHODS

Embedded ImageDesign:

randomised controlled non-inferiority trial.

Embedded ImageAllocation:

{concealed*}.

Embedded ImageBlinding:

blinded (outcome assessors).*

Embedded ImageFollow up period:

18 weeks.

Embedded ImageSetting:

tertiary care hospital in Saskatoon, Saskatchewan, Canada.

Embedded ImagePatients:

117 children 4–12 years of age who presented with a closed fracture of the distal third of the forearm requiring reduction. Children with open factures or Salter Harris type III or IV fractures were excluded.

Embedded ImageIntervention:

below the elbow (n = 46) or above the elbow (n = 56) cast was applied after closed reduction of the fracture. Reduction was done under conscious sedation in the emergency department within 4 hours, or under …

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