Article Text

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

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

 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 ★★★☆☆☆☆


Embedded ImageDesign:

randomised controlled non-inferiority trial.

Embedded ImageAllocation:


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 …

View Full Text


  • * See glossary.

  • Information provided by author.

  • For correspondence: Dr E R Bohm, Concordia General Hospital, Winnipeg, Manitoba, Canada. ebohm{at}

  • Source of funding: Canadian Orthopedic Foundation.

Linked Articles

  • Glossary
    BMJ Publishing Group Ltd