TY - JOUR T1 - Below the elbow casts were as effective as above the elbow casts for maintaining reduction of forearm fractures in children JF - Evidence Based Medicine JO - Evid Based Med SP - 107 LP - 107 DO - 10.1136/ebm.11.4.107 VL - 11 IS - 4 A2 - , Y1 - 2006/08/01 UR - http://ebm.bmj.com/content/11/4/107.abstract N2 - Bohm ER, Bubbar V, Yong-Hing K, et al. Above and below-the-elbow plaster casts for distal forearm fractures in children. A randomized controlled trial. J Bone Joint Surg Am 2006;88:1–8.OpenUrlCrossRefPubMed 
 
 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 ★★★☆☆☆☆ Design: randomised controlled non-inferiority trial. Allocation: {concealed*}†. Blinding: blinded (outcome assessors).* Follow up period: 18 weeks. Setting: tertiary care hospital in Saskatoon, Saskatchewan, Canada. Patients: 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. Intervention: 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 … ER -