Pediatric and Adolescent Forearm Fractures: Current Controversies and Treatment Recommendations.

J Am Acad Orthop Surg

From the Department of Sports Medicine, Children's Hospital Los Angeles, Los Angeles, CA.

Published: November 2016

AI Article Synopsis

  • Pediatric and adolescent forearm fractures pose treatment challenges, with debates over traditional nonsurgical methods versus surgical interventions.
  • Despite evidence supporting nonsurgical treatment, some recent findings indicate that certain open fractures can be effectively managed without surgery.
  • There is a need for further research to evaluate the long-term functional outcomes of these treatment approaches as patients transition into adulthood.

Article Abstract

Pediatric and adolescent forearm fractures continue to present treatment challenges. Despite high-level evidence to the contrary, traditional guidelines for nonsurgical treatment have been challenged in favor of surgical intervention, but it is unclear if this results in improved outcomes. Recent evidence suggests that certain open fractures in children may be successfully treated nonsurgically. Good results have been achieved with closed reduction and appropriate casting and clinical follow-up. Further research investigating functional outcomes into adulthood is needed.

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Source
http://dx.doi.org/10.5435/JAAOS-D-15-00151DOI Listing

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