The standard treatment for children with closed reduction of displaced distal forearm fractures is an immobilization with an upper arm combicast. The hypothesis is that an forearm immobilization with combicast in children 4-16 years might be sufficient.
Children with distal radial or forearm fractures needing closed reduction are eligible for this study. By drawing lots either an immobilization with an upper arm or forearm combicast will be performed. Regular controls after 5, 10, 28 days, 4 weeks and 7 weeks will be performed to check the rate of displacement, consolidation time, wearing comfort and movement of the elbow joint after taking off the cast.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
120
upper arm or forearm combi cast
Children's Hospital
Zurich, Switzerland
secondary displacement of the fracture
radiological evaluation
Time frame: Significant difference of secondary displaced fractures 28 days after closed reduction of fracture
Wearing comfort of the two different casts
help in daily life in hours
Time frame: 5, 10, 28 days, 4 weeks, 7 weeks after closed reduction of fracture
Mobilisation of elbow joint after cast removal
Mobility of the elbow joint in degrees (flection and extension measurement)
Time frame: 4 weeks and 7 weeks after closed reduction of fracture
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