HAND & WRIST
Below-elbow cast shows higher cast comfort for displaced metaphyseal both-bone fractures
Injury. 2012 Jul;43(7):1107-11. doi: 10.1016/j.injury.2012.02.020. Epub 2012 Apr 666 children with minimally displaced metaphyseal both-bone fractures of the distal forearm were randomized to assess the comfort level and complication rate of two different casts. Children were randomized to either 4 weeks of below-elbow cast (BEC) or above-elbow cast (AEC). At a mean follow-up of 7 months, children treated with below-elbow cast (BEC) had significantly higher cast comfort and required significantly less help with dressing while achieving similar results to above-elbow cast (AEC).
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