Utility of a long arm extension cast in management of pediatric fractures: A technique revisited

Abstract A long arm cast with the elbow extended is a useful but often forgotten technique to manage some pediatric fractures. Specifically, proximal forearm fractures of both the radius and ulna, olecranon fractures, flexion-type supracondylar fractures and type II Monteggia fractures are well mana...

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Bibliographic Details
Published inTrauma case reports Vol. 17; pp. 14 - 17
Main Authors Reynolds, Alan W, Hennrikus, William L, Adebayo, Temitope, Winthrop, Zachary, Gendelberg, David
Format Journal Article
LanguageEnglish
Published Netherlands Elsevier Ltd 01.10.2018
Elsevier
Subjects
Extension cast
Monteggia
Olecranon fracture
Supracondylar
Surgery
Supracondylar
Olecranon fracture
Monteggia
Extension cast
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Summary:Abstract A long arm cast with the elbow extended is a useful but often forgotten technique to manage some pediatric fractures. Specifically, proximal forearm fractures of both the radius and ulna, olecranon fractures, flexion-type supracondylar fractures and type II Monteggia fractures are well managed in this manner. Although some of these fractures are seen infrequently, timely diagnosis and treatment are essential to prevent complications. In this article, we present a review of the evaluation and management of these fractures in children, and a description of the technique used to apply a long arm cast in extension.
ISSN:2352-6440
2352-6440
DOI:10.1016/j.tcr.2018.09.004