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Angulated greenstick fractures of the distal forearm in children: closed reduction by pronation or supination

(2011) ACTA ORTHOPAEDICA BELGICA. 77(1). p.21-26
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Abstract
The purpose of this study was to evaluate a reduction method that is based on the theory of Evans to reduce angulated greenstick fractures of the distal forearm with a rotation manoeuvre, to evaluate an immobilisation technique and to evaluate a brief survey on surgeon practice for treatment of these fractures. A retrospective study was performed on 21 patients. Fractures were reduced with a pronation or supination manoeuvre depending on the angulation of the fracture and were immobilised in pronation or supination. A good reduction was achieved in all patients. Six weeks after manipulation a loss of reduction was seen in 6 out of 21 patients, but with a re-angulation of less than 15 degrees. There was no significant difference between fractures immobilized in pronation or in supination. There was no need for re-manipulation. At the 2008 Osteosynthesis and Trauma Care Foundation (OTC) meeting, a brief informal survey was performed concerning the reduction method and the use of K-wires after reduction. No surgeons indicated they would perform only a rotation manoeuvre.
Keywords
reduction, children, pronation, supination, distal forearm fracture, PLASTER CASTS, RADIUS

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Citation

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Chicago
Van Tongel, Alexander, PIETER ACKERMAN, KOEN LIEKENS, and Bart Berghs. 2011. “Angulated Greenstick Fractures of the Distal Forearm in Children: Closed Reduction by Pronation or Supination.” Acta Orthopaedica Belgica 77 (1): 21–26.
APA
Van Tongel, A., ACKERMAN, P., LIEKENS, K., & Berghs, B. (2011). Angulated greenstick fractures of the distal forearm in children: closed reduction by pronation or supination. ACTA ORTHOPAEDICA BELGICA, 77(1), 21–26.
Vancouver
1.
Van Tongel A, ACKERMAN P, LIEKENS K, Berghs B. Angulated greenstick fractures of the distal forearm in children: closed reduction by pronation or supination. ACTA ORTHOPAEDICA BELGICA. 2011;77(1):21–6.
MLA
Van Tongel, Alexander, PIETER ACKERMAN, KOEN LIEKENS, et al. “Angulated Greenstick Fractures of the Distal Forearm in Children: Closed Reduction by Pronation or Supination.” ACTA ORTHOPAEDICA BELGICA 77.1 (2011): 21–26. Print.
@article{1208607,
  abstract     = {The purpose of this study was to evaluate a reduction method that is based on the theory of Evans to reduce angulated greenstick fractures of the distal forearm with a rotation manoeuvre, to evaluate an immobilisation technique and to evaluate a brief survey on surgeon practice for treatment of these fractures. A retrospective study was performed on 21 patients. Fractures were reduced with a pronation or supination manoeuvre depending on the angulation of the fracture and were immobilised in pronation or supination. A good reduction was achieved in all patients. Six weeks after manipulation a loss of reduction was seen in 6 out of 21 patients, but with a re-angulation of less than 15 degrees. There was no significant difference between fractures immobilized in pronation or in supination. There was no need for re-manipulation. At the 2008 Osteosynthesis and Trauma Care Foundation (OTC) meeting, a brief informal survey was performed concerning the reduction method and the use of K-wires after reduction. No surgeons indicated they would perform only a rotation manoeuvre.},
  author       = {Van Tongel, Alexander and ACKERMAN, PIETER and LIEKENS, KOEN and Berghs, Bart},
  issn         = {0001-6462},
  journal      = {ACTA ORTHOPAEDICA BELGICA},
  keyword      = {reduction,children,pronation,supination,distal forearm fracture,PLASTER CASTS,RADIUS},
  language     = {eng},
  number       = {1},
  pages        = {21--26},
  title        = {Angulated greenstick fractures of the distal forearm in children: closed reduction by pronation or supination},
  volume       = {77},
  year         = {2011},
}

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