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Fractures in the forearms of children up to the age of about 15 years have hinges
of bone, as with greenstick fractures, or of soft tissues.
The hinge can lead to recurrence of deformity that has been corrected by manipulation.
It is widely believed that this makes it necessary to ‘complete the fracture’, i.e.,
break the hinge, in order to remove its deforming influence. The assumptions on which
this recommendation is based are refuted and the way in which the hinge can be used
to facilitate reduction and maintain position of the fracture is described. It does
not depend for its success on encasing the elbow in plaster but upon suitable padding
and moulding of the splint.
It is acknowledged that in many cases failure to achieve or to maintain a good position
of a fracture in the forearm of a child is rendered unimportant because of the correction
that is brought about by growth, but it is shown that deformity can be permanent and
can permanently restrict the range of pronation and supination.
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Reference
- External Splintage as a Cause of Movement at Fractures.Lancet. 1960; 1: 667
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© 1971 Published by Elsevier Inc.
