• J Pediatr Orthop B · Jul 2010

    The incidence of neurologic injury in paediatric forearm fractures requiring manipulation.

    • Christopher James Bell, Sameer Viswanathan, Shailendra Dass, and Geoff Donald.
    • Department of Orthopaedics, Royal Children's Hospital, Brisbane, Queensland, Australia.
    • J Pediatr Orthop B. 2010 Jul 1;19(4):294-7.

    AbstractThis study sought to evaluate the incidence of neurologic injury in children referred for manipulation in our hospital. A retrospective chart analysis of the first 100 children to be referred with a fracture of any segment of the radius and/or ulna was performed. The incidence of neurologic injury was found to be 15.6%. Neurological injury occurs most frequently with distal physeal fractures with an incidence of 37%. Clinicians require a high index of suspicion when evaluating forearm fractures. If neurologic injury is missed at initial assessment, the child may not receive a prompt reduction, thus increasing the likelihood of long-term sequelae.

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