title: The incidence of neurologic injury in paediatric forearm fractures requiring manipulation.
abstract: This 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.
authors.affiliation: Department of Orthopaedics, Royal Children's Hospital, Brisbane, Queensland, Australia.
authors.forename: Christopher James
authors.initials: CJ
authors.lastname: Bell
authors.forename: Sameer
authors.initials: S
authors.lastname: Viswanathan
authors.forename: Shailendra
authors.initials: S
authors.lastname: Dass
authors.forename: Geoff
authors.initials: G
authors.lastname: Donald
mesh_terms: D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D015897:Comorbidity; D005260:Female; D005543:Forearm Injuries / Q000150:complications / Q000453:epidemiology* / Q000628:therapy; D006801:Humans; D015994:Incidence; D007223:Infant; D008297:Male; D008349:Manipulation, Orthopedic; D011793:Queensland / Q000453:epidemiology; D011885:Radius Fractures / Q000150:complications / Q000453:epidemiology* / Q000628:therapy; D012189:Retrospective Studies; D020196:Trauma, Nervous System / Q000453:epidemiology* / Q000209:etiology; D014458:Ulna Fractures / Q000150:complications / Q000453:epidemiology* / Q000628:therapy