title: Predictors of conversion from conservative to operative treatment of pediatric forearm fractures.
abstract: Forearm fractures occur commonly in children; however, there is still uncertainty on what leads to conversion from conservative to operative management. Patients who initially underwent closed reduction and casting for diaphyseal forearm fractures were evaluated for predictors of conversion to operative management. We found that the 20 of 124 (16%) patients in whom there was conversion to operative management were significantly older (11.1 vs. 5.7 nonoperative), had less angulation in the anterior-posterior (or coronal) plane (20.2 vs. 12.8° for the radius, 17.5 vs. 7.8° for the ulna), had a more proximal ulnar fracture location, and had more translated or shortened radius fractures.
authors: aShriners Hospital for Children, Philadelphia, Pennsylvania bChildren's Orthopaedic Center, Children's Hospital Los Angeles cDepartment of Orthopaedics, LAC/USC Medical Center, Los Angeles, California, USA.
authors: Corinna C
authors: CC
authors: Franklin
authors: Tishya
authors: T
authors: Wren
authors: Eric
authors: E
authors: Ferkel
authors: Alexandre
authors: A
authors: Arkader
mesh_terms: D000293:Adolescent; D002370:Casts, Surgical; D002648:Child; D002675:Child, Preschool; D005260:Female; D005500:Follow-Up Studies; D005543:Forearm Injuries / Q000000981:diagnostic imaging / Q000628:therapy*; D005592:Fracture Fixation / Q000379:methods; D017102:Fracture Healing; D006801:Humans; D007223:Infant; D008297:Male; D019637:Orthopedic Procedures / Q000379:methods*; D011379:Prognosis; D011859:Radiography; D011885:Radius Fractures / Q000000981:diagnostic imaging / Q000628:therapy*; D012189:Retrospective Studies; D014458:Ulna Fractures / Q000000981:diagnostic imaging / Q000628:therapy*