Secondary Displacement of Forearm Fractures in Children: When to Anticipate Remodeling and When to Intervene?

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Authors: Kasper C. Roth, Linde Musters, Leon W. Diederix, Pim P. Edomskis, Christiaan J. A. van Bergen, Denise Eygendaal, Joost W. Colaris
Cited by: 1
References: 36

Abstract

Background/Objectives: Conservative management of pediatric forearm fractures remains challenging due to the high incidence of secondary displacement. Given the remarkable remodeling potential of children’s bones, clinicians must decide whether to rely on natural healing or intervene. This study evaluated whether accepted secondary displacements affect long-term outcomes and sought to identify predictors of functional impairment. Methods: This retrospective cohort study assessed the long-term outcomes of a cohort of 410 consecutive children who presented with 212 distal metaphyseal and 198 diaphyseal both-bone forearm fractures between 2006–2010. In all patients, closed reduction was recommended for ≥50% displacement, ≥15° angulation (

Fields of Study & Subjects

Bone fractures and treatments Orthopedic Surgery and Rehabilitation Elbow and Forearm Trauma Treatment

Publication details

Journal / source
Children
Publisher
MDPI AG
Volume
13
Issue
1
Pages
98–98
Publication date
9 January 2026
Language
EN