Below-elbow cast sufficient for treatment of minimally displaced metaphyseal both-bone fractures of the distal forearm in children: long-term results of a randomized controlled multicenter trial

Linde Musters; Leon W. Diederix; K.C. (Kasper) Roth; Pim Edomskis; Gerald A. Kraan; Jan Hein Allema; Max Reijman; J.W. Colaris

doi:10.1080/17453674.2021.1889106

Below-elbow cast sufficient for treatment of minimally displaced metaphyseal both-bone fractures of the distal forearm in children: long-term results of a randomized controlled multicenter trial

Linde Musters^*, Leon W. Diederix, K.C. (Kasper) Roth, Pim Edomskis, Gerald A. Kraan, Jan Hein Allema, Max Reijman, J.W. Colaris

^*Corresponding author for this work

Research output: Contribution to journal › Article › Academic › peer-review

2 Citations (Scopus)

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Abstract

Background and purpose — We have previously shown that children with minimally displaced metaphyseal both-bone forearm fractures, who were treated with a below-elbow cast (BEC) instead of an above-elbow cast (AEC), experienced more comfort, less interference in daily activities, and similar functional outcomes at 7 months’ follow-up (FU). This study evaluates outcomes at 7 years’ follow-up.

Patients and methods — A secondary analysis was performed of the 7 years’ follow-up data from our RCT. Primary outcome was loss of forearm rotation compared with the contralateral forearm. Secondary outcomes were patient-reported outcome measures (PROMs) consisting of the ABILHAND-kids and the DASH questionnaire, grip strength, radiological assessment, and cosmetic appearance.

Results — The mean length of FU was 7.3 years (5.9–8.7). Of the initial 66 children who were included in the RCT, 51 children were evaluated at long-term FU. Loss of forearm rotation and secondary outcomes were similar in the 2 treatment groups.

Interpretation — We suggest that children with minimally displaced metaphyseal both-bone forearm fractures should be treated with a below-elbow cast.

Original language	English
Pages (from-to)	468-471
Number of pages	4
Journal	Acta Orthopaedica
Volume	92
Issue number	4
Early online date	22 Feb 2021
DOIs	https://doi.org/10.1080/17453674.2021.1889106
Publication status	Published - 2021

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Musters, L., Diederix, L. W., Roth, K. C., Edomskis, P., Kraan, G. A., Allema, J. H., Reijman, M., & Colaris, J. W. (2021). Below-elbow cast sufficient for treatment of minimally displaced metaphyseal both-bone fractures of the distal forearm in children: long-term results of a randomized controlled multicenter trial. Acta Orthopaedica, 92(4), 468-471. https://doi.org/10.1080/17453674.2021.1889106

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title = "Below-elbow cast sufficient for treatment of minimally displaced metaphyseal both-bone fractures of the distal forearm in children: long-term results of a randomized controlled multicenter trial",

abstract = "Background and purpose — We have previously shown that children with minimally displaced metaphyseal both-bone forearm fractures, who were treated with a below-elbow cast (BEC) instead of an above-elbow cast (AEC), experienced more comfort, less interference in daily activities, and similar functional outcomes at 7 months{\textquoteright} follow-up (FU). This study evaluates outcomes at 7 years{\textquoteright} follow-up.Patients and methods — A secondary analysis was performed of the 7 years{\textquoteright} follow-up data from our RCT. Primary outcome was loss of forearm rotation compared with the contralateral forearm. Secondary outcomes were patient-reported outcome measures (PROMs) consisting of the ABILHAND-kids and the DASH questionnaire, grip strength, radiological assessment, and cosmetic appearance.Results — The mean length of FU was 7.3 years (5.9–8.7). Of the initial 66 children who were included in the RCT, 51 children were evaluated at long-term FU. Loss of forearm rotation and secondary outcomes were similar in the 2 treatment groups.Interpretation — We suggest that children with minimally displaced metaphyseal both-bone forearm fractures should be treated with a below-elbow cast.",

author = "Linde Musters and Diederix, {Leon W.} and Roth, {K.C. (Kasper)} and Pim Edomskis and Kraan, {Gerald A.} and Allema, {Jan Hein} and Max Reijman and J.W. Colaris",

note = "{\textcopyright} 2021 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group, on behalf of the Nordic Orthopedic Federation.",

year = "2021",

doi = "10.1080/17453674.2021.1889106",

language = "English",

volume = "92",

pages = "468--471",

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Musters, L, Diederix, LW, Roth, KC , Edomskis, P, Kraan, GA, Allema, JH, Reijman, M & Colaris, JW 2021, 'Below-elbow cast sufficient for treatment of minimally displaced metaphyseal both-bone fractures of the distal forearm in children: long-term results of a randomized controlled multicenter trial', Acta Orthopaedica, vol. 92, no. 4, pp. 468-471. https://doi.org/10.1080/17453674.2021.1889106

Below-elbow cast sufficient for treatment of minimally displaced metaphyseal both-bone fractures of the distal forearm in children: long-term results of a randomized controlled multicenter trial. / Musters, Linde; Diederix, Leon W.; Roth, K.C. (Kasper) et al.
In: Acta Orthopaedica, Vol. 92, No. 4, 2021, p. 468-471.

Research output: Contribution to journal › Article › Academic › peer-review

TY - JOUR

T1 - Below-elbow cast sufficient for treatment of minimally displaced metaphyseal both-bone fractures of the distal forearm in children

T2 - long-term results of a randomized controlled multicenter trial

AU - Musters, Linde

AU - Diederix, Leon W.

AU - Roth, K.C. (Kasper)

AU - Edomskis, Pim

AU - Kraan, Gerald A.

AU - Allema, Jan Hein

AU - Reijman, Max

AU - Colaris, J.W.

PY - 2021

Y1 - 2021

N2 - Background and purpose — We have previously shown that children with minimally displaced metaphyseal both-bone forearm fractures, who were treated with a below-elbow cast (BEC) instead of an above-elbow cast (AEC), experienced more comfort, less interference in daily activities, and similar functional outcomes at 7 months’ follow-up (FU). This study evaluates outcomes at 7 years’ follow-up.Patients and methods — A secondary analysis was performed of the 7 years’ follow-up data from our RCT. Primary outcome was loss of forearm rotation compared with the contralateral forearm. Secondary outcomes were patient-reported outcome measures (PROMs) consisting of the ABILHAND-kids and the DASH questionnaire, grip strength, radiological assessment, and cosmetic appearance.Results — The mean length of FU was 7.3 years (5.9–8.7). Of the initial 66 children who were included in the RCT, 51 children were evaluated at long-term FU. Loss of forearm rotation and secondary outcomes were similar in the 2 treatment groups.Interpretation — We suggest that children with minimally displaced metaphyseal both-bone forearm fractures should be treated with a below-elbow cast.

AB - Background and purpose — We have previously shown that children with minimally displaced metaphyseal both-bone forearm fractures, who were treated with a below-elbow cast (BEC) instead of an above-elbow cast (AEC), experienced more comfort, less interference in daily activities, and similar functional outcomes at 7 months’ follow-up (FU). This study evaluates outcomes at 7 years’ follow-up.Patients and methods — A secondary analysis was performed of the 7 years’ follow-up data from our RCT. Primary outcome was loss of forearm rotation compared with the contralateral forearm. Secondary outcomes were patient-reported outcome measures (PROMs) consisting of the ABILHAND-kids and the DASH questionnaire, grip strength, radiological assessment, and cosmetic appearance.Results — The mean length of FU was 7.3 years (5.9–8.7). Of the initial 66 children who were included in the RCT, 51 children were evaluated at long-term FU. Loss of forearm rotation and secondary outcomes were similar in the 2 treatment groups.Interpretation — We suggest that children with minimally displaced metaphyseal both-bone forearm fractures should be treated with a below-elbow cast.

U2 - 10.1080/17453674.2021.1889106

DO - 10.1080/17453674.2021.1889106

M3 - Article

SN - 1745-3674

VL - 92

SP - 468

EP - 471

JO - Acta Orthopaedica

JF - Acta Orthopaedica

IS - 4

ER -

Below-elbow cast sufficient for treatment of minimally displaced metaphyseal both-bone fractures of the distal forearm in children: long-term results of a randomized controlled multicenter trial

Abstract

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