Pediatric and Adolescent Forearm Fractures

Current Controversies and Treatment Recommendations

James Lee Pace, MD


J Am Acad Orthop Surg. 2016;24(11):780-788. 

In This Article

Abstract and Introduction


Pediatric and adolescent forearm fractures continue to present treatment challenges. Despite high-level evidence to the contrary, traditional guidelines for nonsurgical treatment have been challenged in favor of surgical intervention, but it is unclear if this results in improved outcomes. Recent evidence suggests that certain open fractures in children may be successfully treated nonsurgically. Good results have been achieved with closed reduction and appropriate casting and clinical follow-up. Further research investigating functional outcomes into adulthood is needed.


Pediatric and adolescent forearm fractures are common, and management of these injuries is challenging. New surgical techniques and precise guidelines for acceptable reductions remain controversial. Furthermore, traditional algorithms for open fracture treatment have been challenged.