One of the most common fracture in the pediatric population that accounts for 13-40% of all pediatric fractures is fractures of the radius and ulna. In the pediatric population, acceptable alignment can tolerate greater fracture displacement due to the bone’s ability to remodel with remaining growth. Bone forearm fractures are common orthopedic injuries in which the treatment is dictated not only by fracture characteristics but it also depends on the age of the patient. The management of these fractures depends on the age, type of fracture and fracture displacement.. The most common location of the injury is predictably a playground area. Management Casting The gold standard for pediatric forearm fractures remains closed reduction and casting. It is generally accepted that the closer the fracture is to the distal physis, the greater the potential for remodeling. Consequently, more deformity can be accepted in the distal one-third of the diaphysis versus the middle and proximal thirds.
Nonoperative management continues to be a very common, safe, and successful treatment option in pediatric forearm fractures. Operative fixation with plates Plate fixation is indicated in the setting with late loss of reduction after conservative management, as callous can prevent passage of intramedullary fixation.Operative fixation with flexible nails Bone forearm fractures that can be treated by plate fixation may also be treated with flexible nails through closed or open reduction techniques. Fracture fixation with flexible nails has gained popularity, as nailing results in decreased surgical dissection and retention of biologic factors at the fracture site. For this procedure titanium and stainless steel, flexible nails are available. Conservative management is still the first line of treatment for pediatric forearm fractures, especially in children. A thorough understanding of the restraints of either technique is essential to ensure optimal outcomes, including the limitations of each technique and possible complications. However, the ultimate aim is to restore the function of the affected limb and restorimg anatomy with minimal intervention .