3. Below‐elbow versus above‐elbow casts trials: participant and intervention characteristics.
Study ID |
No. participants Age |
Fracture type | Below‐elbow cast | Above‐elbow cast | Duration of use |
Bohm 2006 | 117 Mean: 8.6 years; range 4 to 12 years (eligible) |
Displaced closed fracture of the distal third of the forearm (radial or radial and ulnar; no isolated distal ulnar fractures). Manual reduction | Full below‐elbow plaster cast | Above‐elbow plaster cast (below‐elbow applied first; then cast extended). | Casts removed after 6 weeks |
Colaris 2012 | 66 Mean: 7.1 years; < 16 years |
Minimally displaced metaphyseal fracture of the radius and ulna | Below‐elbow plaster cast (non‐circumferential). | Above‐elbow plaster cast (non‐circumferential) | Casts removed after 4 weeks |
Paneru 2010 | 89 Mean: 8.4 years; range 4 to 12 years (eligible) |
Displaced closed distal forearm fractures (combined radius and ulna fracture) Closed reduction | Full below‐elbow plaster cast | Above‐elbow plaster cast (below‐elbow applied first; then cast extended) | Not stated, probably casts removed after 6 to 8 weeks dependent on detection of union |
Webb 2006 | 127 Mean: 9.8 years; range 4 to 12 years |
Displaced (partially or completely) closed fracture of the distal third of the forearm (radial or radial and ulnar; no isolated distal ulnar fractures) Manual reduction | Full below‐elbow plaster cast | Above‐elbow plaster cast (below‐elbow applied first; then cast extended). | Casts removed after 4 weeks if evidence of healing. Otherwise extended 2 weeks (above‐elbow casts cut to below‐elbow) |