6. Position of arm in above‐elbow cast (forearm supinated versus pronated versus neutral): participant and intervention characteristics.
Study ID |
No. participants Age |
Fracture type | Forearm supinated | Forearm pronated | Forearm in neutral | Duration of use |
Boyer 2002 | 109 Mean: 7.8 years |
Displaced or angulated fractures, either radius only or both radius and ulna | Closed reduction Forearm supinated in above‐elbow cast (plaster below elbow and fibreglass above elbow) | Closed reduction Forearm pronated in above‐elbow cast (plaster below elbow and fibreglass above elbow) | Closed reduction Forearm neutral in above‐elbow cast (plaster below elbow and fibreglass above elbow) | Not stated but probably removed at fracture union (6 to 8 weeks) |
Gupta 1990 | 60 Mean: 8.3 years |
Dorsally angulated solitary metaphyseal greenstick fracture. Closed reduction in 25 | Closed reduction if ≥ 20 º dorsal angulation. Forearm supinated in above‐elbow plaster cast |
Closed reduction if ≥ 20º dorsal angulation. Forearm pronated in above‐elbow plaster cast | Closed reduction if ≥ 20º dorsal angulation. Forearm neutral in above‐elbow plaster cast | Cast removed at 6 weeks |