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. 2018 Dec 19;2018(12):CD012470. doi: 10.1002/14651858.CD012470.pub2

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