Evaluation Of Cast Index In Predicting The Outcome Of Pediatric Forearm Fractures

  • Ajmera A Study performed at Mahatma Gandhi Memorial Medical College, Indore (M.P.)
  • Jain S Study performed at Mahatma Gandhi Memorial Medical College, Indore (M.P.)
  • Jain M Study performed at Mahatma Gandhi Memorial Medical College, Indore (M.P.)
Keywords: Forearm fracture, Cast index, Re-displacement

Abstract

Background: Pediatric forearm fractures of radius ulna account for 40% of all pediatric fracture. Closed reduction followed by application of well molded plaster cast is the standard treatment for these fractures, which can be complicated by re-displacement inside the cast, which further needs re-manipulation or surgery. We assessed the rate if re-displacement in paediatric forearm fractures treated by cast by calculating the cast index.

Material & Methods: 30 patients with fractures of both radius ulna were treated with close reduction and cast application and Cast Index was calculated in immediate post reduction and subsequent radiographs at 2, 4 and 6 weeks. These were evaluated for re-displacement and their relation with cast index.

Results: The mean CI was found to be 0.858. Three patients had re-displacement which required re-manipulation, the mean CI in these re-displacement group was 0.92. Mean CI was found to be higher in proximal third fractures however it did not correspond to increased incidence of re-displacement.

Conclusion: Our study provides sufficient association of cast index in predicting the outcome of pediatric forearm fractures. Higher CI in proximal third fracture didn’t correspond to increased incidence of re-displacement.

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References

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Published
2020-03-31
How to Cite
1.
Ajmera A, Jain S, Jain M. Evaluation Of Cast Index In Predicting The Outcome Of Pediatric Forearm Fractures. ojmpc [Internet]. 2020Mar.31 [cited 2020Oct.20];26(1):30-3. Available from: https://ojmpc.com/index.php/ojmpc/article/view/101
Section
Original Article

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