Comparison of distal third forearm fractures in children treated with above elbow verses below elbow cast.

  • Basharat Manzoor
  • Waseem Yousaf Allied Hospital, Faisalabad.
  • M Irfan Fareed Allied Hospital, Faisalabad.
  • Sajjad Iqbal PMC/ Allied Hospital Faisalabad.
  • M. Javed Iqbal Awan Faisalabad Medical University, Faisalabad.
Keywords: Above Elbow Cast, Below Elbow Cast, Children, Comparison, Distal One Third Forearm


ABSTRACT: In childhood most common fractures are closed fracture of the distal third of the forearm in children, after closed reduction of the forearm fractures of distal third were immobilized with long arm cast and by some orthopedic surgeon with short arm cast. Objectives: To compare the result of above elbow cast with below elbow cast in the treatment of distal third forearm fractures in children. Study Design: Randomized study. Setting: Department of orthopedics, Allied Hospital, Faisalabad. Period: One year 14-Sep, 2015 to 15-Aug, 2016. Results: 180 Cases fulfilling the inclusion / exclusion criteria were included in the study. In group A38.89% (%35) in our study and group B 45.56% (n=41) were between 1-6 years of age while. In group A 61.11% (n=55) and group B 54.44% (n=49) were 7-12 years of age of the children mean + sd 7.66 + 2.54 and 7.38 + 2.46 years respectively, In group A 58.89 % (n=53) in group B 62.22% (n=56) were male while group –A 41-11% (N37) and in group B 37.78% were females below elbow cast compared with above elbow cast in treating distal one third forearm fracture in children shows that group A 23.33% (n+21) and group B 30% (n=27) and re displacement shows no significant difference between their two groups. Conclusion: We concluded there is no significant difference in outcome of above elbow cast with below elbow cast after reduction treating the fracture of children in distal on third forearm fractures.

Author Biographies

Basharat Manzoor

MBBS, M.S. (Ortho)

Associate Professor

Department of Orthopedics

Faisalabad Medical University, Faisalabad.

Waseem Yousaf, Allied Hospital, Faisalabad.


Medical Officer

Department of Orthopedics



M Irfan Fareed, Allied Hospital, Faisalabad.

MBBS, FCPS (Ortho)

Senior Registrar

Department of orthopedics,


Sajjad Iqbal, PMC/ Allied Hospital Faisalabad.


Senior Registrar

Department of Orthopedics


M. Javed Iqbal Awan, Faisalabad Medical University, Faisalabad.

MBBS, FCPS (Ortho)


Department of Orthopedics