We report a case of an isolated, nondisplaced trapezoid fracture that was sustained by direct trauma and subsequently treated successfully in a short-arm cast.
At the first clinic visit, the patient was placed in a short-arm cast for 6 weeks, with follow-up radiographs at regular intervals thereafter.
Early in the study, some residents were constructing long-arm casts all at once, rather than applying a short-arm cast and molding it well before extending it up the length of the child's arm.
SAN FRANCISCO -- Well-constructed short-arm casts are just as effective as full-length plaster casts in treating displaced, distal-third fractures of the forearm, while allowing children to return more quickly to their usual activities, according to preliminary results of the first randomized, prospective trial to study the controversial topic.
A large, retrospective study in 1994 provided the first suggestion that short-arm casts, if properly constructed, might be equally effective in preventing displacement and minimizing angulation (J.
No significant differences have been seen in angulation, deviation, or displacement between the 46 patients who received long-arm casts and the 32 patients with short-arm casts.
Ironically, among eligible patients who refused randomization, half of the families demanded a short-arm cast
and half demanded a long-arm cast, said Dr.
Saeden B, Tornkvist H, et al: Surgery with a Herbert screw shortened sick leave and was as effective as a short-arm cast
for carpal scaphoid fracture.
Of the 33 fractures that showed a loss of reduction, 16 were in patients with radial gutter short-arm casts and 17 were in those with long sugar-tong splints.
Patients with all types of fractures rated the short-arm casts better in terms of comfort and functionality.
Patients with short-arm casts scored an average of 7 points lower on the Disability of the Arm.