Foot and Ankle International
Tracking Pixel
presents
Wheeless' Textbook of Orthopaedics

Greenstick Frs of Distal Radius & Ulna




- See: Green Stick Frx:

- Discussion:
    - greenstick frx of the distal radius may occur along ulnar frx at same level;

- Acceptable reduction:
    - infants: upto 30 deg angulation can be accepted;
    - children: upto 15 deg can be accepted;

- Management:
    - these do not require reduction if the dorsal angulation is insignificant
    - w/ significant angulatory deformity, attempt to break the far cortex (this
          will usually happen on its own) to ensure that the deformity will recur;
    - during manipulation, the plastic deformity is reversed with slow constant
          pressure over 5-7 minutes until intact dorsal cortex is broken;
    - long arm cast is applied for a period of 4 to 6 weeks;






Original Text by Clifford R. Wheeless, III, MD.