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Greenstick Frxs 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