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September 12, 1942


Author Affiliations

From the Fracture Service of the Milwaukee Children's Hospital.

JAMA. 1942;120(2):111-116. doi:10.1001/jama.1942.02830370023007

"Fractures in children are different," and forearm fractures offer many examples in proof of this theme. They must not be considered along with fractures of adults under anatomic classifications which take no account of the growth factor. They are different as to pathologic conditions, treatment and prognosis. Intelligent management must recognize this fact. The common forearm fracture in the adult is that described by Colles1 with impaction of the lower end of the radius and with a fracture of the tip only of the ulnar styloid. In children, on the other hand, the commonest fracture is one of both bones at a higher level, 1 or 2 inches above the wrist joint. Greenstick fractures are common in children and rarely occur in adults. Perhaps the best example of the differences in the pathologic condition and in the prognosis with diametrically opposed principles of treatment is at the proximal end

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