POSTREDUCTION swelling and Volkmann's ischemic contracture are the most common and most feared complications of fractures of the forearm in children. The following method of assuring forearm elevation is proposed in an attempt to reduce the chances of inadequate venous drainage, regardless of whether the patient is hospitalized or is treated as an outpatient.
No originality is claimed for this method; I feel sure that other physicians have used this method. However, a review of the literature did not reveal publication of this procedure. There are many methods of assuring elevation, but this method seems to be the most foolproof way of assuring adequate elevation by mechanical means.
This splint affords some hindrance to getting about, and will help in keeping the small child inactive during the danger period of the first 24 to 48 hours immediately after the fracture. The only comfortable position is to have the splint resting
Mason JL. "Airplane" Splint for Forearm Fractures in Children. JAMA. 1965;193(6):544. doi:10.1001/jama.1965.03090060134018
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