Paediatric Distal 1/3 Forearm Fractures

  • Fall on pronated, extended arm
  • Usually treated with closed reduction
  • On reducing if the ulna is not  fractured use hyperextension & pronation to recreate the deformity
AgeDegrees
< 5 years25-35°
5-10 years20-25°
10-1215°
>12 years< 15°
Acceptable Reduction in Paediatric Distal Radius Fractures
  • avoid radial deviation
  • Thurston holland sign
    • presence of a small separated fragment of bone from the growth plate, occurring in Salter Harris type II growth plate injuries.

Paediatric Distal 1/3 Forearm Fractures, clinical image

Reviewed by Professor Phong Tran, Head of Orthopaedic Surgery, Western Health. Last updated 10 October 2026.