Below-elbow cast for metaphyseal both-bone fractures of the distal forearm in children: a randomized multicentre study

66 children with minimally displaced metaphyseal both-bone fractures of the distal forearm were randomized to assess the comfort level and complication rate of two different casts. Children were randomized to either 4 weeks of below-elbow cast (BEC) or above-elbow cast (AEC). At a mean follow-up of 7 months, children treated with below-elbow cast (BEC) had significantly higher cast comfort and required significantly less help with dressing while achieving similar results to above-elbow cast (AEC).