Dr. Kirby vonKessler: Shortly after finishing a large picnic lunch, an 8-year-old boy fell from a fence and injured his left wrist. One hour later he arrived at the emergency ward of the Massachusetts General Hospital. Motion and sensation in his hand were normal in spite of an obvious deformity of the distal forearm. The radial pulse was easily palpable. The skin over the deformity was intact. X-ray films showed fractures of the distal third of both the radius and ulna (Fig 1) with posterior and lateral displacement of the distal fracture fragments. There was approximately 1 cm of overriding of the fracture fragments.
Dr. Aufranc: Dr. Arthur Pappas will discuss this fracture of both bones of the forearm in a child.
Dr. Arthur Pappas: In the overall evaluation of a displaced fracture, there are three important factors to consider: the patient's age and cooperation, the anatomical location of the