Nonoperative (casting)
Main indications
Indications
- Minimal displacement after reduction (less than 1cm shortening; < 5-10° angulation or rotation)
- Risks of surgery and anesthesia exceed benefits
Contraindications
- Open fractures
- Excessive displacement on initial x-ray
- Unacceptable alignment after initial reduction or developing later
Advantage
- Surgical risks avoided
Disadvantages
- Cast immobilization required until healed
- Increased follow-up exams and x-rays
Indications
- Minimal displacement after reduction (less than 1cm shortening; < 5-10° angulation or rotation)
- Risks of surgery and anesthesia exceed benefits
Contraindications
- Open fractures
- Excessive displacement on initial x-ray
- Unacceptable alignment after initial reduction or developing later
Advantage
- Surgical risks avoided
Disadvantages
- Cast immobilization required until healed
- Increased follow-up exams and x-rays