Splinting Versus Casting for Type I Supracondylar Fractures

Splinting Versus Above Elbow Casting for Type I Supracondylar Fractures of the Humerus in Children: A Randomized Controlled Trial

Elbow fractures are very common in young children. Type I supracondylar fractures are stable fractures to the elbow that are treated conservatively across the world and typically heal very well without complications. There are several treatment options, including an above elbow cast or long arm splint. This study aims to determine if one treatment is no worse than the other in order to standardize the treatment of these fractures at our institution. The investigators hope to save families from extra hospital visits and reduce the amount of x-rays required for treatment of these fractures.

Inclusion Criteria:

• Ages 3-12
• Type 1 supracondylar fracture

Exclusion Criteria:

• A type 2 or 3 supracondylar fracture
• Neurovascular compromise associated with the fracture
• Previous diagnosis with a metabolic or structural bone disease
• Other fractures to ipsilateral upper extremity
• History of injury to affected elbow