![]() Radiographic findings were measured to determine reduction necessity. Main Outcomes and Measures Potentially unnecessary reduction was the primary outcome. Statistical analysis was performed from April 2019 to June 2019. Use of procedural sedation or transfer status to another facility was noted if present. Reductions were deemed to be potentially unnecessary if the coronal and sagittal plane angulation of the radius bone measured less than 20° and shortening measured less than 1 cm on initial injury radiographs. Objective To assess how often children younger than 10 years undergo a potentially unnecessary closed reduction using procedural sedation in the emergency department for distal radial metaphyseal fracture and the associated cost implications for these reduction procedures.ĭesign, Setting, and Participants This retrospective cross-sectional study included 258 consecutive children younger than 10 years who presented to a single, level I, pediatric emergency department and who had a distal radius fracture with or without ulna involvement between January 1, 2016, and December 31, 2017. Importance Improvement of clinician understanding of acceptable deformity in pediatric distal radius fractures is needed. Shared Decision Making and Communication. ![]()
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