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Predicting initial treatment failure of fiberglass casts in pediatric distal radius fractures: utility of the second metacarpal-radius angle
Journal of Children's Orthopaedics, 08/25/09

Edmonds EW et al. – The authors agree with prior studies suggesting the equal efficacy of below–elbow versus above–elbow casts in distal radius and ulna fracture treatment using either plaster or fiberglass, but wish to emphasize the importance of not only the cast index, but also the ulnar deviation mold (for most dorsally displaced fractures), as measured by the second metacarpal–radius angle.

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