Risk Score of Cohen et al for Failure of Closed Reduction of Simultaneous Fractures of the Ulna and Radius

Description

Cohen et al identified predictors for failure of closed reduction of forearm fractures involving both the ulna and radius. These can help to identify a patient who may benefit from more aggressive management and early surgery. The authors are from Tel Aviv University.

Patient selection: pediatric patient with fracture of both radius and ulna of the forearm

Parameters:

(1) refracture

(2) open fracture

(3) midshaft location

(4) initial radius bone translation in percent

(5) patient age

Parameter	Finding	Points
refracture	no	0
	yes	5
open fracture	no	0
	yes	4
midshaft location	no	0
	yes	2
initial radius translation	< 37%	0
	>= 37%	3
patient age	< 10 years	0
	>= 10 years	1

total score =

= SUM(points for all of the parameters)

Interpretation:

• minimum score: 0

• maximum score: 15

Total Score	Risk Group	Reduction Failure
0 to 2	low	5%
3 to 5	intermediate	31%
6 to 15	high	77%

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Risk Score of Cohen et al for Failure of Closed Reduction of Simultaneous Fractures of the Ulna and Radius

Description

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