Brace Versus Casting in Pediatric Radial Head Fractures

Inclusion Criteria: 5 to 18 years of age with one of the following fracture Undisplaced Maoson types I and II fractures of the radial head Exclusion Criteria: The diagnosis of elbow sprain or contusion; they occur primarily in adolescents with closed epiphyseal plates. All open fractures which require surgical debridement. All children at risk for pathological fractures such as those with congenital or acquired generalized bony disease. Congenital anomalies of the elbow. Patients with coagulopathies. Multisystem trauma and multiple fractures of the same or opposite limb. Patients cognitively and developmentally delayed with inability to express pain and/or difficult assessment of baseline activity level. Injuries greater than 72 hours old. Past history of surgery or closed reduction of the same elbow within the last 6 months or ankle trauma of the same ankle within 3 months.