BACKGROUND: The initial management of distal radius fractures in @entity1 is part of the usual practice of Emergency Medicine. However, no data are available evaluating the outcome of @entity174 that undergo closed reduction and casting by emergency physicians. STUDY OBJECTIVE: To assess short-term outcomes after @entity174 reductions performed by emergency physicians. METHODS: A retrospective cohort study with matched controls was performed on @entity1 with a closed, displaced, or angulated @entity174 that required manipulation. The study group was defined as @entity1 in whom emergency physicians performed closed manipulation and cast immobilization without orthopedic consultation. The control group was defined as @entity1 who had closed reduction by an orthopedic resident. Two controls were identified for each study @entity1 on or around the same date of visit. During the 20-month period, the medical records of 22 study @entity1 and 42 controls were reviewed. The two groups were similar in age, @entity174 angulation and displacement, and skeletal maturity. RESULTS: All @entity1 had acceptable alignment at 3-5-day follow-up. Two study @entity1 and one control required re-manipulation at subsequent follow-up (p = 0.34). All other @entity1 in both groups who were seen at follow-up had satisfactory healing and function at 6-8 weeks after injury. Three study @entity1 and 4 controls had an unscheduled outpatient visit to the @entity341 ( @entity341 ) for cast-related problems (p = 0.80). None of these @entity1 developed @entity2054 . The mean length of stay in the @entity341 was lower in the study group than in the control group (3.1 h compared to 5.1 h, respectively; p = 0.0026). The mean facility charge also was lower in the study group ( 2182.50 compared to  3031 in the control group; p = 0.0006). CONCLUSIONS: Our results suggest that emergency physicians may be able to successfully provide restorative care for @entity174 using closed reduction technique. Care rendered by emergency physicians was associated with a shorter length of stay and lower facility charges.

XXXX treated by emergency physicians.

@entity1 :: ('9606', 'Species') :: ['children', 'patients', 'patient'] @entity341 :: ('MESH:D004630', 'Disease') :: ['ED', 'Emergency Department'] @entity2054 :: ('MESH:D003161', 'Disease') :: ['compartment syndrome'] @entity174 :: ('MESH:D050723', 'Disease') :: ['pediatric forearm fractures', 'distal forearm fractures', 'fracture', 'distal forearm fracture']
@entity174 :: (MESH:D050723,Disease) :: ['Pediatric distal radial fractures']
