BACKGROUND: @entity28 is a national problem that has gained significant attention in both the medical literature and the national media. @entity28 in the adult population has been associated with increased failure of conservative treatments. Our hypothesis is that childhood @entity28 is associated with a loss of reduction after closed treatment of @entity174 . METHODS: A total of 157 @entity1 with consecutive @entity174 who underwent closed reduction in the emergency department or the operating room were included from the office records of the sole pediatric orthopaedic subspecialist group in a metropolitan area from January 2011 to June 2012. All cases were initially treated with fiberglass casting with or without closed reduction. All @entity1 completed the casting treatment and demonstrated radiographic union. @entity1 ' age, weight, height, number of office visits, subsequent surgeries, and @entity174 angulation were recorded and analyzed. RESULTS: Sixty-six (42%) @entity1 were overweight (BMI>85th percentile) and 46 (29%) @entity1 met the criteria for @entity28 (BMI>95th percentile). Fourteen normal-sized @entity1 (12%) and 13 @entity28 @entity1 (28%) required a reduction in the operating room after initial treatment, which was significant (P=0.02). Obese @entity1 needed significantly more visits requiring radiographs (P=0.004). Obese @entity1 were significantly less likely to have an initial perfect reduction in the emergency room (P=0.005). CONCLUSIONS: The results of closed reduction and casting for displaced @entity174 are typically excellent with few complications or risks. The present study supports the hypothesis that @entity28 results in a higher rate of malreduction and subsequent manipulations with closed reduction and casting. Close follow-up and early consideration for additional treatment in this @entity1 population may help reduce the need for further manipulations. LEVEL OF EVIDENCE: Level III.

Childhood XXXX Increases the Risk of Failure in the Treatment of Distal Forearm Fractures.

@entity174 :: ('MESH:D050723', 'Disease') :: ['distal radius fractures', 'fracture'] @entity1 :: ('9606', 'Species') :: ['children', 'Patients', 'patients', 'patient'] @entity28 :: ('MESH:D009765', 'Disease') :: ['Obesity', 'Childhood obesity', 'obese', 'obesity']
@entity28 :: (MESH:D009765,Disease) :: ['Obesity']
