Above-Elbow Casts With the Wrist and Hand Free vs. Standard Above-Elbow Casts With the Wrist and Hand Included in the Treatment of Supracondylar Humerus Fractures in Children: A Randomized Prospective Study
G. Dillon Graham, Calvin Chandler, Kennedy Gachigi, Caleb Michalek, Joshua Steinke, Brian Brighton, Michael Paloski, Brian Scannell, Virginia Casey · 2026
Read Above-Elbow Casts With the Wrist and Hand Free vs. Standard Above-Elbow Casts With the Wrist and Hand Included in the Treatment of Supracondylar Humerus Fractures in Children: A Randomized Prospective Study by G. Dillon Graham, Calvin Chandler, Kennedy Gachigi, Caleb Michalek, Joshua Steinke, Brian Brighton, Michael Paloski, Brian Scannell, Virginia Casey (2026) in the Tower of Babel, a free online library of public-domain works preserved in clean, searchable text. No sign-up. The full text is served as a plain-text file at a predictable URL, where text is present: https://antarctic-labs.com/tower-of-babel/PMC13470414.txt.
Description
G. Dillon Graham and a team of orthopedic colleagues compare in 2026 two casts for children recovering from surgery on a broken elbow. Supracondylar fractures above the elbow are the most common elbow breaks in children, usually fixed with pins after realignment. Their randomized study enrolled 255 children aged three to ten with the two middle grades of this fracture.
After pinning, about half received a cast that left the wrist and hand free, while the rest received the standard cast covering them. At three to four weeks the free hand group reported clearly less disability on a standard questionnaire and did better on a peg board dexterity test. By nine weeks the small score difference had flipped and was not meaningful. Motion measures at nine weeks favored elbow straightening in the free hand group.
Catalog record
| CREATOR | G. Dillon Graham, Calvin Chandler, Kennedy Gachigi, Caleb Michalek, Joshua Steinke, Brian Brighton, Michael Paloski, Brian Scannell, Virginia Casey |
|---|---|
| YEAR | 2026 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 30886 |
| LICENSE | https://creativecommons.org/licenses/by/4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |