الفهرس 
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Abstract
Forearm fractures are the most common fractures in children, representing 40 to 50 percent of all childhood fractures. In one large series, forearm shaft fractures of the radius ranked as the third most common fracture after distal radial fractures and supracondylar humeral fractures. In addition, midshaft forearm fractures are the most common sites for refracture in children and among the most common sites of pediatric open fractures.The rate of forearm shaft fractures in school-age children (more than 5 years old) is more than double that in toddlers (1.5 to 5 years old). Age also may have an effect on injury severity.In boys there is a bimodality peak, the first at approximately age 9 years and the second at approximately 13 or 14 years of age. Girls show a single peak at approximately 5 or 6 years.Approximately 75 % to 84 % of forearm fractures occur in the distal third with another 15 % to 18 % in the middle third, while 1 % to 7 % of cases occur in the proximal third. A small percentage are bilateral, and as many as 13 % have an associated supracondylar fracture. Just over 50 % of these fractures are greenstick fractures.Initial preoperative translation of more than 100% (no cortical contact) has been correlated with a greater chance of tissue interposition that requires a mini-open reduction.Because of numerous differences in both treatment and prognosis, shaft fractures are considered to be clinically distinct from fractures of the distal (metaphyseal fractures and physeal fractures) and proximal (radial neck fractures and physeal fractures) ends of the same bones.(10) Many experienced clinicians have pointed out the increasing level of treatment difficulty as the level of forearm fracture moves proximally and more proximal fractures tend to occur in older patients.