Does circumferential casting prevent fracture redisplacement in reduced distal radius fractures? A retrospective multicentre study

A.C. Berger, B. Barvelink, M. Reijman, T. Gosens, G.A. Kraan, M.R. De Vries, M.H.J. Verhofstad, K.W.W. Lansink, P.F.W. Hannemann, J.W. Colaris*

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review


Background This study evaluates whether a circumferential cast compared to a plaster splint leads to less fracture redisplacement in reduced extra-articular distal radius fractures (DRFs). Methods This retrospective multicentre study was performed in four hospitals (two teaching hospitals and two academic hospitals). Adult patients with a displaced extra-articular DRF, treated with closed reduction, were included. Patients were included from a 5-year period (January 2012-January 2017). According to the hospital protocol, fractures were immobilized with a below elbow circumferential cast (CC) or a plaster splint (PS). The primary outcome concerned the difference in the occurrence of fracture redisplacement at one-week follow-up. Results A total of 500 patients were included in this study (PS n = 184, CC n = 316). At one-week follow-up, fracture redisplacement occurred in 52 patients (17%) treated with a CC compared to 53 patients (29%) treated with a PS. This difference was statistically significant (p = 0.001). Conclusion This study suggests that treatment of reduced DRFs with a circumferential cast might cause less fracture redisplacement at 1-week follow-up compared to treatment with a plaster splint. Level of Evidence Level III, Retrospective study.
Original languageEnglish
Article number722
Number of pages6
JournalJournal of Orthopaedic Surgery and Research
Issue number1
Publication statusPublished - 20 Dec 2021


  • Distal radius fracture
  • Circumferential cast
  • Splint
  • Redisplacement
  • Fracture
  • Bone

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