Bayonet Apposition of Distal Radius and Ulna Fracture Managed Conservatively with Cast: A Case Report

Abstract

remains controversial. While many authors recommend reduction with or without Kirschner wire fixation to prevent redisplacement, recent studies suggest favorable outcomes with conservative treatment due to the excellent remodeling potential of the distal radius. We report the case of a five-year-old child with a completely displaced distal radius and ulna fracture with bayonet apposition. Operative management was initially planned; however, surgery was deferred as the child was unfit for anesthesia due to a persistent cough. The fracture was managed with cast immobilization after correction of the visible deformity without anatomical reduction. Serial follow-up radiographs demonstrated progressive remodeling and satisfactory fracture union. At final follow-up at three months, the child had full, painless wrist function with no clinical deformity.