LAUSR

Key Points Question Does cast immobilization provide similar clinical outcomes compared with surgical treatment for displaced pediatric medial epicondyle fractures? Findings In this randomized clinical trial involving 72 pediatric patients, casting only was noninferior to surgery as measured with the Quick Disabilities of Arm, Shoulder, and Hand score. At the primary end point of 12 months, the mean score in the surgery group was 1.7 compared with 2.7 in the cast group, with the difference not reaching the noninferiority margin of 6.8. Meaning These findings suggest that cast immobilization is a viable alternative to surgery for treating displaced pediatric medial epicondyle fractures, offering comparable functional results.