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Review Question - QID 4494

Distal Radius Fractures - Pediatric QID: 4494 (OBQ12.134)
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QID 4494 (Type "4494" in App Search)
An 11-year old boy presents to fracture clinic 1 week after sustaining a displaced metaphyseal distal radius fracture that was managed with closed reduction and cast application. While the initial post-reduction radiographs showed near anatomic alignment with a well molded cast, radiographs 1 week later show 22 degrees of apex volar angulation and dorsal re-displacement. What is the best management at this time?
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