J Pediatr Perinatol Child Health 2019; 3 (3): 096-103 DOI: 10.26502/jppch.74050020 Journal of Pediatrics, Perinatology and Child Health 96 Research Article Healthcare Disparities in the Treatment of Pediatric Distal Radius- Ulna Fractures: A Single-Institution Perspective Andrew Moon 1 , Thomas E Niemeier 1 , Charles Pitts 1 , Gerald McGwin 2 , Joseph Khoury 3* 1 Department of Orthopedic Surgery, University of Alabama, Birmingham, AL, USA 2 Department of Epidemiology, University of Alabama, Birmingham, AL, USA 3 Shriners Hospital for Children, Tampa, Florida, USA *Corresponding Author: Joseph Khoury, Shriners Hospital for Children, Tampa, Florida, USA, Tel: 813 975- 7117; Fax: 813 975-7129; E-mail: jokhoury@shrinenet.org Received: 02 July 2019; Accepted: 18 July 2019; Published: 22 July 2019 Abstract Background: This study sought to identify variables associated with socioeconomic disparities in the treatment of distal forearm fractures in children. Methods: A single-institution retrospective cohort study of patients less than 18 years of age with isolated fractures of the distal radius and ulna. Patient included underwent a closed reduction and casting under sedation by an orthopedic resident with outpatient, clinical follow up within two weeks of injury. Demographic data were collected. Primary outcomes evaluated were the final fracture alignment and rate of surgical treatment. Results: 177 children included in this study, including 105 with private insurance and 72 with Medicaid or no insurance, 129 were white and 48 were minorities, and 51 were female while 126 were male. There were no statistically significant differences between patient groups when assessed for treatment outcome, mean fracture displacement, time to first clinic appointment, and duration of follow-up. Rates of surgical treatment between all groups tested were non-significant. Of patients that met institutional operative criteria, a lower percentage of non- white (p=0.03), male (p=0.07), and non-private insurance patients (p=0.08) received surgery when surgery was indicated compared to white female patients with insurance. Conclusions: At a single institution, no clear disparities in the overall care and outcomes of children with distal radius and ulna fractures were identified. When surgery was indicated by institutional standards, a significantly