**Question:** Management of Smith's fracture is

A. immobilization
B. open reduction and internal fixation
C. closed reduction and cast immobilization
D. none of the above

**Core Concept:** Smith's fracture refers to a type of metaphyseal fracture involving the distal radius, typically seen in children. The fracture occurs near the radioulnar joint, causing pain, swelling, and deformity.

**Why the Correct Answer is Right:** The correct management of Smith's fracture involves closed reduction and cast immobilization (option C). This method ensures stable fixation, allowing for the fracture to heal without causing additional damage to the affected area. Open reduction and internal fixation (option B) carries the risk of damaging the surrounding soft tissues and nerves, making it an inappropriate choice for Smith's fracture.

**Why Each Wrong Option is Incorrect:**

A. Immobilization (option A) may worsen the fracture by causing further damage to the delicate soft tissues surrounding the fracture site. It also increases the risk of infection and malunion.

D. None of the above (option D) is incorrect because closed reduction and cast immobilization (option C) is the appropriate management for Smith's fracture, as mentioned earlier.

**Clinical Pearl:** The key to managing Smith's fracture is to minimize trauma to the soft tissues and maintain fracture alignment while allowing for proper healing. This can be achieved through closed reduction and cast immobilization, ensuring a successful recovery and preventing complications.