Greenstick fracture - Revision history

Hoxbox: /* Management */

2019-11-25T20:31:12Z

Management

← Older revision		Revision as of 20:31, 25 November 2019
Line 16:		Line 16:
	==Management==		==Management==
	*Need for reduction determined by angulation, location, and age of child		*Need for reduction determined by angulation, location, and age of child
	*As a general rule, manipulation may be considered for deformity obvious to the naked eye or ~~dorsal angulation of~~ more than 10 degrees ~~of the joint line in the lateral projection (if plain x-rays are used)~~		*As a general rule, manipulation may be considered for deformity obvious to the naked eye or if more than the following acceptable angles<ref>Cadman, E. Wrist torus and greenstick fractures, Don't Forget the Bubbles, 2019. Available at: http://doi.org/10.31440/DFTB.21125</ref>:
	*Traditionally these fractures have been treated by immobilisation in plaster for a period of around 3 to 6 weeks		**>10 years old then < 10 degrees is acceptable.
			**<10 years old then < 15 degrees is acceptable.
			Traditionally these fractures have been treated by immobilisation in plaster for a period of around 3 to 6 weeks
	*Fractures not requiring manipulation have a universally good outcome regardless of treatment		*Fractures not requiring manipulation have a universally good outcome regardless of treatment
	*Higher levels of patient satisfaction with a Futura type splint		*Higher levels of patient satisfaction with a Futura type splint

2017-07-24T01:12:31Z

Text replacement - "==References== " to "==References== <references/> "

2016-07-22T20:32:40Z

Text replacement - "==Diagnosis==" to "==Evaluation=="

← Older revision		Revision as of 20:32, 22 July 2016
Line 11:		Line 11:
	*[[Torus fracture]]		*[[Torus fracture]]

	==~~Diagnosis~~==		==Evaluation==
	*Ultrasound scanning seems to be as sensitive as plain x-rays and may be better at demonstrating the degree of cortical deformity		*Ultrasound scanning seems to be as sensitive as plain x-rays and may be better at demonstrating the degree of cortical deformity

2016-07-09T14:15:01Z

Text replacement - "fx" to "fracture"

← Older revision		Revision as of 14:15, 9 July 2016
Line 1:		Line 1:
	==Background==		==Background==
	*Cortical disruption and periosteal tearing on convex side of bone only		*Cortical disruption and periosteal tearing on convex side of bone only
	*More stable / less painful than complete fx		*More stable / less painful than complete fracture

	==Clinical Features==		==Clinical Features==

2016-07-07T06:00:49Z

Text replacement - "==Treatment==" to "==Management=="

← Older revision		Revision as of 06:00, 7 July 2016
Line 14:		Line 14:
	*Ultrasound scanning seems to be as sensitive as plain x-rays and may be better at demonstrating the degree of cortical deformity		*Ultrasound scanning seems to be as sensitive as plain x-rays and may be better at demonstrating the degree of cortical deformity

	==~~Treatment~~==		==Management==
	*Need for reduction determined by angulation, location, and age of child		*Need for reduction determined by angulation, location, and age of child
	*As a general rule, manipulation may be considered for deformity obvious to the naked eye or dorsal angulation of more than 10 degrees of the joint line in the lateral projection (if plain x-rays are used)		*As a general rule, manipulation may be considered for deformity obvious to the naked eye or dorsal angulation of more than 10 degrees of the joint line in the lateral projection (if plain x-rays are used)

2016-07-05T21:49:39Z

Text replacement - "* " to "*"

← Older revision		Revision as of 21:49, 5 July 2016
Line 22:		Line 22:

	==Disposition==		==Disposition==
	* Patients not requiring manipulation can be discharged with a backslab and advice to remove in 3 weeks or a Futura type splint and advice to remove when comfortable. There is no evidence that routine follow up is necessary.		*Patients not requiring manipulation can be discharged with a backslab and advice to remove in 3 weeks or a Futura type splint and advice to remove when comfortable. There is no evidence that routine follow up is necessary.

	==See Also==		==See Also==

2016-03-22T16:00:16Z

Text replacement - "Category:Peds" to "Category:Pediatrics"

2016-03-22T15:47:14Z

Text replacement - "Category:Ortho" to "Category:Orthopedics"

2015-11-17T11:31:26Z

2015-11-17T11:19:39Z

edited for flow

← Older revision		Revision as of 11:19, 17 November 2015
Line 14:		Line 14:

	==Treatment==		==Treatment==
	*Need for reduction is determined by angulation, location, and age of child		*Need for reduction determined by angulation, location, and age of child
	*As a general rule, manipulation may be considered for deformity obvious to the naked eye or dorsal angulation of more than 10 degrees of the joint line in the lateral projection (if plain x-rays are used)		*As a general rule, manipulation may be considered for deformity obvious to the naked eye or dorsal angulation of more than 10 degrees of the joint line in the lateral projection (if plain x-rays are used)
	*Traditionally these fractures have been treated by immobilisation in plaster for a period of around 3 to 6 weeks~~. However fractures~~ not requiring manipulation have a universally good outcome regardless of treatment ~~and more recent research shows higher~~ levels of patient satisfaction with a Futura type splint		*Traditionally these fractures have been treated by immobilisation in plaster for a period of around 3 to 6 weeks
			*Fractures not requiring manipulation have a universally good outcome regardless of treatment
			*Higher levels of patient satisfaction with a Futura type splint

	==Disposition==		==Disposition==