Forearm fracture (peds): Difference between revisions
| Line 4: | Line 4: | ||
==Clinical Features== | ==Clinical Features== | ||
•Mechanism: usually fall on outstretched hand | |||
*Point tenderness, swelling, and obvious deformity | |||
*Vast majority involve the distal third of the forearm | *Vast majority involve the distal third of the forearm | ||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
Revision as of 08:11, 6 August 2015
Background
- Comprises 45% of all pediatric fractures
- peak incidence 10-12 years of age in girls and 12-14 in boys
Clinical Features
•Mechanism: usually fall on outstretched hand
- Point tenderness, swelling, and obvious deformity
- Vast majority involve the distal third of the forearm
Differential Diagnosis
Diagnosis
Management
- Greenstick and complete fracture
- Sugar tong splint is preferred over simple volar splint
Disposition
- Consult ortho if:
- Rotational deformity
- >10 degrees of angulation in children >8 yr
- >15-20 degrees of angulation in younger children
- Otherwise, ortho f/u in 1 week