Upper Limb Fractures
| CHQ Minor Fractures Guideline |
Additional Reading :
PEM Playbook : Paediatric Elbow Injuries
Workbook Questions :
Case 1
A 2-year-old boy presents with his father. As he was crossing the road he tripped and his dad pulled him up by his wrist. Following this is cried immediately and has not been using his R arm. On presentation to ED he appears well but is reluctant to move his R arm and cries when you palpate the elbow, examination is otherwise unremarkable.
PEM Playbook : Paediatric Elbow Injuries
Workbook Questions :
Case 1
A 2-year-old boy presents with his father. As he was crossing the road he tripped and his dad pulled him up by his wrist. Following this is cried immediately and has not been using his R arm. On presentation to ED he appears well but is reluctant to move his R arm and cries when you palpate the elbow, examination is otherwise unremarkable.
- What is his most likely diagnosis and how will you manage this?
- If your initial management does not work, what would you consider next?
Case 2
An 8-year-old girl falls on an outstretched hand whilst playing in the playground. She complains of pain in her wrist and is tender over her distal radius. There is minimal swelling and no deformity. Her XR is below
An 8-year-old girl falls on an outstretched hand whilst playing in the playground. She complains of pain in her wrist and is tender over her distal radius. There is minimal swelling and no deformity. Her XR is below
- Describe the XR
- How would you manage this case?
Case 3
A 7-year-old girl falls off the trampoline landing on an outstretched hand. She complains of pain when moving her elbow and there is swelling around the same area. Her XR is below
A 7-year-old girl falls off the trampoline landing on an outstretched hand. She complains of pain when moving her elbow and there is swelling around the same area. Her XR is below
- What does the XR show?
- How would you manage this case?
Case 4
A 12-year-old boy falls off his bike and presents with significant deformity to his forearm. His XR is below
A 12-year-old boy falls off his bike and presents with significant deformity to his forearm. His XR is below
- What analgesia would you prescribe on presentation?
- Describe the XR
- How would you manage this case?
