A 6-year-old child is suspected with supracondylar fracture of right hand, complaining of pain and swelling. X-ray of right elbow was not significant. What is the next best step in this case?
Correct Answer: Closed reduction and slab
Description: Supracondylar humerus fracture: - Suspected elbow fracture in a child - Supracondylar humerus fracture - Undisplaced of humerus - posterior fat is elevated - "Fat pad sign" - Fracture is displaced -distal fragments goes posteriorly - Extension - Common n/v involved - AIN > Median > Radial> Ulnar (AMRU) Posteromedial displacement > posterolateral It is an extra -aicular injury TOC- CR + slab(fixed, stainless steel wire) K wire placed in children for 4-6 weeks, then removed. If reduction is not proper, it can lead to cubitus Varus ''Gun stock deformity'' Management: Conservative Tx: 1. Smith's traction 2. Dunlop traction Sometimes, it can lead to damage of the brachial aery resulting in the ''pulselessness''. | Mgt: closed reduction & look for reappearance | - Pulse - Color- pink If no reappearance, then explore & repair. Most common damaged aery in SCH is Brachial AeryQ - Since in the given options CR + Cast is not given, CR + Slab is the most appropriate answer
Category:
Orthopaedics
Get More
Subject Mock Tests
Practice with over 200,000 questions from various medical subjects and improve your knowledge.
Attempt a mock test nowMock Exam
Take an exam with 100 random questions selected from all subjects to test your knowledge.
Coming SoonGet More
Subject Mock Tests
Try practicing mock tests with over 200,000 questions from various medical subjects.
Attempt a mock test now