ORTHOPAEDICS - PAEDIATRICS
WRIST
Prompt
ResponseSH1 injury of distal radius
Dorsal displacement of epiphysis
Dorsal angulation
Mgmt
Explanation /consent
Analgesia
Procedural sedation 0.5mg/kg ketamine
Reduction of epiphysis
Plaster short arm
Orthopedic follow up
Dorsal displacement of epiphysis
Dorsal angulation
Mgmt
Explanation /consent
Analgesia
Procedural sedation 0.5mg/kg ketamine
Reduction of epiphysis
Plaster short arm
Orthopedic follow up
Prompt
ResponsePhyseal fracture of distal radius
80% dorsal displacement
20 % lateral displacement
30 deg dorsal angularion
Fracture extend into metaphysis at dorsal margin of physis
= SH2 DR#
Management
Analgesia
Consent
Procedural sedation
Closed reduction and immmobilisation in dorsal + volar backslab (or gutter slab)
Referral to orthopaedics to follow up
80% dorsal displacement
20 % lateral displacement
30 deg dorsal angularion
Fracture extend into metaphysis at dorsal margin of physis
= SH2 DR#
Management
Analgesia
Consent
Procedural sedation
Closed reduction and immmobilisation in dorsal + volar backslab (or gutter slab)
Referral to orthopaedics to follow up
PromptComplications of growth plate injury in the wrist
ResponseGrowth arrest from physeal fracture
Median neuropathy
EPL tendon injury
Malunion and deformity
Complex regional pain syndrome
Median neuropathy
EPL tendon injury
Malunion and deformity
Complex regional pain syndrome