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An 11-year-old boy fell on his outstretched right hand. He has a closed injury and is neurovascularly intact. Injury films are shown in Figures A and B. The patient undergoes an anatomic closed reduction in the emergency department and the fracture is stable under fluoroscopic imaging. What would be your next step in management?
Sling for comfort
Splint in a backslab and admit for a closed reduction percutaneous pinning
Splint in a backslab and admit for a open reduction internal fixation
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A 12-year old boy fell sustaining a both bone forearm fracture. Which of the following is true regarding the radiographic assessment of anatomic forearm alignment after reduction?
The ulnar styloid and coronoid process are best seen on the AP radiograph
On the lateral radiograph the radial styloid and biceps tuberosity are oriented 90 degrees apart
On the AP radiograph, the ulnar styloid and the coronoid process are oriented 180 degrees apart
On the AP radiograph, the radial styloid and biceps tuberosity are oriented 180 degrees apart
On the AP radiograph the radial styloid and biceps tuberosity are oriented 90 degrees apart
A 10-year-old boy falls off his bicycle sustaining the injury seen in Figures A and B. After initial unsuccessful closed reduction, he undergoes operative fixation. When comparing ORIF with a plate to a percutaneous technique using intramedullary nails (IMN), which of the following is true?
Non-union rates are significantly higher in the IMN group
Blood loss is higher in the IMN group
Restoration of radial bow is similar in both groups
Surgical time is greater in the IMN group
Forearm rotation is greater in the ORIF group
HPI - FOOSH-type injury that was managed at another hospital.
Patient was placed in the below-elbow cast.
Referred to our institution for a second opinion and further management.
Would you have accepted the original reduction? (See Post-Procedure P1 XRays above - AP and Lateral)
HPI - Patient presents with forearm pain after FOOSH injury when he fell while playing in the schoolyard.
How would you manage this fracture?