INJURY SITE TYPICAL MECHANISM PITFALLS/COMPLICATIONS ED/ MIU/ UCC TREATMENT FOLLOW-UP
Heavy fall on outstretched hand. Usually posterior
Vascular & nerve injury possible.
Reduction in ED with procedural sedation as required. X-ray before and after. Above elbow POP at 90o or C&C if adequate pain relief and stability
Effusion without obvious bony injury on XR
Missed #.Usually radial head # in adults or supracondylar # in children
C&C or POP if required for comfort
If clinical examination suggests an underlying radial head # then discharge with patient info leaflet If a supracondylar # suspected then refer to Fracture clinic
Traction injury in
toddler but may occur in babies
A clinical diagnosis – X-Rays usually not required
adequately. If unsuccessful C&C.
None if successfully reduced.
If unsuccessful then advise GP review within 48hrs
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Elbow fractures and Injuries
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