Greenstick fracture: Difference between revisions
m (Rossdonaldson1 moved page Greenstick Fracture to Greenstick fracture) |
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*More stable / less painful than complete fx | *More stable / less painful than complete fx | ||
== | ==Clinical Features== | ||
==Differential Diagnosis== | |||
== | |||
==Diagnosis== | |||
*Ultrasound scanning seems to be as sensitive as plain x-rays and may be better at demonstrating the degree of cortical deformity | |||
==Treatment== | ==Treatment== | ||
*Need for reduction is determined by angulation, location, and age of child | *Need for reduction is determined by angulation, location, and age of child | ||
*As a general rule, manipulation may be considered for deformity obvious to the naked eye or dorsal angulation of more than 10 degrees of the joint line in the lateral projection (if plain x-rays are used) | *As a general rule, manipulation may be considered for deformity obvious to the naked eye or dorsal angulation of more than 10 degrees of the joint line in the lateral projection (if plain x-rays are used) | ||
*Traditionally these fractures have been treated by immobilisation in plaster for a period of around 3 to 6 weeks. However fractures not requiring manipulation have a universally good outcome regardless of treatment and more recent research shows higher levels of patient satisfaction with a Futura type splint | *Traditionally these fractures have been treated by immobilisation in plaster for a period of around 3 to 6 weeks. However fractures not requiring manipulation have a universally good outcome regardless of treatment and more recent research shows higher levels of patient satisfaction with a Futura type splint | ||
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==See Also== | ==See Also== | ||
[[Torus Fracture]] | *[[Torus Fracture]] | ||
== | ==References== | ||
[[Category:Peds]] | [[Category:Peds]] | ||
[[Category:Ortho]] | [[Category:Ortho]] | ||
Revision as of 13:09, 18 July 2015
Background
- Cortical disruption and periosteal tearing on convex side of bone only
- More stable / less painful than complete fx
Clinical Features
Differential Diagnosis
Diagnosis
- Ultrasound scanning seems to be as sensitive as plain x-rays and may be better at demonstrating the degree of cortical deformity
Treatment
- Need for reduction is determined by angulation, location, and age of child
- As a general rule, manipulation may be considered for deformity obvious to the naked eye or dorsal angulation of more than 10 degrees of the joint line in the lateral projection (if plain x-rays are used)
- Traditionally these fractures have been treated by immobilisation in plaster for a period of around 3 to 6 weeks. However fractures not requiring manipulation have a universally good outcome regardless of treatment and more recent research shows higher levels of patient satisfaction with a Futura type splint
Disposition
- Patients not requiring manipulation can be discharged with a backslab and advice to remove in 3 weeks or a Futura type splint and advice to remove when comfortable. There is no evidence that routine follow up is necessary.