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Question: Ortho

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You are seeing a child who fell on an outstretched hand and sustained a radius fracture. 

Which of the following fractures requires closed reduction prior to splinting or casting?
7 votes

pemsou5_wp • April 20, 2021

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  1. Kelly April 27, 2021 - 11:23 am Reply

    C) A greenstick fracture with 14 degrees of sagittal angulation in a 10 year old
    In a buckle fracture, also called a torus fracture, one cortex is preserved while the other side is crumpled or buckled. These do not require reduction. Evidence supports the use of removable Velcro or thermoformable splints with buckle fractures as well. Greenstick fractures involve cortical break on one side with the other side intact. Acceptable sagittal angulation is < 15 degrees in < 10 years old (some say < 20 degrees in very young children, who will have longer to remodel before reaching skeletal maturity), and < 10 degrees for 10 years and older. Nondisplaced physeal Salter-Harris II fractures do not require reduction.

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