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Pediatrics Case 5 Diagnosis

Pediatric Forearm Shaft Fractures


Plain radiographs of the forearm are sufficient. The wrist and elbow should either be imaged to rule out associated fractures and dislocations. Occasionally, both-bone shaft fractures are associated with supracondylar humerus fractures, which creates a 'floating elbow' requiring surgical management. It is also important to assess radial head alignment to prevent a 'missed Monteggia' fracture pattern. Narcotic analgesia may be required to allow adequate positioning for true AP and lateral images.