Closed reduction of paediatric forearm fractures: nitrous oxide versus general anaesthetic

The forearm is the most common site of fracture in children. At the time of initial assessment, a thorough examination and neurovascular assessment of the limb is necessary. X-rays allow evaluation of the fracture location and type, in addition to the degree of displacement. With the help of intranasal opiates, manipulation of fracture fragments can be performed in the emergency department. Immobilisation in plaster is the gold standard treatment for paediatric forearm fractures where the degree of displacement is within acceptable parameters. Manipulation and casting should be followed by orthogonal radiographs and a repeated neurovascular assessment of the limb. Oral analgesia and safety netting information should be provided on discharge and the child should be reviewed in fracture clinic within a week of the injury. This article reviews the British Orthopaedic Association Standards for Trauma and Orthopaedics for the early management of paediatric forearm fractures that do not require operative management.

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Paediatric forearm fractures: assessment and initial management

Kyriakides

Peeters

Ahluwalia

et al. 2022

Br J Hosp Med

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Closed reduction of paediatric forearm fractures: nitrous oxide versus general anaesthetic

Abstract: This work was presented at the Australian Orthopaedic Association NSW Branch meeting and Hunter Orthopaedic Meeting.

Cited by 1 publication

References 13 publications

Paediatric forearm fractures: assessment and initial management

Paediatric forearm fractures: assessment and initial management

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