Causes Diagnosis Management
  • Common in the young child.
  • Fall on outstretched hand.
  • May be complicated by Volkmann's ischemic contracture of forearm due to arterial spasm.
  • Distal and smaller fragment is usually displaced backwards and upwards.
 
  • Inspection:
  • Palpation
  • X-ray
  •  
  • Reduction with care so that the displaced fragments do not rupture the brachial artery. After reduction, attention must be placed on the observation of the radial pulse for 48 hours. Elevate the arm during their period to reduce edema.
  • Use padded plaster back slab with the elbow immobilized at 90o for 3-4 weeks.

 


Click for anatomy
 
X-ray