Bạn đang xem bản rút gọn của tài liệu. Xem và tải ngay bản đầy đủ của tài liệu tại đây (139.3 KB, 1 trang )
FIGURE 111.30 Colles fracture (A ) shows the classic appearance on physical examination
with wrist swelling and obvious deformity. B: Demonstrates the typical radiographic
appearance with distal radial fracture with dorsal angulation. (Courtesy of William Phillips,
MD. In: Chung EK, Atkinson-McEvoy LR, Lai NL, et al., eds. Visual Diagnosis and Treatment
in Pediatrics . 3rd ed. Philadelphia, PA: Wolters Kluwer; 2015. With permission.)
Disposition. Minimally or nondisplaced fractures may be discharged with
orthopedic follow-up after immobilization. Fractures with adequate reduction and
casting may be discharged with orthopedic follow-up. ED clinicians can provide
anticipatory guidance on factors that may increase risk for subsequent
redisplacement, including: significant initial displacement (>50% translation,
>30-degree angulation, bayonet apposition), incomplete reduction, combined
distal radial and ulna fractures, and inadequate molding of cast or splint to
maintain the reduction. Admission should be considered for patients with
significant pain or swelling, and those with fractures that could not be adequately
reduced with procedural sedation in the ED.
INJURIES OF THE LOWER EXTREMITIES
Injuries of the Pelvis and Hip