IV: intravenous.
* Moderate or severe pain may be controlled with intranasal or IV fentanyl or IV morphine.
¶ Splint the fracture "as it lies" using either a volar or long arm splint.
Δ Choice of antibiotics depends upon prevalence of methicillin-resistant Staphylococcus aureus in the region. Refer to the UpToDate topics on osteomyelitis in children.
◊ Clinicians who are experienced in pediatric fracture reduction and cast or splint immobilization of the reduced fracture can provide this care for displaced Salter I or II, greenstick, or complete distal forearm fractures in lieu of orthopedic consultation.
§ Nondisplaced isolated radial metaphyseal fractures with up to 15 to 20 degrees angulation can be splinted in a sugar tong splint or casted without reduction in children under 10 years of age with orthopedic follow-up arranged in 3 to 5 days.
¥ The choice of a soft elastic bandage versus a short-arm splint is determined by the parent's/primary caregiver's values and preferences after an informed discussion of treatment options and, regardless of treatment chosen, should include detailed pain management instructions with the expected time of recovery.Do you want to add Medilib to your home screen?