Trauma Tuesday POD- BOWING FRACTURE

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BOWING FRACTURES  

What is it?

  • Incomplete fracture of tubular long bones pediatric patients.

    • Commonly radius and ulna

Presentation:

  • Fall on outstretched hand. Child presenting with pain and swelling of forearm

How does it happen?

  • Pediatric bones bend because the cortex is thinner than adult bones.

Management

  • Depends on degree of angulation

    • <20degrees= splint

    • >20 degrees= reduction of bowing (call orthopedics)

      • during the reduction they are very prone to fracturing

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