Ortho Case of the Week – Forearm

Link to quiz

Case 1: A 9 year old male is brought in by his parents after falling of the swingset, falling on his outstretched hand. He now refuses to move his left arm.

  1. What is your full read of the x-rays below? What eponym is associated with this fracture pattern?
  2. How would you manage this patient? What type of splint would you use?

Case 2: A 7 year old female is brought in by her parents after falling off the monkey bars and landing on her outstretched hand.

3. What is your full read of the x-rays below? What eponym is associated with this fracture pattern?

4. How would you manage this patient? What type of splint would you use?

5. What nerve is commonly injured in this fracture pattern and how would you test it?

Case 3: A 32 year old male presents with right forearm pain and swelling after a direct blow to his forearm while kickboxing.

6. What is your full read of the x-ray below? What other term is used to describe this type of fracture?

7. What is the most common mechanism for this type of fracture?

8. How would you manage this patient? What type of splint would you use?