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We walk through how pediatric distal radius fractures behave differently from adult injuries, using real X-ray cases to show what to measure and why it matters. We focus on remodeling potential, age-based angulation limits, and practical casting choices that keep kids safe while they heal fast.
• case study of a seven-year-old with a subtle metadiaphyseal distal radius fracture and dorsal angulation best seen on lateral view
• why distal radius and forearm fractures are so common in children and how buckle fractures can look deceptively mild
• how the distal radial physis drives growth and remodeling potential
• age-based acceptable angulation targets and why malalignment can block pronation and supination
• immobilisation strategy including short arm casting, cast moulding and typical timelines for cast then brace
• older teen sports injury example and why acceptable alignment is stricter after age 10
• red flags and associated patterns to rule out including Monteggia, Galeazzi and DRUJ injury
• urgent care and ER options including sugar tong or volar splint with orthopaedic follow-up
So you can log on to the YouTube channel and see the x-rays and the images that we discuss during the presentation itself.
By Chuck Dowell, PA-C, ATCSend us Fan Mail
We walk through how pediatric distal radius fractures behave differently from adult injuries, using real X-ray cases to show what to measure and why it matters. We focus on remodeling potential, age-based angulation limits, and practical casting choices that keep kids safe while they heal fast.
• case study of a seven-year-old with a subtle metadiaphyseal distal radius fracture and dorsal angulation best seen on lateral view
• why distal radius and forearm fractures are so common in children and how buckle fractures can look deceptively mild
• how the distal radial physis drives growth and remodeling potential
• age-based acceptable angulation targets and why malalignment can block pronation and supination
• immobilisation strategy including short arm casting, cast moulding and typical timelines for cast then brace
• older teen sports injury example and why acceptable alignment is stricter after age 10
• red flags and associated patterns to rule out including Monteggia, Galeazzi and DRUJ injury
• urgent care and ER options including sugar tong or volar splint with orthopaedic follow-up
So you can log on to the YouTube channel and see the x-rays and the images that we discuss during the presentation itself.