If your child has significant pain or an obvious deformity, you might go straight to an emergency room or urgent care clinic. The doctor who first examines your child may recommend a consultation with a pediatric orthopedic surgeon.
What you can do
To prepare for your conversation with the doctor, you may want to write a quick list that includes:
- Your child's symptoms
- How the injury occurred
- Your child's key medical information, including any previous fractures, other medical problems, allergies, and the names of all medications and vitamins he or she takes
- Any other questions you want to ask the doctor
Remember to bring a copy of any X-ray images (usually on a disk) and medical notes if your child has already been seen at an urgent care clinic or another medical center.
What to expect from your doctor
Your doctor may ask:
June 18, 2013
- Was there a clear injury associated with the beginning of symptoms?
- Has the child been able to walk or bear weight on the limb?
- Where exactly does it hurt?
- Has the child otherwise been feeling well — any fevers, fatigue, illness?
- Green NE, et al. Skeletal trauma in children. 4th ed. Philadelphia, Pa.: Saunders Elsevier; 2008. http://www.mdconsult.com/books/about.do?about=true&eid=4-u1.0-B978-1-4160-4900-5..X1000-X--TOP&isbn=978-1-4160-4900-5&uniqId=406908857-2. Accessed April 2, 2013.
- Marx JA, et al. Rosen's Emergency Medicine: Concepts and Clinical Practice. 7th ed. Philadelphia, Pa.: Mosby Elsevier; 2010. http://www.mdconsult.com/books/about.do?about=true&eid=4-u1.0-B978-0-323-05472-0..X0001-1--TOP&isbn=978-0-323-05472-0&uniqId=230100505-57. Accessed April 2, 2013.
- Larson NA (expert opinion). Mayo Clinic, Rochester, Minn. April 11, 2013.
- Fractures. The Merck Manuals: The Merck Manual for Healthcare Professionals. http://www.merckmanuals.com/professional/injuries_poisoning/fractures_dislocations_and_sprains/fractures.html?qt=greenstick&alt=sh. Accessed April 2, 2013.
- Hay WW, et al. Current Diagnosis & Treatment: Pediatrics. 21st ed. New York, N.Y.: The McGraw-Hill Companies; 2012. http://www.accessmedicine.com/resourceTOC.aspx?resourceID=14. Accessed April 2, 2013.
- Tintinalli JE, et al. Tintinalli's Emergency Medicine: A Comprehensive Study Guide. 7th ed. New York, N.Y.: The McGraw Hill Companies; 2011. http://www.accessmedicine.com/resourceTOC.aspx?resourceID=40. Accessed April 2, 2013.
- Wang J, et al. Diagnosis and assessment of distal forearm fractures in children. http://www.uptodate.com/home. Accessed April 2, 2013.
- Forearm fractures in children. American Academy of Orthopaedic Surgeons. http://orthoinfo.aaos.org/topic.cfm?topic=A00039. Accessed April 2, 2013.
- Schweich P. Closed reduction and casting of distal forearm fractures in children. http://www.uptodate.com/home. Accessed April 2, 2013.
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