Elbow painSuspectedfracture

Orthopedics

Suspected fracture

One template in the library covers this visit.

This template hands off to

Template

Suspected fracture

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DiagnosisChoose oneTitle

LateralityChoose oneFirst line

LocationChoose oneFirst line

MechanismChoose one

ExamChoose one

X-rayChoose one

ImmobilizationChoose one

CrutchesChoose any

PlanChoose any

ReferralChoose one

Abuse evaluationChoose any

Abuse evaluation ordersChoose any

DispositionChoose one

Follow-upChoose one

Counseling paragraphChoose oneParagraph

CounselingNot in the note with these choices

Discussed the need for emergency evaluation today. Caregiver expressed understanding and agreement with plan. Answered all questions.

What the sources cover

  • Exam: bony tenderness, swelling, ROM, neurovascular status
  • Laterality, location
  • Title by result (fracture, buckle, toddler's, clavicle)
  • Referred for radiographs
  • X-ray results: negative, occult, buckle, toddler's, clavicle, fracture, growth plate
  • Splint, removable wrist splint, sling, boot, buddy tape, wrap; crutches
  • Ice and elevation
  • Orthopedic management
  • Mechanism plausibility; abuse evaluation (discussion, child abuse pediatrics, skeletal survey, head imaging, CPS report)
  • ED for deformity, neurovascular compromise, open fracture

Return precautions in the template

pain or swelling that keeps getting worsenumbness or tinglinga coldpaleblue hand or foota splint or wrap that feels too tight

Sources

  • Sport-Related Concussion in Children and Adolescents. Clinical Report. Pediatrics 2018;142(6):e20183074. (newest AAP concussion CR found; also Early Childhood…
  • Overuse Injuries, Overtraining, and Burnout in Young Athletes. Clinical Report. Pediatrics 2024;153(2):e2023065129. (replaces earlier report)
  • Early Childhood Concussion. State-of-the-art review. Pediatrics 2024;154(5):e2023065484 (not an AAP policy)

Few formal guidelines cover this topic, so the template also leans on expert opinion.