SAQ 400 – Orthopaedics – paediatric supracondylar fracture

A 3-year-old boy presents to your regional ED after falling from a wall onto an outstretched hand. His right elbow is visibly swollen, there are no open wounds, and there are no other injuries. The x-ray is shown below. Examination raises concern for an arterial complication and you decide to treat the injury in your ED under procedural sedation.

Describe the x-ray abnormality.

(Marked out of 1.0)

/ 1

State the fracture type and classification.

(Marked out of 1.0)

/ 1

Complete the table with the most common nerves and artery injured and the clinical findings for each deficit.

(Marked out of 6.0)
</p> <table class="saq-prop-table"> <thead> <tr> <th>Structure</th> <th>Clinical findings if damaged</th> </tr> </thead> <tbody> <tr> <td>Nerve 1</td> <td></td> </tr> <tr> <td>Nerve 2</td> <td></td> </tr> <tr> <td>Artery</td> <td></td> </tr> </tbody> </table> <p>

/ 6

Complete the table for management under procedural sedation.

(Marked out of 4.0)
</p> <table class="saq-prop-table"> <thead> <tr> <th>Management item</th> <th>Answer</th> </tr> </thead> <tbody> <tr> <td>Sedation agent, dose, route</td> <td></td> </tr> <tr> <td>Management of injury</td> <td></td> </tr> <tr> <td>Disposition</td> <td></td> </tr> </tbody> </table> <p>

/ 4

Total Score: 0 / 12

Percentage: 0%