Fractures - Quick reference guide

Disclaimer

These guidelines have been produced to guide clinical decision making for the medical, nursing and allied health staff of Perth Children’s Hospital. They are not strict protocols, and they do not replace the judgement of a senior clinician. Clinical common-sense should be applied at all times. These clinical guidelines should never be relied on as a substitute for proper assessment with respect to the particular circumstances of each case and the needs of each patient. Clinicians should also consider the local skill level available and their local area policies before following any guideline. 

Read the full CAHS clinical disclaimer

Aim

To provide Emergency Department (ED) clinicians with a quick reference guide poster on the appropriate management of fractures in children. Please refer to the specific fracture guidelines for more detailed information and management guidance.

Quick reference

This below poster provides quick reference fracture management information. For more detail please see the appropriate fracture guideline.

Fractures - Quick reference chart

Click here to view full size PDF.

References

  1. Bradman K, Stannage K, O’Brien S, Green, S et al. Randomised controlled trial comparing immobilisation in above-knee plaster of Paris to controlled ankle motion boots in undisplaced paediatric spiral tibial fractures. (2021) Emerg Med J 2021;0:1–7. doi:10.1136/emermed-2020-210299
  2. Buijze et al. Cast immobilization with and without immobilization of the thumb for nondisplaced and minimally displaced scaphoid waist fractures: A multicentre, randomized, controlled trial, J Hand Surg Am. 2014;39(4):621-627.
  3. Rowlands et al. Putting evidence based protocols into practice- a paediatric buckle fracture pathway. Arch Dis Childh. 2012;97(1):A141-A142.

Endorsed by:  CPAC  Date:  Aug 2021


 Review date:   Feb 2024


This document can be made available in alternative formats on request for a person with a disability.


Related guidelines

For general assessment and overview, see Fractures - Overview

Useful resources

  • Controlled ankle movement device overview. GEKO 9502
  • Dorsal interphalangeal splinting. GEKO: 32648
  • Study of treatment methods for undisplaced supracondylar humeral fractures in children. GEKO: 4016