Pearls

Pediatric injuries are typically treated with closed reduction and splinting/casting.

Indications for closed reduction and casting in pediatric patients:

• >50% apposition
• <1 cm shortening
• <5-10° of angulation in coronal and sagittal planes
• <5° rotation

Indications for surgery in pediatric patients:

• >5mm displacement AP
  – >10° angulation in AP
  – >5° angulation in lateral view
  – >10° rotation