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Resident account of Zucker-Northwell EM, EM/IM & EM/IM/CC residency programs at LIJ+North Shore University Hospitals, Queens/Nassau, NY. #FOAMed #EMconf
Dec 1, 2021 7 tweets 3 min read
#EMConf with @bryanmccartymd on Peds Ortho:

Kids bend, they don't snap.
Bends that stay bent without cortex breaking is called plastic deformation.

These still get splinted and do great, but still need reduction if >20⁰ bent. When one side breaks and the other (near) side bends, that's a greenstick.

Periosteum torn on only one side, splint/reduce, maybe under sedation.

Torus/buckle is axial load, both cortices bent, typically no cast, removeable splint, may not need ortho F/U!
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