Questions:

1. It is 5pm on a Sunday afternoon when A&E ring you regarding a 5 year old who has fallen onto from monkey bars. What can you see in this image?
2. Assuming this is an isolated injury, how would you initially manage this injury?
3. On examination you find the arm is pink but pulseless. Describe your operative steps? How would you fix this? What size k-wires would you use?
4. After reduction and fixation the arm becomes white and pulseless arm. What would you do next?

Answers