From the Research
For a 2-year-old with a possible Salter-Harris fracture of the elbow joint, I would recommend applying a posterior long arm splint. This recommendation is based on the need to immobilize the fracture while allowing for some swelling, which is crucial in pediatric injuries where growth plate damage can have long-term consequences. The splint should extend from the upper arm to the palm, maintaining the elbow at approximately 90 degrees of flexion and the forearm in a neutral position. Key considerations include:
- The splint should be well-padded, especially at bony prominences, and secured with an elastic bandage rather than tape to prevent skin irritation.
- It's crucial to leave the fingertips exposed to monitor circulation, sensation, and movement.
- The child should be referred immediately to a pediatric orthopedic specialist for definitive evaluation and treatment, as Salter-Harris fractures involve the growth plate and can affect future bone development if not properly managed. While the provided studies do not directly address the management of Salter-Harris fractures of the elbow joint in 2-year-olds, the principles of immobilization and prompt specialist referral are generally applicable in pediatric orthopedic injuries 1, 2, 3. The specific details of splint application and management are guided by general principles of pediatric fracture care, emphasizing the importance of careful monitoring and adjustment as needed to prevent complications and support optimal healing. In the absence of direct evidence from the provided studies, this approach prioritizes the well-being and safety of the child, focusing on minimizing morbidity, mortality, and impact on quality of life.