Consider femoral nerve block if a skilled person is available. This is ideal. The type of traction will be chosen by the orthopaedic surgeon. Keep the patient fasted. Admission to hospital is recommended if there is gross swelling.
Fractures are near or through growth plates.
Orthopaedic referral required. Immobilisation A good backslab is the mainstay of acute orthopaedic care. Use two slabs for even better immobilisation. Make sure the limb is well padded at the prominences, that padding does not impinge on circulation, and wrap with a crepe bandage firmly but not tightly. When immobilising the forearm, the plaster should only come to the metacarpal heads dorsally, and the distal palmar crease on the volar side.