A 4-year-old female status post left supracondylar elbow pinning presents to the clinic with a chief complaint of increased swelling to the fingers, a change in color from pink to pale, numbness and tingling, and increased pain from 24 hours ago
Her fiberglass cast was applied immediately after surgery. The mother is concerned and anxious. With your knowledge about neurovascular status post surgery and fracture care, you are concerned about which of the following conditions? 1. Compartment syndrome
2. Refracture
3. Nothing. These are normal findings.
4. The mom is crazy and needs a dose of valium.
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1. Classic signs of compartment syndrome are the 5 Ps: Pain, Pulse, Pallor, Parasthesia, and Paralysis.
2. Refracture will not need to occur at this time.
3. These are classic signs of compartmental syndrome.
4. The mother is responding appropriately to her child's needs.
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