Fracture with cast, now limb swelling (829/1700)

A 10yo child who presented with fx of the radius which was treated with a plaster cast,
complains of pain. Exam: limb is swollen but warm and well perfused, pulses are present. What
should you do next?
a. Send for repeat XR
b. Remove cast
c. Replace cast with more padding
d. Give analgesic






























Answer: B

Compartment syndrome: pallor and loss of pulse are late signs, we never wait for them!

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