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Supracondylar fracture with vascular compromise — ABEM Board MCQ

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HardMusculoskeletal/Orthopedic emergenciesSupracondylar fracture with vascular compromiseABEM Board

A 10-year-old boy arrives as ESI 2 after a fall on an outstretched arm. The elbow is swollen and deformed. Hand is pale with delayed capillary refill; median nerve sensation is reduced. X-ray shows displaced supracondylar fracture. Which of the following is the most appropriate next step in management?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: A — Urgent orthopedic consultation for reduction and vascular assessment

Displaced supracondylar fracture with vascular compromise and nerve findings requires urgent orthopedic management.

Reference: AAOS pediatric supracondylar fracture guidance