POCUS Primary sign | |
• Identification of a cortical breach fracture (apart from an isolated ulna styloid fracture or non-displaced, non-angulated ulna metaphyseal fracture) | |
POCUS Secondary signs: | |
• Buckle fracture < 1 cm from physis | |
• Pronator quadratus haematoma present (i.e. positive fat pad sign) | |
• Angulation greater than ~ 5 degrees (visually angulated) | |
• Physis widened or narrowed | |
• Periosteal haematoma | |
Clinical basis | |
• Clinical suspicion, despite normal POCUS findings e.g. ‘pain out of proportion’ as per clinician judgement |