----- Original Message -----
From: "Doc Holiday"
Subject: Re: Fracture clinic time scales
> --> Adrian. I also think those were 2 valid aspects. I agree with you that
> epiphyseal fractures would need special attention if you go for "within
> the week", but I think your "rule for children" will still allow a few
> patients between the cracks. Some common ones I have seen (and many have
> seen others) are missed muscle ruptures, missed Achiles tendon, ?septic
> joint, supra-condylar elbow fractures and even a dislocated-relocated knee
> (not patella) with its implications not understood... So, I've been
> thinking, how about a rule along the lines of "NEXT DAY or speak to a
> senior if you're thinking of another interval"?
Well, that's really another matter. If someone misses a muscle rupture or AT
rupture, or a septic joint, then they're unlikely to be seen at fracture
clinic in any case. Same goes for missed supracondylar fractures. But I
think I see what you're getting at!
AF
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