Outpatient ortho referral (if adequate pain control)
Non Operative
Most do not need surgery if
Less than 20% anterior angulation
30% varus/valgus angulation
< 3cm shortening
Less than 20% anterior angulation
30% varus/valgus angulation
< 3cm shortening
Operative
Neurovascular injury
Significant soft tissue injury
Open fracture
Concern for compartment syndrome
Floating elbow (ipsilateral forearm fracture)
Neurovascular injury (radial nerve injury not contraindication to splinting)
Humerus shaft fracture
Adult
Humerus fracture
Proximal
Calcaneus fracture
Shaft
Tibial tuberosity fracture
Distal