Supracondylar fracture
On XR - posterior and anterior fat pads, anterior humeral line (bisects mid 1/3 of capitellum)
Radial/median/ulnar palsies generally resolve with reduction
treatment: Minimally displaced: long arm posterior splint with elbow at 90° and forearm protonated/neutral
Ortho follow up in 3-5 days with immobilization for 3 weeks
Immediate ortho consult for more than minimal displacement or neurovascular compromise
Lateral condylar
Displace >2 mm, requires ortho reduction
Medial epicondylar
Displaced: requires open reduction by ortho
Nondisplaced: posterior splint with forearm pronated
Radial head and neck
treatment: splint elbow 90° forearm pronated/neutrol, always follow up with ortho
Immediate ortho consult for angulation >15°
Elbow dislocation
High risk of neurovascular injury, always consult ortho for reduction
Radial head subluxation (AKA 'nursemaid's elbow' )
Child holds are pronated, slightly flexed
treatment: reduce with supination and flexion, post reduction patient uses arm in 5-10 minutes
On XR - posterior and anterior fat pads, anterior humeral line (bisects mid 1/3 of capitellum)
Radial/median/ulnar palsies generally resolve with reduction
treatment: Minimally displaced: long arm posterior splint with elbow at 90° and forearm protonated/neutral
Ortho follow up in 3-5 days with immobilization for 3 weeks
Immediate ortho consult for more than minimal displacement or neurovascular compromise
Displace >2 mm, requires ortho reduction
Displaced: requires open reduction by ortho
Nondisplaced: posterior splint with forearm pronated
treatment: splint elbow 90° forearm pronated/neutrol, always follow up with ortho
Immediate ortho consult for angulation >15°
High risk of neurovascular injury, always consult ortho for reduction
Child holds are pronated, slightly flexed
treatment: reduce with supination and flexion, post reduction patient uses arm in 5-10 minutes
Fractures and dislocations 
Joint dislocations 
Vertebral fractures and dislocations
Triplane fracture
Thoracic and lumbar fractures and dislocations
Thoracic and lumbar compression fractures
Greenstick fracture
Salter-Harris fractures