Appropriate Consultations

• General considerations

  • • Open fractures of long bones

    • Open Joint

    • Concern for compartment syndrome

    • Concern for neurovascular compromise

    • Dislocations or unstable fractures that cannot be reduced by closed reduction in ED

• Torso and Pelvis Injuries

  • • Clavicle fracture with skin tenting

    • Unstable pelvic fractures

    • Acetabular fracture

• Upper Extremity Injuries

  • • Displaced supracondylar fractures

    • Monteggia fx if radial head fully dislocated

• Lower Extremity Injuries

  • • Hip fractures

    • Midshaft or distal femur fractures

    • Tibial plateau fractures (except minimally displaced lateral fx)

    • Tibial shaft fractures

    • Pilon fractures

    • Bimalleolar fractures or trimalleolar fractures with persistent displacement or joint instability despite reduction attempt

    • Talus fracture

    • Calcaneal fracture

    • Lisfranc injury with significant swelling

Consultation not necessary

• Clavicle fractures with no significant skin tenting

• Proximal and midshaft humerus fractures

• Nondisplaced supracondylar fractures

• Olecranon fractures

• Uncomplicated forearm fractures

• Distal radius/ulna fractures with adequate alignment (after reduction, if necessary)

• Carpal, metacarpal, or phalanx fractures

• Stable pelvic fractures

• Patella fracture