Case Archive
Pediatric Orthopedics
Ref. # 45848

A three year old Illinois girl fell from a bunkbed and sustained a supracondylar fracture. A closed reduction was performed; the girl subsequently developed a cubitus varus deformity. Her attorney questioned if deformity would have been avoided had the arm been pinned instead of treated with a cast. A medQuest pediatric orthopedist reported that it was not below standard of care to have treated the fracture with a cast although, in fact, it would have been better to have employed pinning. The medQuest expert did find a breach in the standard of care in the lack of documented follow-up treatment, without which it is unclear what transpired between the reduction and the diagnosis of the deformity.

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