Pediatric Distal Forearm Fractures/Training Logbook

This module allows traditional bone setters, pre-hospital providers, clinical officers, nurses, nurse practitioners, and medical officers to become confident and competent in performing point-of-care ultrasound diagnostic imaging to rule out the presence of a pediatric distal forearm fracture and distinguish between buckle (torus) fractures and cortical break fractures to make appropriate referrals as part of the management of closed pediatric (< 16 years of age) distal forearm fractures in regions without access to X-ray imaging and orthopedic specialist coverage.^[1]^[2]^[3]^[4]^[5]^[6]^[7]^[8]^[9]

Please print off this training logbook before simulation skills training, complete this training logbook during simulation skills training, and file and save a back-up copy of the completed and signed training logbook for your training records.

Training Logbook[edit | edit source]

Simulation Training on Healthy Adults
Forearm	Labelled Features	Saved Ultrasound Images with Labelled Features for 6-View Technique Ultrasound Scanning for Pediatric Distal Forearm Fractures	Saved Videos and Images for Diagnosing Pronator Quadratus Hematoma Sign
Left	Epiphysis Metaphysis Diaphysis	View #1: Dorsal Radius View #2: Dorsal Ulna View #3: Lateral Ulna View #4: Lateral Radius View #5: Volar Radius View #6: Volar Ulna	Video Image
Right	Epiphysis Metaphysis Diaphysis	View #1: Dorsal Radius View #2: Dorsal Ulna View #3: Lateral Ulna View #4: Lateral Radius View #5: Volar Radius View #6: Volar Ulna	Video Image

Simulation Training on Unblinded Models
Bone Model #	Labelled Features	Saved Ultrasound Images with Labelled Features That Document Diagnosis	Diagnosis	Management Plan for Simulated Patient
1 + 2	Epiphysis Physis Metaphysis Diaphysis Buckle Fracture Cortical Break Fracture	View #1: Dorsal Radius View #2: Dorsal Ulna View #3: Lateral Ulna View #4: Lateral Radius View #5: Volar Radius View #6: Volar Ulna	No Fracture Buckle Fracture Other Fracture	Clinical Observation Only Application of Bandage Wrap, Removable Forearm Splint, or Backslab Cast Referral for X-Ray Imaging Other:__________________________
3 + 4	Epiphysis Physis Metaphysis Diaphysis Buckle Fracture Cortical Break Fracture	View #1: Dorsal Radius View #2: Dorsal Ulna View #3: Lateral Ulna View #4: Lateral Radius View #5: Volar Radius View #6: Volar Ulna	No Fracture Buckle Fracture Other Fracture	Clinical Observation Only Application of Bandage Wrap, Removable Forearm Splint, or Backslab Cast Referral for X-Ray Imaging Other:__________________________
5 + 6	Epiphysis Physis Metaphysis Diaphysis Buckle Fracture Cortical Break Fracture	View #1: Dorsal Radius View #2: Dorsal Ulna View #3: Lateral Ulna View #4: Lateral Radius View #5: Volar Radius View #6: Volar Ulna	No Fracture Buckle Fracture Other Fracture	Clinical Observation Only Application of Bandage Wrap, Removable Forearm Splint, or Backslab Cast Referral for X-Ray Imaging Other:__________________________

Simulation Training on Blinded Models
Bone Model #	Labelled Features	Saved Ultrasound Images with Labelled Features That Document Diagnosis	Diagnosis	Management Plan for Simulated Patient
5 + 6	Epiphysis Physis Metaphysis Diaphysis Buckle Fracture Cortical Break Fracture	View #1: Dorsal Radius View #2: Dorsal Ulna View #3: Lateral Ulna View #4: Lateral Radius View #5: Volar Radius View #6: Volar Ulna	No Fracture Buckle Fracture Other Fracture	Clinical Observation Only Application of Bandage Wrap, Removable Forearm Splint, or Backslab Cast Referral for X-Ray Imaging Other:__________________________
7 + 8	Epiphysis Physis Metaphysis Diaphysis Buckle Fracture Cortical Break Fracture	View #1: Dorsal Radius View #2: Dorsal Ulna View #3: Lateral Ulna View #4: Lateral Radius View #5: Volar Radius View #6: Volar Ulna	No Fracture Buckle Fracture Other Fracture	Clinical Observation Only Application of Bandage Wrap, Removable Forearm Splint, or Backslab Cast Referral for X-Ray Imaging Other:__________________________
9 + 10	Epiphysis Physis Metaphysis Diaphysis Buckle Fracture Cortical Break Fracture	View #1: Dorsal Radius View #2: Dorsal Ulna View #3: Lateral Ulna View #4: Lateral Radius View #5: Volar Radius View #6: Volar Ulna	No Fracture Buckle Fracture Other Fracture	Clinical Observation Only Application of Bandage Wrap, Removable Forearm Splint, or Backslab Cast Referral for X-Ray Imaging Other:__________________________

Learner's Nameː

Learner's Signature:

Assistant's Nameː

Assistant's Signature:

Date of Trainingː

Acknowledgements[edit | edit source]

This work is funded by a grant from the Intuitive Foundation. Any research, findings, conclusions, or recommendations expressed in this work are those of the author(s), and not of the Intuitive Foundation.

References[edit | edit source]

↑ Onyemaechi NO, Itanyi IU, Ossai PO, Ezeanolue EE. Can traditional bonesetters become trained technicians? Feasibility study among a cohort of Nigerian traditional bonesetters. Hum Resour Health. 2020 Mar 20;18(1):24. doi: 10.1186/s12960-020-00468-w. PMID: 32197617; PMCID: PMC7085192.
↑ Heiner JD, McArthur TJ. The ultrasound identification of simulated long bone fractures by prehospital providers. Wilderness Environ Med. 2010 Jun;21(2):137-40. doi: 10.1016/j.wem.2009.12.028. Epub 2009 Dec 22. PMID: 20591377.
↑ Heiner JD, Baker BL, McArthur TJ. The ultrasound detection of simulated long bone fractures by U.S. Army Special Forces Medics. J Spec Oper Med. 2010 Spring;10(2):7-10. PMID: 20936597.
↑ Heiner JD, Proffitt AM, McArthur TJ. The ability of emergency nurses to detect simulated long bone fractures with portable ultrasound. Int Emerg Nurs. 2011 Jul;19(3):120-4. doi: 10.1016/j.ienj.2010.08.004. Epub 2010 Sep 25. PMID: 21665155.
↑ Snelling PJ, Jones P, Keijzers G, Bade D, Herd DW, Ware RS. Nurse practitioner administered point-of-care ultrasound compared with X-ray for children with clinically non-angulated distal forearm fractures in the ED: a diagnostic study. Emerg Med J. 2021 Feb;38(2):139-145. doi: 10.1136/emermed-2020-209689. Epub 2020 Sep 8. PMID: 32900856.
↑ Snelling PJ, Jones P, Moore M, Gimpel P, Rogers R, Liew K, Ware RS, Keijzers G. Describing the learning curve of novices for the diagnosis of paediatric distal forearm fractures using point-of-care ultrasound. Australas J Ultrasound Med. 2022 Mar 7;25(2):66-73. doi: 10.1002/ajum.12291. PMID: 35722050; PMCID: PMC9201201.
↑ Heiner JD, McArthur TJ. A simulation model for the ultrasound diagnosis of long-bone fractures. Simul Healthc. 2009 Winter;4(4):228-31. doi: 10.1097/SIH.0b013e3181b1a8d0. PMID: 19915442.
↑ Snelling PJ, Keijzers G, Byrnes J, Bade D, George S, Moore M, Jones P, Davison M, Roan R, Ware RS. Bedside Ultrasound Conducted in Kids with distal upper Limb fractures in the Emergency Department (BUCKLED): a protocol for an open-label non-inferiority diagnostic randomised controlled trial. Trials. 2021 Apr 14;22(1):282. doi: 10.1186/s13063-021-05239-z. PMID: 33853650; PMCID: PMC8048294.
↑ Snelling PJ. A low-cost ultrasound model for simulation of paediatric distal forearm fractures. Australas J Ultrasound Med. 2018 Feb 25;21(2):70-74. doi: 10.1002/ajum.12083. PMID: 34760505; PMCID: PMC8409885.

Page data
Part of	Pediatric Distal Forearm Fractures
Keywords	orthopedic surgery, surgical training, pediatric distal forearm fracture, buckle fracture, torus fracture, greenstick fracture, complete fracture, non-displaced fracture, fracture care, fracture sonography, point-of-care ultrasound, portable ultrasound, handheld ultrasound, 3d printing, artificial bones, splinting
SDG	SDG03 Good health and well-being
Authors	Medical Makers
License	CC-BY-SA-4.0
Organizations	Medical Makers
Language	English (en)
Related	0 subpages, 5 pages link here
Impact	243 page views
Created	August 15, 2022 by Medical Makers
Modified	February 28, 2024 by Felipe Schenone
Cite as	Medical Makers (2022–2024). "Pediatric Distal Forearm Fractures/Training Logbook". Appropedia. Retrieved April 20, 2024.
API queries	basic, semantic, html, files, more

[1] Onyemaechi NO, Itanyi IU, Ossai PO, Ezeanolue EE. Can traditional bonesetters become trained technicians? Feasibility study among a cohort of Nigerian traditional bonesetters. Hum Resour Health. 2020 Mar 20;18(1):24. doi: 10.1186/s12960-020-00468-w. PMID: 32197617; PMCID: PMC7085192.

[2] Heiner JD, McArthur TJ. The ultrasound identification of simulated long bone fractures by prehospital providers. Wilderness Environ Med. 2010 Jun;21(2):137-40. doi: 10.1016/j.wem.2009.12.028. Epub 2009 Dec 22. PMID: 20591377.

[3] Heiner JD, Baker BL, McArthur TJ. The ultrasound detection of simulated long bone fractures by U.S. Army Special Forces Medics. J Spec Oper Med. 2010 Spring;10(2):7-10. PMID: 20936597.

[4] Heiner JD, Proffitt AM, McArthur TJ. The ability of emergency nurses to detect simulated long bone fractures with portable ultrasound. Int Emerg Nurs. 2011 Jul;19(3):120-4. doi: 10.1016/j.ienj.2010.08.004. Epub 2010 Sep 25. PMID: 21665155.

[5] Snelling PJ, Jones P, Keijzers G, Bade D, Herd DW, Ware RS. Nurse practitioner administered point-of-care ultrasound compared with X-ray for children with clinically non-angulated distal forearm fractures in the ED: a diagnostic study. Emerg Med J. 2021 Feb;38(2):139-145. doi: 10.1136/emermed-2020-209689. Epub 2020 Sep 8. PMID: 32900856.

[6] Snelling PJ, Jones P, Moore M, Gimpel P, Rogers R, Liew K, Ware RS, Keijzers G. Describing the learning curve of novices for the diagnosis of paediatric distal forearm fractures using point-of-care ultrasound. Australas J Ultrasound Med. 2022 Mar 7;25(2):66-73. doi: 10.1002/ajum.12291. PMID: 35722050; PMCID: PMC9201201.

[7] Heiner JD, McArthur TJ. A simulation model for the ultrasound diagnosis of long-bone fractures. Simul Healthc. 2009 Winter;4(4):228-31. doi: 10.1097/SIH.0b013e3181b1a8d0. PMID: 19915442.

[8] Snelling PJ, Keijzers G, Byrnes J, Bade D, George S, Moore M, Jones P, Davison M, Roan R, Ware RS. Bedside Ultrasound Conducted in Kids with distal upper Limb fractures in the Emergency Department (BUCKLED): a protocol for an open-label non-inferiority diagnostic randomised controlled trial. Trials. 2021 Apr 14;22(1):282. doi: 10.1186/s13063-021-05239-z. PMID: 33853650; PMCID: PMC8048294.

[9] Snelling PJ. A low-cost ultrasound model for simulation of paediatric distal forearm fractures. Australas J Ultrasound Med. 2018 Feb 25;21(2):70-74. doi: 10.1002/ajum.12083. PMID: 34760505; PMCID: PMC8409885.

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