TY - JOUR T1 - Wrist deformity following falling down JF - Emergency Medicine Journal JO - Emerg Med J SP - 866 LP - 880 DO - 10.1136/emermed-2021-211860 VL - 39 IS - 11 AU - Chih-Yao Lee AU - Cheng-Chang Lu Y1 - 2022/11/01 UR - http://emj.bmj.com/content/39/11/866.abstract N2 - A 8-year-old girl presented to our emergency department with a painful deformity of her left wrist following falling onto her outstretched hand. The physical examination showed ecchymosis, swelling, and left wris deformity with radial deviation and ulna apex (figure 1). Sensation and capillary refill time on the left distal limb were normal. Left wrist radiograph was obtained (figure 2A). Following closed reduction under sedation, the fluoroscopic radiograph showed persistent deformity with unacceptable alignment (figure 2B).Figure 1 The appearance of the left wrist on presentation to the emergency department.Figure 2 (A) Left wrist anteroposterior radiograph. (B) Radiograph following close reduction under sedation.Which of the following is the most appropriate management?Attempt closed … ER -